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conference abstract book 7-9 October 205 Acıbadem University Kerem Aydınlar Campus HEPA EUROPE October 205 CONTENT HEPA Europe 205 Conference Welcome Message HEPA Europe
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conference abstract book 7-9 October 205 Acıbadem University Kerem Aydınlar Campus HEPA EUROPE October 205 CONTENT HEPA Europe 205 Conference Welcome Message HEPA Europe Message Conference Theme Conference Committies Abstracts 2 HEPA EUROPE October 205 Welcome Message from HEPA Europe 205 Conference Dear Colleagues, On behalf of the Scientific Committee and the Organizing Committee, it is a pleasure and honor for us to invite you to th Annual Meeting and 6th Conference of HEPA Europe which will be held on 7-9 October 205 focusing on Promoting Active Living: The Collaborative Perspective. Aim of the conference is to bring together scientists, researchers, public institutions, NGO and private sector representatives and to exchange and share their knowledge, experience, and research and to provide a platform for comprehensive and multidisciplinary and multi-sectoral approaches for health-enhancing physical activity promotion. The th annual meeting and 6th conference of HEPA will deliberate on wide ranging issues affecting the progress of physical activity and public health such with the main theme Promoting Active Living: The Collaborative Perspective. The sub-themes will be Active ageing and injury prevention, Policies and interventions and promotion of physical activity, Physical activity in youth and children, Sedentary behavior, Environmental approaches to active living, active design, urban planning, Technological innovations, monitoring and surveillance of physical activity, Economic dimensions of physical activity, Psycho-social aspects of physical activity, Exercise in health and chronic diseases, Physical activity epidemiology, Physiological mechanisms of health enhancing physical activity. Istanbul maintains a distinguished position among the world metropolises, with its unique location between two continents, together with its cultural heritage spanning thousands of years. As one of the most energetic cities in the world, Istanbul continually grows as a center of attraction, representing a contrast in harmony and presenting a breathtaking choice of sights, smells and tastes that everyone must experience at least once in a lifetime. Thus, we believe getting together in such a charming atmosphere with our colleagues is an opportunity nobody should miss. Hosting this congress in Istanbul -where Asia meets Europe- will not only help us enhance patient care but also build bridges between participants from various countries. We are looking forward to welcoming you in Istanbul. We are certain that you will greatly enjoy this major scientific event as well as the Turkish culture, cuisine and hospitality. Haydar A. Demirel MD, Ph.D Chair of HEPA Europe 205 Conference 3 HEPA EUROPE October 205 Welcome Message from HEPA Europe HEPA Europe is excited to hold its first annual meeting in the southeast part of the European Region! Just weeks after the launch of the new Physical Activity Strategy for the WHO European Region, it is particularly timely to come together and discuss the latest news on HEPA research and promotion around the conference theme Promoting active living: the collaborative perspective. With a many participants from over 25 countries of the region as well as from South Africa, Iran and the United States of America, we are looking forward to a fruitful exchange and new lessons for research, policy and practice. The events include exciting key note lectures, symposia, oral and poster sessions and workshops on topical areas, an early career workshop as well as the annual network meeting. HEPA Europe extends its warmest thanks to the Active Living Association and the Association For Promotion of Healthy Life And Health Policies as well as Hacettepe University Faculty of Sport Sciences and Acıbadem University Health Policy Research and Implementation Center for their great hospitality and support. We are looking forward to experiencing the Turkish culture and an exceptional event in Istanbul! Sonja Kahlmeier Sonja Kahlmeier, Phd. Steering Committee HEPA Europe Organizing Committee of HEPA Europe 205 4 HEPA EUROPE October 205 Conference Theme MAIN THEME Promoting Active Living: The Collaborative Perspective SUB THEMES - Active ageing and injury prevention - Policies and interventions and promotion of physical activity - Physical activity in youth and children - Sedentary behaviour - Environmental approaches to active living, active design, urban planning - Technological Innovations, monitoring and surveillance of physical activity - Economic dimensions of physical activity - Psycho-social aspects of physical activity - Exercise in health and chronic diseases - Physical activity epidemiology - Physiological mechanisms of health enhancing physical activity 5 HEPA EUROPE October 205 COMMITTEES