slide1 n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Olga L.Sarmiento . MD, MPH, PhD Adriana Díaz del Castillo H. MD, MA PowerPoint Presentation
Download Presentation
Olga L.Sarmiento . MD, MPH, PhD Adriana Díaz del Castillo H. MD, MA

Loading in 2 Seconds...

play fullscreen
1 / 29

Olga L.Sarmiento . MD, MPH, PhD Adriana Díaz del Castillo H. MD, MA - PowerPoint PPT Presentation


  • 137 Views
  • Uploaded on

Bogotá. A City with a Built Environment that Promotes Physical Activity. Promoting Healthy Living in the Americas: Multisectoral Interventions to reduce health risks factors Washington, DC, November 18th, 2013. Photo : Diana Fernández. Olga L.Sarmiento . MD, MPH, PhD

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Olga L.Sarmiento . MD, MPH, PhD Adriana Díaz del Castillo H. MD, MA' - isabel


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
slide1

Bogotá

A City with a Built Environment that Promotes Physical Activity.

Promoting Healthy Living in the Americas: Multisectoral Interventions to reduce health risks factors

Washington, DC, November 18th, 2013

Photo: Diana Fernández

  • Olga L.Sarmiento. MD, MPH, PhD
  • Adriana Díaz del Castillo H. MD, MA
  • Ethel Segura Durán. Arq., MG
agenda
Agenda
  • Context: physicalinactivity and chronicdiseases
  • Objectives
  • Methods
  • Case results: Ciclovía Recreativa, CicloRutas, TransMilenio & Outdoorgyms
  • Lessonslearned and recommendations

Photo: Ethel Segura

slide3

The burden of physical inactivity

5.3

MILLION

Deaths attributed to physical inactivity (PI) worldwide

Wen et al. 2012 ; Lee et al. 2012 ; Lobelo 2006

11.7%

Deaths attributed to PI in Colombia

Prevalence

Annual deaths (global)

7.6%

All cause mortality attributed to PI in Bogotá

20.1%

Deaths due to NCD attributed to PI in Bogotá

slide4

Physical activity

in Bogotá

Ensin 2010 Sarmiento et al

objectives
objectives

Photo: Ethel Segura

slide6

Objectives

  • Describe the processes and stakeholders that led to the design and implementation of:
    • CiclovíaRecreativa, CicloRutas,TransMilenio and Outdor gyms as promising programs or infrastructures to promote physical activity in Bogotá.
  • Provide recommendations for the developing of similar policies, programs, and infrastructures in other cities.
methods
methods

Photo: Olga Sarmiento

methods1
Methods
  • Literature review of the policy processes.
  • Document analysis of policies, regulations, legislative acts, and district development plans.
  • Semi-structure interviews.
  • Secondary analysis of population surveys (2005, 2010, 2011).

Photo: Ethel Segura

results
results

Photo: Ethel Segura

slide10

Ciclovía, CicloRutas, TransMilenio, and Parks Users’ Average Number of PA Minutes per Week

ciclov a
Ciclovía

Photo: Olga Sarmiento

  • -113 km of streets
  • -~70 events per year
  • -600,000-1,200,000 participants per event

Weekday

Ciclovía

Sarmiento et al 2010; Montes et al. 2012; Torres et al 2013

ciclov a physical activity
Ciclovía & Physical Activity
  • Adults (18-64 yrs)
  • 9.8% of the population reported participating in the last month
  • 59.5% of users meet PA recommendations (for leisure)
  • Ciclovía participants vs. no participants are more likely to meet PA recommendations (POR:1.7; 95% CI 1.1-2.4); (POR: 7.4; 95% CI 4.0-13.8).
  • Ciclovia participants are more likely to bike for transportation OR 2.28 (1.32-3.94)
  • The cost–benefit ratio for health benefit from physical activity was 3.23–4.26
  • Older Adults (60-98yrs)
  • Access to Ciclovíawas associated with having walked at least 150 minutes in a usual week (POR:1.29, 95% CI1.0, 1.7).
  • Children (9-10 yrs)
  • 31.8% of the children reported participating at least once a month in the Ciclovia
  • Cicloviausers have higher mean minutes of MVPA vs. non Cicloviausers Beta= 3.047 p=0.03

Sarmiento et al 2010; Montes et al. 2012; Torres et al 2013; Gomez 2010

ciclov a1
Ciclovía
  • -1974, started promoted by activists
  • -1995, District Institute of Recreation and Sports
  • -Program to reduce NCD in National Public Health Plan
  • - Law on Obesity (1355) as a strategy to promote PA

