Promotion of Physical Activity in the European Region: Content Analysis of 27 National Policy Documents

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Signe B. Daugbjerg
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Sonja Kahlmeier
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Francesca Racioppi
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Eva Martin-Diener
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Brian Martin
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Pekka Oja
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Fiona Bull
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Background:

Over the past years there has been increasing interest in physical activity promotion and the development of appropriate policy. So far, there has been no comprehensive overview of the activities taking place in Europe in this area of public health policy.

Methods:

Using different search methods, 49 national policy documents on physical activity promotion were identified. An analysis grid covering key features was developed for the analysis of the 27 documents published in English.

Results:

Analysis showed that many general recommendations for policy developments are being followed, for example: general goals were formulated, an implementation plan was included, a timeframe and a responsible body for the implementation was often specified. However, limited evidence for intersectoral collaboration was found. Quantified goals for physical activity were the exception. Population groups most in need such as people with low levels of physical activity were rarely specifically targeted. Most policies emphasized the importance of an evaluation. However, only about half of them indicated a related intention or requirement.

Conclusion:

In recent years there has been a noticeable development of national policy documents on physical activity promotion. Following principles for policy development more closely could increase the effectiveness of their preparation and implementation further.

Daugbjerg, Kahlmeier, and Racioppi are with WHO Regional Office for Europe, European Centre for Environment and Health, Italy. Daugbjerg is also with the Research Centre for Prevention and Health, Glostrup, Capital Region of Denmark. Martin-Diener and Martin are with the Swiss Federal Office of Sports, Magglingen, Switzerland. Oja is with the UKK Institute for Health Promotion Research, Tampere, Finland, and the Karolinska Institute, Stockholm, Sweden. Bull is with the British Heart Foundation's National Centre for Physical Activity and Health (BHFNC), Loughborough University, Lough-borough, United Kingdom.

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