SCIENTIFIC COMMITTEE Chairs Willem van Mechelen Nazan Ş. Koşar Members Ali Murat Zergeroğlu Anne Vuillemin Asuman Doğan Ayda Karaca Ayşe Kin İşler Aysel Pehlivan Bengt Kayser Bülent Okan Yıldız Charlie Foster Elif N. Özmert Erdem Kaşıkcıoğlu Gıyasettin Demirhan Haydar Demirel Hilal Özcebe Hülya Aşçı Hülya Kayıhan Levent İnce Marie Murphy Nanette Mutrie Nazan Yardım Niamh Murphy Toker Ergüder Tolga Aydoğ Winfried Banzer ORGANIZING COMMITTEE Haydar Demirel Hacettepe University Dean of Faculty of Sport Sciences, Chair of Active Living Association Sonja Kahlmeier HEPA Europe Ebru Tüzecan Member of Active Living Association Gizem Kendik Member of the Conference Secretariat, Active Living Association Mehmet Ersoy Member of The Association For Promotion of Healthy Life And Health Policies 6 KEYNOTES 7 KEYNOTES Exercise is Good Medicine KEYNOTE..... Scott K. Powers University of Florida, College of Health and Human Performance Abstract BIOGRAPHY Physical inactivity contributes to a variety of chronic diseases and health problems and inactivity has become a major public health problem globally. In contrast, it is established that regular exercise reduces the risk for many diseases such as cardiovascular disease, cancer, and type II diabetes. Further, regular physical activity is an effective therapy for several chronic diseases including type II diabetes and rehabilitation of patients following myocardial infarction. The fact that regular exercise can both prevent disease and improve disease outcomes has led to the coordinated initiative termed Exercise is Medicine. While the aforementioned benefits of exercise on health are well known, new research reveals that regular exercise also has many previously unknown health benefits such as reducing cardiac injury during a heart attack and protection against chemotherapy-induced cardiac and skeletal muscle damage. Further, emerging evidence indicates that endurance exercise training results in adaptations to subcutaneous adipocytes in a paracrine or endocrine manner to improve whole body glucose homeostasis. Collectively, these new findings illustrate that exercise is good medicine and suggest that research into the mechanism(s) responsible for exercise-induced health benefits are an important investigative tool leading to drug discovery and improved treatment for inactivity-related diseases. Scott K. Powers is the UAA Endowed Professor and a distinguished professor within the Department of Applied Physiology and Kinesiology at the University of Florida. His research focuses upon the effects of exercise and inactivity on redox signaling and gene expression of both cardiac and skeletal muscles. During the past 25 years his investigative work has been funded by a variety of granting agencies including the National Institutes of Health, American Heart Association, and American Lung Association. Collectively, Dr. Powers research has resulted in more than 235 peer-reviewed publications that are widely cited in the literature. 8 KEYNOTES Workplace Physical Activity Interventions in A Cost-Affectiveness Perspective KEYNOTE..... Willem van Mechelen Department of Public and Occupational Health and EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, the Netherlands ABSTRACT BIOGRAPHY From a number of perspectives, worksite health promotion programs seem to be relevant and might be even more effective than usual care regarding typical health risk factors, such as reductions in musculoskeletal disorders, body weight, cholesterol level, and cardiovascular disease risks. However, if the company should take a serious interest in such costly health enhancing initiatives, they should also be informed about side-effects on productivity, sick leave, and the overall economical aspect of a sustainable work force. Hence, the financial benefits related to these issues should be included in scientific evaluations, and the costs of the program should be minimized. This presentation will not only cover the aspect of the general benefit of the society related to primary prevention, but will also take the perspective of specific interest of the companies for such work-related health enhancing programs. Starting from the systematic review of J.M. van Dongen et al. (Obes Rev 20;2:03-49), an overview will be given of the scientific evidence that has been published since then, about the financial return of worksite health promotion programs aimed at improving nutrition and/or increasing physical activity. Willem van Mechelen is Head Department of Department of Public and Occupational Health of VU University Medical Centre and Co- Director EMGO+ Institute of VU University Medical Centre. He is the Chairman of the Research Centre TNO VU University Medical Centre and Director of the VUmc spin-off company Evalua Nederland B.V. ( Ltd ). He earned his PhD in Human Movement Sciences in 992. He also is a board certified occupational physician and a registered epidemiologist. Currently, he is employed by the VU University Medical Centre in Amsterdam as a full professor of Occupational and Sports Medicine. He is chairman of the research centre which is focuses on the research topics work and health and lifestyle, health and sports providing state of the art knowledge for fellow researchers and policymakers of governmental and commercial institutes. 