You may have read here before about the National Physical Activity Plan, but wonder how it can be put into action on a local or individual level.

The National Coalition for Promoting Physical Activity (NCPPA) is a proud advocate for the plan, which is a comprehensive set of strategies, policies, practices and initiatives aimed at increasing physical activity in the national population. Our goal is to produce a measurable and progressive increase in the percentage of Americans who meet recommended guidelines for physical activity throughout their lifetimes. The results we are looking for include improved health and well-being; increased productivity; reduction of health disparities; and lowered rates of disease, disability, and premature death attributable to sedentary lifestyles.

To carry out our work for the National Physical Activity Plan, NCPPA has built a network of eight industry sector teams, including business/industry, education, health care, parks and recreation, public health, and transportation. These teams of individuals work together to develop strategies and tactics aimed at getting people moving.

Mission: Readiness

So how do the sector goals translate into specific actions and policies? One great example where the impetus for increasing physical activity has tremendous impact is the military. Mission: Readiness, an organization of over 200 retired generals, warns Congress that the tripling of childhood obesity rates over the past three decades means that one in four 17-24 year-olds in the United States is too overweight for military service. Only 22% of high school seniors have daily physical education, and many students in those classes still get little exercise. Mission: Readiness advocates for replacing unhealthy public school food and making physical education and activity part of the school day. Over a 10-year period, the number of states with 40% or more of young adults who were overweight or obese went from 2 to 43, the group said. This is not only a public health issue, but one of national security.

Mission: Readiness continues to pushing state and school districts to increase physical education so more children will be physically fit and, therefore, prepared for military service.

CEO Pledge on Physical Activity

Another example of the NPAP in action is the campaign launched by NCPPA's Business & Industry Sector called the CEO Pledge on Physical Activity. On September 24, 26 CEOs of corporations and organizations committed themselves to being physically active, and signed the pledge to provide their employees with opportunities to engage in physical activity. The pledge reads:

For the betterment of my company, our employees, their families, and our country, I pledge to improve employee health and wellness by providing opportunities and resources for physical activity before, during or after the workday, and to enhance my own health and wellness by engaging in regular physical activity.

"Research studies show that overall employee happiness and productivity are enhanced by daily exercise, especially when accessibility and support to exercise come from within the corporate environment," NCPPA President Laurie Whitsel told CEOs assembled at a Capitol Hill signing ceremony. The lack of physical activity is a leading contributor to the nation's obesity crisis, and work-related concerns often create hurdles to employee access to opportunities for physical activity."

Below: Three CEOs present their signed Pledge on Physical Activity certificates. From left to right: Dave Pickering, Preventure; Brian Biagioli, National Council on Strength & Fitness; and Scott Goudeseune, American Council on Exercise.

Below: Sue Liebenow of L&T Fitness signs the pledge.

"The CEO Pledge makes clear that business leaders have an influential role to play in addressing our country's health and health care crises," said Joe Moore, President and CEO of the International Health, Racquet & Sportsclub Association, and one of the first to sign the pledge. "With most working adults spending roughly half their waking hours on the job on the days that they work, it is incumbent upon business and industry leaders to become part of the solution. By promoting physical activity and healthy lifestyles within the workplace, CEOs help their company's bottom line, but they also help society."

These are just two examples of how the National Physical Activity Plan is being put into action around the country every day. Please friend NCPPA on Facebook for more information and updates on the plan. And please check out our CEO Pledge page on Facebook, as well.

How are you implementing the National Physical Activity Plan?

National Falls Prevention Awareness Day is observed on the first day of fall (today!) to increase public awareness and promote activities to reduce falls among older adults. This year's awareness day is themed "Standing Together to Prevent Falls," and 46 states are planning to participate. National Falls Prevention Awareness Day is just one example of the tremendous work over 70 professional organizations, including APTA, federal agencies, and 42 state falls prevention coalitions have done through the Falls Free Initiative.

