Eco-RESIDE: An Economic Evaluation Of Urban Design As A Means Of Promoting Physical Activity
Funder
National Health and Medical Research Council
Funding Amount
$422,612.00
Summary
The significance of this project lies in the health problem that it seeks to address and the intervention that is being evaluated. Physical inactivity ranks second only to tobacco use in terms of the costs of diseases associated with behavioural risk factors. Declining rates of physical activity have been associated with increasing rates of obesity and overweight in Australian children and adults. The association that one sees between features of the urban environment and physical activity level ....The significance of this project lies in the health problem that it seeks to address and the intervention that is being evaluated. Physical inactivity ranks second only to tobacco use in terms of the costs of diseases associated with behavioural risk factors. Declining rates of physical activity have been associated with increasing rates of obesity and overweight in Australian children and adults. The association that one sees between features of the urban environment and physical activity levels suggests that urban planning guidelines may be a cost-effective means of promoting health and achieving other social objectives such as sustainable use of natural resources. Furthermore, not enough is known about the economic value of investing in health promoting interventions and this project is among the first to measure the costs and benefits of intervening at the environmental level. The information that it provides will be highly useful for local government and health service planners alike.Read moreRead less
Efficacy Of Exercise Physiologist Counselling In Primary Care Patients: A RCT Of Two Pragmatic Approaches
Funder
National Health and Medical Research Council
Funding Amount
$940,925.00
Summary
Physical activity is one of the most powerful contributors to health, but population levels of activity are low. General practitioners (GPs) are well placed to provide physical activity counselling, but many are too busy. This project examines the effectiveness of referral of insufficiently active adults to an exercise physiologist (EP), using step counts from a pedometer as the outcome. We compare usual care from the GP with: (1) 5 EP visits, and (2) a single visit and telephone follow up.
Impact Of The Extension Of The Sydney Light Rail System On The Prevalence Of Physical Activity Participation
Funder
National Health and Medical Research Council
Funding Amount
$105,647.00
Summary
Regular participation in physical activity is associated with a range of physical and mental health benefits in adults, including reduced risk for cardiovascular disease, non-insulin dependent diabetes, overweight, hypertension, osteoporosis, some cancers and anxiety and depression. Regular participation in physical activity also improves the ability to meet the demands of work and to engage in leisure activities. Approximately half of all adult Australians are insufficiently active to gain the ....Regular participation in physical activity is associated with a range of physical and mental health benefits in adults, including reduced risk for cardiovascular disease, non-insulin dependent diabetes, overweight, hypertension, osteoporosis, some cancers and anxiety and depression. Regular participation in physical activity also improves the ability to meet the demands of work and to engage in leisure activities. Approximately half of all adult Australians are insufficiently active to gain the many health benefits associated with participation in regular physical activity. Modification of the physical environment is one avenue through which the prevalence of physcial activity participation might be increased. More specifically, there has been considerable speculation about the role of public transportation systems in increasing the proportion of adults who are adequately physically active, but no empirical evidence is available. This study will employ a quasi-experimental design to determine if the extension of the Sydney Light Rail System to Lilyfield results in an increase in the prevalence of physical activity (primarily walking) in the affected area, in comparison with a demographically similar area which is not affected by the light rail extension.Read moreRead less
The Development Of Overweight And Bone Density Among Adolescent Girls: A 3-year Prospective Cohort Study
Funder
National Health and Medical Research Council
Funding Amount
$280,351.00
Summary
Being overweight as an adolescent is associated with many health problems, both during adolescence and throughout the rest of the life span. The proportion of Australian adults who are overweight is increasing rapidly and it appears that overweight is also increasing among Australian adolescents. Unfortunately, little is known about the relative influences of physical activity, sedentary activity and dietary fat intake on the development of overweight among adolescents. Understanding this issue ....Being overweight as an adolescent is associated with many health problems, both during adolescence and throughout the rest of the life span. The proportion of Australian adults who are overweight is increasing rapidly and it appears that overweight is also increasing among Australian adolescents. Unfortunately, little is known about the relative influences of physical activity, sedentary activity and dietary fat intake on the development of overweight among adolescents. Understanding this issue will inform our efforts to prevent the development of overweight and to maintain healthy weight among Australian adolescents. Bone fractures among older adults have a major impact on their overall health, quality of life and capacity for independent and satisfying living. Peak bone strength is reached during adolescence and, although bone strength can be largely maintained though adult life with appropriate diet and physical activity, little can be done to further strengthen bones during adulthood. The goal of public health is to foster the development of maximum bone strength among adolescents in order to reduce the severity of osteoporosis among the older adults of the future. Our understanding of the factors which influence the development of maximum bone strength is inadequate to the task of designing programs and interventions intended maximise bone strength among the current generation of adolescents. This proposed study is intended to make a significant contribution to our understanding of the development of overweight and bone strength among adolescents. As our understanding of these health issues improves we will be able to make more effective contributions to the health of the Australian population, both during adolescence and across the lifespan.Read moreRead less
The Impact Of Urban Design On Active Transportation Patterns In Children
Funder
National Health and Medical Research Council
Funding Amount
$375,814.00
Summary
