This book critically evaluates the complex relations between physical activity, health imperatives and cultural and social opportunities in low- and middle-income countries (LMICs). The book explores the uncertainty of knowledge around physical activity behavior and its distinctive meanings in LMIC contexts, the factors influencing physical activity, and how populations across the world understand and live the concept of physical activity. It discusses the key challenges and opportunities for sustaining physical activity within geographically and culturally diverse contexts of LMICs; introduces the reader to contemporary global physical activity approaches, models and policies; and presents case studies from around the world, including Asia, Africa, South America, the Pacific and Europe. Overall, the text relates theory to practical examples to facilitate a better understanding of physical activity in context, emphasizes the need for targeted, context-specific and locally relevant interventions to create PA-enabling environments in LMICs, and highlights the role of a range of stakeholders, including policy makers and urban planners, sport and recreation services, mass media, educators and the civil society in shaping population physical activity levels. Taken together, this edited volume brings together the latest research on PA in LMICs from around the world, informs and directs future research and necessary policy change towards the sustainable integration of PA opportunities, and seeks to ultimately foster and promote population-based PA in LMIC settings. By presenting empirical data and policy recommendations, this text will appeal to scholars, researchers and practitioners with an interest in physical activity research, public health, health promotion, sociology of sport, and sports sciences in LMICs, as well as policy makers and experts working in health promotion, public health, sports and fitness, but also in the urban planning and infrastructure and governmental industries.

Physical inactivity is a key determinant of health across the lifespan. A lack of activity increases the risk of heart disease, colon and breast cancer, diabetes mellitus, hypertension, osteoporosis, anxiety and depression and others diseases. Emerging literature has suggested that in terms of mortality, the global population health burden of physical inactivity approaches that of cigarette smoking. The prevalence and substantial disease risk associated with physical inactivity has been described as a pandemic. The prevalence, health impact, and evidence of changeability all have resulted in calls for action to increase physical activity across the lifespan. In response to the need to find ways to make physical activity a health priority for youth, the Institute of Medicine's Committee on Physical Activity and Physical Education in the School Environment was formed. Its purpose was to review the current status of physical activity and physical education in the school environment, including before, during, and after school, and examine the influences of physical activity and physical education on the short and long term physical, cognitive and brain, and psychosocial health and development of children and adolescents. Educating the Student Body makes recommendations about approaches for strengthening and improving programs and policies for physical activity and physical education in the school environment. This report lays out a set of guiding principles to guide its work on these tasks. These included: recognizing the benefits of instilling life-long physical activity habits in children; the value of using systems thinking in improving physical activity and physical education in the school environment; the recognition of current disparities in opportunities and the need to achieve equity in physical activity and physical education; the importance of considering all types of school environments; the need to take into consideration the diversity of students as recommendations are developed. This report will be of interest to local and national policymakers, school officials, teachers, and the education community, researchers, professional organizations, and parents interested in physical activity, physical education, and health for school-aged children and adolescents.

During the last 25 years, life expectancy at age 50 in the United States has been rising, but at a slower pace than in many other high-income countries, such as Japan and Australia. This difference is particularly notable given that the United States spends more on health care than any other nation. Concerned about this divergence, the National Institute on Aging asked the National Research Council to examine evidence on its possible causes. According to Explaining Divergent Levels of Longevity in High-Income Countries, the nation's history of heavy smoking is a major reason why lifespans in the United States fall short of those in many other high-income nations. Evidence suggests that current obesity levels play a substantial part as well. The book reports that lack of universal access to health care in the U.S. also has increased mortality and reduced life expectancy, though this is a less significant factor for those over age 65 because of Medicare access. For the main causes of death at older ages-cancer and cardiovascular disease-available indicators do not suggest that the U.S. health care system is failing to prevent deaths that would be averted elsewhere. In fact, cancer detection and survival appear to be better in the U.S. than in most other high-income nations, and survival rates following a heart attack also are favorable. Explaining Divergent Levels of Longevity in High-Income Countries identifies many gaps in research. For instance, while lung cancer deaths are a reliable marker of the damage from smoking, no clear-cut marker exists for obesity, physical inactivity, social integration, or other risks considered in this book. Moreover, evaluation of these risk factors is based on observational studies, which-unlike randomized controlled trials-are subject to many biases.

Regular physical activity is proven to help prevent and treat noncommunicable diseases (NCDs) such as heart disease stroke diabetes and breast and colon cancer. It also helps to prevent hypertension overweight and obesity and can improve mental health quality of life and well-being. In addition to the multiple health benefits of physical activity societies that are more active can generate additional returns on investment including a reduced use of fossil fuels cleaner air and less congested safer roads. These outcomes are interconnected with achieving the shared goals political priorities and ambition of the Sustainable Development Agenda 2030. The new WHO global action plan to promote physical activity responds to the requests by countries for updated guidance and a framework of effective and feasible policy actions to increase physical activity at all levels. It also responds to requests for global leadership and stronger regional and national coordination and the need for a whole-of-society response to achieve a paradigm shift in both supporting and valuing all people being regularly active according to ability and across the life course. The action plan was developed through a worldwide consultation process involving governments and key stakeholders across multiple sectors including health sports transport urban design civil society academia and the private sector.

Cardiovascular, respiratory, and related conditions cause more than 40 percent of all deaths globally, and their substantial burden is rising, particularly in low- and middle-income countries (LMICs). Their burden extends well beyond health effects to include significant economic and societal consequences. Most of these conditions are related, share risk factors, and have common control measures at the clinical, population, and policy levels. Lives can be extended and improved when these diseases are prevented, detected, and managed. This volume summarizes current knowledge and presents evidence-based interventions that are effective, cost-effective, and scalable in LMICs.

The health benefits associated with regular physical activity are now widely recognized. This book examines how social determinants such as race, ethnicity, socioeconomic status, sexual orientation and disability can impact on physical activity and its associated health outcomes. It explores the social, cultural, political and environmental factors that influence engagement in physical activity in a range of diverse populations and presents evidence-based, culturally appropriate strategies for targeting and promoting physical activity participation. Each chapter considers how the social determinants that impact on health are formed by the environments in which people live, work, learn and play. Incorporating a series of original case studies, this book analyzes physical activity behaviors in groups such as: African Americans, Latinos, Asian Americans and Native Americans military veterans and physically disabled populations low-income populations rural populations LGBT populations. It also includes a variety of useful features such as key terms, summary points and critical thinking questions, as well as a chapter on international perspectives. Physical Activity in Diverse Populations: Evidence and Practice is vital reading for any course touching on social factors in physical activity behavior.