9 KEYNOTES Total Physical Activity is Associated with Positive Health Outcomes and Occupational Physical Activity is Not: How Come? KEYNOTE..... Allard van der Beek Free University Medical Center, Amsterdam ABSTRACT BIOGRAPHY Physical activity seems a magic pill, and its health-enhancing effects are beyond any doubt. However, recent epidemiological evidence from large prospective cohort studies has shown that physical activity in the occupational domain might not result in the same positive health effects as physical activity in other domains. Holtermann and his colleagues called this phenomenon the health paradox of occupational and leisure-time physical activity. If we take one step back, a systematic review and meta-analysis by Samitz et al. on domains of psychical activity and all-cause mortality, published in 20, found an inverse relation between increasing levels of occupational physical activity (OPA) and all-cause mortality. The combined risk ratio (RR) from maximally adjusted analyses in six cohort studies comparing highest with lowest levels of OPA was found to be 0.83 (95% CI: ), indicating that OPA was associated with reduced all-cause mortality. The mortality reductions were more pronounced in women than in men. Since then, however, more than ten prospective epidemiological studies published in international, peer-reviewed scientific journals showed the opposite: OPA was consistently associated with an increased risk of cardiovascular disease (CVD) and all-cause mortality in men. Such increased risk was either not found, or found to a lesser extent in women. This turning point in the scientific evidence was also reflected in a meta-analysis by Li et al. on physical activity and CVD, since it included prospective epidemiological studies published between 20 and March 203 only. They found an increased overall CVD risk for the group with high levels of OPA (pooled RR:.24, 95% CI: ) compared to the reference group with low OPA, which was not statistically significant for moderate levels of OPA (pooled RR:.0, 95% CI: ). This keynote presentation will focus on the potential reasons for these results, consistently showing a marked contrast between studies before and after Since 2007, Allard is holding a tenured position as Professor of Occupational Epidemiology. Presently, he is vice head of the Department of Public and Occupational Health and co-director of the EMGO+ Institute\ s research programme Musculoskeletal Health. His main research topics have been exposure assessment, (cost-) effectiveness of interventions, worksite health promotion, etiology of work-related musculoskeletal disorders and work stress, and insurance medicine. Allard van der Beek is (co-)author of over 250 scientific papers published in peer-reviewed, international journals. He supervised 26 researchers who successfully defended their PhD thesis, and he is supervising another 0 PhD students now. As of 2002 he is coordinator of Research Center Physical Activity, Work & Health, TNO-VUmc. Furthermore, Allard van der Beek serves as vice-chair of the Program Board of the Research Center for Insurance Medicine AMC-UMCG-UWV-VUmc; he was chair of this board during the period Jan 2007 Jul KEYNOTES Can Photos and Maps Help Us to Understand and Change Physical Activity? KEYNOTE..... Charlie Foster Oxford University, British Heart Foundation Centre on Population Approaches for Non-Communicable Disease Prevention ABSTRACT BIOGRAPHY The rapid evolution and distribution of technology in the modern world has resulted in new and exciting developments for the assessment and promotion physical activity. In the last few years, the number of portable devices that are able to monitor and record physical activity behaviour within the context of the physical environment has increased considerably. It is critical that researchers and practitioners who are using novel assessment techniques evaluate their implementation and impact. Photos and maps are not new ways of conveying information but may offer new approaches to the understanding and delivery of established way to change physical activity behaviours. This presentation will present (i) an overview of these approaches and the theories that underpin their use, (ii) their application to correlates and intervention development in research, (iii) their rapid adoption in the real world via new technologies, and (iv) offer suggestions for new research in this area. Associate Professor Charlie Foster is Deputy Director of the Research Group and the new WHO Collaborating Centre on Population Approaches to Non-Communicable Disease Prevention. He leads two British Heart Foundation funded programmes of research on physical activity and obesity. The aim of both programmes is to improve the quality of the