There are growing concerns about children's level of physical activity and increasing levels of overweight and obesity. Encouraging active transport among children, particularly walking to school, has been identified as one strategy to increase physical activity, thereby assisting to curb increasing levels of overweight and obesity. While a laudable objective, it is not clear: (a) to what extent the urban design surrounding schools hinders or facilitates children walking to school; and (b) what ....There are growing concerns about children's level of physical activity and increasing levels of overweight and obesity. Encouraging active transport among children, particularly walking to school, has been identified as one strategy to increase physical activity, thereby assisting to curb increasing levels of overweight and obesity. While a laudable objective, it is not clear: (a) to what extent the urban design surrounding schools hinders or facilitates children walking to school; and (b) what the true potential of children being able to walk to school is, given the low density of many contemporary local neighbourhoods. Thus, this study is important because it examines the real potential for children to walk to school in their neighbourhood, and compares parental and student perceptions of the neighbourhood with objective measures of the neighbourhood. The study will compare the active transport habits of children attending schools with optimal and less than optimal neighbourhood environments. Optimal and less optimal urban environments will be identified by creating an objectively measured child pedestrian-specific walkability index using GIS. These data will provide insights to support policy development by government and non-government members of Walking WA to better plan future schools (i.e., Department of Education and Training); to plan future Walking School Buses (Department for Planning and Infrastructure); to communicate with parents about children and active transport (Physical Activity Task Force); and to lobby local government authorities to create safe routes to school. In summary, the research will: (a) provide insights into the design of policy-related and environmental interventions aimed at increasing active transport by children and adolescents; (b) add to a limited body of knowledge on active transport in Australia; and will (c) provide information to our multi-sector partners that can be used to develop future interventions.Read moreRead less
TELEPHONE COUNSELLING FOR MAINTENANCE OF PHYSICAL ACTIVITY, WEIGHT LOSS And GLYCAEMIC CONTROL IN TYPE 2 DIABETES
Funder
National Health and Medical Research Council
Funding Amount
$1,285,894.00
Summary
Regular exercise, a healthy diet and weight loss are key to managing type 2 diabetes, yet these are major challenges for most people with diabetes. This study will evaluate the impact of a telephone counselling program to assist people with type 2 diabetes to exercise, eat a healthy diet and lose weight, with the goal of helping them to sustain these changes over the long-term. It is expected that these lifestyle changes will also result in improved blood glucose control and quality of life.
An RCT To Promote Healthy Lifestyle Behaviours From Infancy: An Intervention To Prevent Childhood Overweight
Funder
National Health and Medical Research Council
Funding Amount
$578,631.00
Summary
In Australia, one in four school-aged children is currently overweight and childhood obesity rates are continuing to rise. In the last five years it has become clear that rates of overweight and obesity are also rapidly increasing in pre-school age children. These are issues that are of concern to health officials as well as to parents. We understand that these rising rates in fatness relate to children's diet and activity patterns, and that these patterns, once established are likely to be patt ....In Australia, one in four school-aged children is currently overweight and childhood obesity rates are continuing to rise. In the last five years it has become clear that rates of overweight and obesity are also rapidly increasing in pre-school age children. These are issues that are of concern to health officials as well as to parents. We understand that these rising rates in fatness relate to children's diet and activity patterns, and that these patterns, once established are likely to be patterns for life. To date, there has been relatively little research regarding the chance to support parents to establish the eating and activity patterns that will protect their children from the very beginning of life. This project seeks to support first-time parents to establish healthy eating and activity behaviours in their children using the highly utilised Maternal and Child Health Centres first time parents' groups. We believe that these groups will provide a strongly supportive environment in which to provide parents with strategies and knowledge for promoting healthy eating and activity patterns for their children, and in turn, promote healthy weight gain. This project will assess the effectiveness of this intervention.Read moreRead less
A Multi-setting Intervention To Reduce Sedentary Behaviour, Promote Physical Activity And Improve Childrens Health
Funder
National Health and Medical Research Council
Funding Amount
$860,343.00
Summary
Sedentary behaviours and physical inactivity play a major role in the rising prevalence of obesity among children in Australia. This intervention study will take place in the school and family settings which play a critical role in shaping children's health behaviours. The objective is to determine whether a 2-year behavioural intervention reduces sedentary behaviour and promotes physical activity and results in improved health among 8-9 year old children.
Helping Women Meet Their Activity Goals: Randomised Trial Of A Personalised Program Delivered By Mobile Telephone
Funder
National Health and Medical Research Council
Funding Amount
$493,346.00
Summary
Cardiovascular disease is the leading cause of death in Australian women, but is less likely among women who are active. Because women are less active than men, and women with young children are the least active of all, we developed a program to increase postnatal women's physical activity. Women in the pilot study reported high program satisfaction and more physical activity, because the program focused on them (not their kids) and helped them prioritise time for physical activity.
WALK 2.0: Investigating The Internal And External Validity Of Web 2.0 Applications In Promoting Physical Activity
Funder
National Health and Medical Research Council
Funding Amount
$934,436.00
Summary
More then half of the Australian population do not meet the recommended levels of physical activity to achieve health benefits. Internet based physical activity interventions which include innovative technology have the potential to reach large groups of individuals and contribute to physical activity promotion. This study evaluates the efficacy and utility of Web 2.0 applications to promote physical activity.