Photo: Olga Sarmiento

Weekday

Ciclovía

Sarmiento et al 2010; Montes et al. 2012; Torres et al 2013

slide14

Ciclovía

  • Facilitators

Barriers

Stakeholders

  • Activists-bike enthusiasts
  • City government– mayors
  • Transport
  • Police
  • Ministry Education
  • IDRD
  • Urban planning
  • Health
  • City residents
  • Congress- City Council
  • Private vehicle owners
  • Businesses
  • Favorable context
  • Political will
  • Alignment with government plans
  • Community participation
  • Multi-sectoral work
  • Lead entity
  • Transport priorities
  • Businesses
  • Changed government priorities
ciclorutas
CicloRutas
  • -Bike paths
  • -344km in the network
  • -Longest network in Latin America
  • -83,436 users per day
  • -Law on Obesity (1355) as a strategy to promote PA

Photo: Ethel Segura

Torres et al 2013; Ricaurte 2010

ciclorutas1
CicloRutas
  • 70.5%of users meets PA recommendations (fortransport)
  • The cost–benefit ratio for health benefit from physical activity was 2.8

Photo: Ethel Segura

Torres et al 2013; Ricaurte 2010

slide19

CicloRutas

Stakeholders

  • Facilitators

Barriers

  • City government
  • JICA
  • Urban planning (IDU)
  • Public utility companies: EAAB – ETB – Codensa
  • IDRD
  • Police
  • Bike activists
  • Favorable context
  • Vision of the city: sustainable transport
  • Budget allocation
  • Changes to roads that supported the new infrastructure
  • Non-integrated interventions
  • Lack of comprehensive policies
  • Lack of a lead entity
  • Imbalance of transport priorities
  • Low status of bicycles
  • Circuit interruptions
  • Road insecurity and crime
  • Funding for maintenance
transmilenio
TransMilenio

Photo: Andrea Ramírez

-30% of the trips in Bogotá are made by public transport (9% TransMilenio)

-TransMileniobuses operate in exclusive lanes with fixed stations ~500m

-Average of 1.2million passengers per day

-The fastest mode of transport 28km/h

Cervero et al. 2009

transmilenio1
TransMilenio

Photo: Andrea Ramírez

Adults living in a neighborhood with 1 or 2 TM stations are more likely to walk for transport and meet PA recommendations than those who live in neighborhoods without TM stations

Cervero et al. 2009

slide22

Physical activity &TransMilenio

>22 minutes daily of MVPA (PR = 1.36, CI = 95% [1.08-1.63]

Relation between moderate and vigorous physical activity (MVPA) minutes per hour and time of day for users and nonusers of TransMilenio (N = 250).

slide23

TransMilenio

Stakeholders

  • Facilitators

Barriers

  • City government
  • Urban planning
  • Public transport operators
  • Private concessionaires
  • Media
  • Urban planning experts and academics
  • City residents
  • Favorable context
  • Political will
  • Unsuccessful earlier experiences
  • Fixed stations
  • Problems in execution and operation
  • Reduced user satisfaction
  • Cost of the fare
slide24

BRT around the world

  • 120 cities
  • 280 corridors
  • 4,300 Km
  • 6,700 stations
  • 30,000 buses
  • 28 millionpassengers/day

Source: Hidalgo, D., & Gutiérrez, L., BRT and BHLS around the world: Explosive growth, large positive impacts and many issues outstanding, Research in Transportation Economics (2012)

outdoor gyms
Outdoor gyms

Photo: Olga Sarmiento

Amongadults and olderadults, parkdensity and frequent use are associatedwithmeeting PA recommendationsduringleisuretime

Gómez et al. 2010 (a) (b)

slide26

Outdoor gyms

Stakeholders

  • Facilitators

Barriers

  • Private company
  • City residents
  • IDRD
  • Public-private partnerships with benefits for all
  • Community participation
  • Funding
  • Vandalism
slide27

Lessons learned

  • Multi-sectoralwork.
  • Use of existinginfrastructuretopromote PA tooptimizeresources
  • Comprehensiveinterventions.
  • Health sector needstobuildonothersectorsinitiatives.
  • Topromotesustainability—commongoals and active interactionsamonginstitutions.
  • Communityparticipation & politicalwill: both are necessary but neither is sufficient on its own.

Photo: Diana Fernández

slide28

Recommendations

  • Include the health sector in urban planning processes.
  • Include health indicators in the design, evaluation and monitoring of urban development programs.
  • Promote different dimensions of PA through comprehensive approaches.

Photo: Olga Sarmiento

slide29

Thank you

Photo: Ethel Segura