According to the Centers for Disease Control and Prevention (CDC), one-third of older adults fall at least once each year. Falls are the leading cause of fatal injury and nonfatal trauma-related hospital admissions among older adults. Muscle weakness, balance impairments, and walking difficulties are among the leading risk factors for falls among older adults. Fortunately, various types of exercise can lessen the impact of these factors and reduce one's chances of falling.

The US Preventive Services Task Force recently supported exercise or physical therapy and Vitamin D supplementation to prevent falls among community-dwelling older adults. These recommendations are also supportive of those proposed by the American Geriatrics Society, which recommends balance, walking, and strength training to reduce falls risk.

The Physical Activity Guidelines for Americans (PAG) also recommend balance training at least 3 times per week for older adults at increased risk for falls. This is in addition to the general recommendation for a minimum of 150 minutes of moderate-intensity or 75 minutes of vigourous-intensity aerobic exercise per week and 2 days per week of strength training.

Balance training should be challenging and progressive in difficulty (such as reducing base of support and/or increasing movement in multiple directions). Group or individual programs that combine balance and strengthening exercises, such as tai chi, have been proven to effectively reduce falls among older adults.

Evidence-based balance exercise programs can be offered in any number of settings. It is also acknowledged that a variety of other healthy aging programs can be strategically offered within facilities to promote and sustain behavior change, address intermediate risk factors or barriers, or serve as entry programs for referral to more targeted fall prevention programming. Many of these programs are already found within communities supported by the US Administration on Community Living. Research supports a minimum of 50 hours of exercise, over a minumum of 12 weeks (6 months is best) to affect balance and falls, so physical therapists need to partner with agencies that can help to augment or supplement our plans of care.

There are many examples of successful partnerships among community agencies and exercise professionals to offer evidence-based and best-practice programs that deliver the recommended type and amount of exercise. Community agencies are also in a strategic position to offer assistance with marketing, recruiting participants, and providing activity space. Potential partners include senior centers, older adult housing, churches, fitness and wellness centers, and nutrition sites.

APTA provides website resources on falls prevention to its members and promotes the Falls Prevention Awareness Day through its e-newsletter. Other awareness and planning resources are also available from the National Coalition on Aging Center for Healthy Aging. How can your organization and members join together to help your communities' older adults improve balance and reduce falls?

Guest bloggers: Lori Schrodt, PT, PhD, Chair of the Health Promotion & Wellness Special Interest Group, Section of Geriatrics, American Physical Therapy Association; (Bonita) Lynn Beattie, PT, MP, MHA, Vice President, Injury Prevention Lead, Falls Free Initiative; Center for Healthy Aging; National Council on Aging; and physical therapist students from Western Carolina University, Andrea Cahoon, Sherrie Flory, Anna King, Caitlin Laemmle, Kenneth Richards, and Monica Vargas.

Obesity rates in the United States have soared among all age groups, particularly among our youth. In fact, more than 23 million children and teenagers (ages 2-19) are obese or overweight, a statistic that health and medical experts consider an epidemic.

As alarming as this is, there are numerous opportunities to start changing this trend. The Childhood Obesity Awareness Month (COAM) website offers a toolkit with statistics, sample news releases, social media messages, and sample letters to editors. Led by the American College of Sports Medicine, the COAM movement is diverse, inclusive, and anchored by grassroots efforts.

Click image below to watch our video on Childhood Obesity Awareness Month.

What can you do?

• Eat more balanced meals and snacks
• Engage in physical activity more regularly
• Share your personal plan and commitment with family and friends of all ages
• Request a proclamation from your mayor and governor

What can schools do?

• Incorporate physical activity and nutrition into curricula
• Encourage staff and student wellness
• Support physical health and education programs
• Provide physical activity and extracurricular activities focused on healthy living
• Provide healthy food choices
• Encourage active transport to school

What can communities do?

• Provide and maintain safe sidewalks
• Consider green space and locations conducive to physical activity
• Endeavor to reduce pollution and improve air quality
• Emphasize public safety for increased outdoor walk and play

Now that you have the tools, how are you going to help fight childhood obesity in your community?