evidence base for basic epidemiology, measurement, correlates, interventions and policy. With over one hundred research publications including the Lancet, BMJ, and Cochrane Collaboration, he was asked to co-author the recent UK Chief Medical Officer physical activity guidelines, published in 20. Dr Foster was appointed to the new NICE Public Health Advisory Committee, and as an academic consultant for the WHO, EC and CDC USA. His research has been recognised in awards from British Association of Sports and Exercise Sciences, International Society for Behavioural Nutrition and Physical Activity and UK Department of Health. SYMPOSIA 2 SYMPOSIA Collaboration and Intersectoral Approaches to Promote Physical Activity and Active Living Insights for Policy Name of the PRESENTERS... CHAIRS... DISCUSSANT... Lucy Saunders Transport for London & Greater London Authority, United Kingdom, Olov Belander The Norwegian Directorate of Health, Norway, Diana Rus Center for Health Policy and Public Health, Babeș-Bolyai University, Cluj-Napoca, Romania Karen Milton, Nuffield Department of Population Health, University of Oxford, United Kingdom, Sonja Kahlmeier, Physical Activity and Health Unit, University of Zurich, Switzerland Nanette Mutrie MBE, Physical Activity for Health, University of Edinburgh, United Kingdom(invited) Rationale Policies are a key element of a national strategy to promote physical activity and health. One element that is promoted as a standard approach in developing and implementing such policies is collaboration across sectors and stakeholders inside and outside of government. While most policies include elements of one or the other, the actual workings of such collaboration are not yet well understood. This symposium will present different examples and will derive conclusions and lessons learned for uptake by the present experts and policy makers in their own policies and settings. Purpose To provide examples of collaboration in different countries, to learn on challenges and different solutions and to identify key lessons for the future 3 SYMPOSIA Health By Stealth: Experiences of A Public Health Specialist Working in A Transport Authority Name of the PRESENTER... Lucy Saunders Public Health Specialist Transport & Public Realm Greater London Authority Policies and interventions and promotion of physical activity In London, like much of the UK, less than 6 in 0 adults achieve the minimum physical activity they need for health. The main way that people get their physical activity is through the walking they do in the transport system and active travel holds the biggest potential for shifting the population to higher activity levels. In 202 a public health specialist started working with London s strategic transport authority, Transport for London, to embed public health considerations into transport policy and practice. A transport-health action plan, the first of its kind for a Transport Authority, is being implemented. This includes monetising health impacts for business cases, new health evaluation frameworks, training on how to assess the quality of evidence, lobbying and advocacy. A Healthy Streets approach is used to engage internal stakeholders and prioritise activity. To shift population physical activity levels the systems that underpin planning and decision making in the transport sector need to change significantly and swiftly. This can only be achieved through an effective public health advocate being embedded in the transport authority and positioned to influence at every level of the organisation as well as with the wider forum of stakeholders. Improving the health of Londoners: transport action plan (204) Transport for London. Improving the health of Londoners: transport action plan (204) Transport for London. Transport policy, active travel, healthy streets, cross-sector working Over three years the public health specialist has experienced a range of challenges including different organizational cultures and languages, misconceptions and misunderstandings. What she has learnt from working through these will be of benefit to others embarking on partnership working across sectors. This action plan has won several awards and the public health specialist has been awarded Transport Planner of the Year 205. The work programme develops as the relationship between the transport sector and health matures in London. 4 SYMPOSIA Experiences with Intersectoral Collaboration for Hepa Promotion A 0 Year Story From Norway Name of the PRESENTER... Olov Belander Adviser Norwegian Directorate of Health, Department of Environmental Health, Oslo, Norway Greater London Authority Policies and interventions and promotion of physical activity The White Paper No.6 ( ) Prescription for a healthier Norway brought physical activity onto the political agenda in Norway. () One result of the White Paper was The Action Plan on Physical Activity ( ) - Working together for physical activity. The purpose with the Action Plan was to inc
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