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Five Things Not to Do to Increase Physical Activity Mark Fenton Tufts University Jan. 2016 www.markfenton.com Five things . . . Dont tell people to exercise. Stop doing health fairs. Never beg for physical activity


  1. Five Things Not to Do to Increase Physical Activity Mark Fenton Tufts University Jan. 2016 www.markfenton.com

  2. Five things . . . • Don’t tell people to exercise. • Stop doing health fairs. • Never beg for physical activity infrastructure. • Don’t create a big coalition w/ monthly meetings. • Do not be happy unless you’ve put stuff on the ground and changed the rules. www.markfenton.com

  3. #1 Don’t just promote exercise. How we often depict PA . . . Kingsport TN Anchorage AK www.markfenton.com

  4. National Physical Activity Plan humankinetics.com www.markfenton.com

  5. The Stickiness Problem Effect of Short Bouts, Home Treadmills (Jakicic et.al., J. Amer. Med. Assoc., 282, 16) 240 ? Exercise (min/week) 180 LB SB SBT 120 60 0 6 12 18 months www.markfenton.com

  6. The Stickiness Problem Effect of Short Bouts, Home Treadmills (Jakicic et.al., J. Amer. Med. Assoc., 282, 16) 240 Exercise (min/week 180 LB SB SBT 120 60 0 6 12 18 months www.markfenton.com

  7. Energy Expenditure Structured vs. Lifestyle Activity (Dunn et.al., JAMA 281, 4) 35 Energy Expenditure (kcal/kg/day) 34 33 Lifestyle Structured 32 0 6 12 18 24 months www.markfenton.com

  8. Self-help vs. Commercial Weight Loss Programs (Heshka et.al., JAMA 289, 14; April 9, 2003) 0 Weight Change, kg -1 -1 -2 -2 -3 -3 -4 -4 -5 -5 Self-h Se -help -6 -6 Comme mmercial -7 -7 0 6 12 12 18 18 24 24 months www.markfenton.com

  9. The point: Simply teaching, promoting, cajoling, urging, & bribing people to “exercise” is not enough. The focus must be on increases in routine, daily physical activity for everyone. www.markfenton.com

  10. The story in just three numbers: 30 minutes of daily physical activity recommended (60 min. for youth). (www.health.gov/paguidelines) % of Americans actually meet these 20 < recommendations (thru LTPA). (Troiano et.al., Med Sci Sports & Ex. , 40(1), 181-188, 2008) 365 ,000 estimated annual deaths in America due to physical inactivity & poor nutrition. (2 nd only to tobacco.) (Mokdad et.al., JAMA . 2005 Jan 19;293(3):298) www.markfenton.com

  11. Pre-1973 Post-1973 Berrigan D, Troiano R. The association between urban form & physical activity in U.S. Adults., Am J Prev Med. 2002 Aug;23(2 Suppl):74-9. www.markfenton.com

  12. Social Ecology Determinants Model of behavior Individual change motivation, skills Sallis & Owen, Physical Interpersonal - family, Activity & Behavioral friends, colleagues Medicine . Institutional - school, work, health care & service providers Community - networks, facilities Public Policy - laws, ordinances, permitting practices & procedures www.markfenton.com

  13. #2 No more health fairs. • Only reaches those who choose to show up! • Doesn’t necessarily change behavior. • Doesn’t change the context. www.markfenton.com

  14. Can our day-to-day environment be Denton TX made sticky? 1. Varied destinations within walk, bike, & transit distance. 2. Network of sidewalks, trails, bike lanes, transit. 3. Functional inviting designs for pedestrians, bicyclists, & transit users. 4. Safe & accessible for all ages, incomes, abilities www.activelivingresearch.org www.markfenton.com

  15. Four Elements of Healthy Design: Ped, bike, & transit network Mix of destinations Safety & access for all Functional site design www.activelivingresearch.org www.markfenton.com

  16. The US Surgeon General concurs: www.surgeongeneral.gov/StepItUp 1. Promote more walking. 2. Build a more walkable world. www.markfenton.com

  17. Low cost options & demonstration projects. E.g. Inexpensive, reversible curb extensions . St. Louis Billings Queens NY www.markfenton.com

  18. Walkyourcity.org Montpelier Street furnishings, wayfinding, parklets. www.markfenton.com

  19. Anaconda, MT “pop-up” curb extension. But can the biggest truck make the turn? Try it!! www.markfenton.com

  20. Better Block demonstration Youngstown OH betterblock.org www.markfenton.com

  21. Diagonal parking increases on-street capacity, but . . . Reverse angle: • Less severe & costly collisions. • Safer for bikes. • Pedestrians out of the road. Akron OH www.markfenton.com

  22. Hutchinson, KS reverse angle parking “tryout” www.markfenton.com

  23. Trial - Villa Rica, GA www.markfenton.com

  24. #3 No begging for infrastructure. www.markfenton.com

  25. Bicycle network Sharrow elements: Bike lane American River Trail Sacramento Protected bike lane www.markfenton.com

  26. Selling it: Make the economic case. Walking the Walk: How Walkability Raises Housing Values in U.S. Cities (CEOs for Cities)* walkscore = 67 walkscore = 12 Higher score = $4,000-$34,000 home value *www.ceosforcities.org/work/walkingthewalk www.walkscore.com www.markfenton.com

  27. On Common Ground Nat’l Assoc. of Realtors Summer 2010; www.realtor.org The Next Generation of Home Buyers: • Taste for in-town living. • Appetite for public transportation. • Strong green streak. • Plus, Americans are driving less overall! www.markfenton.com

  28. Walkability. Why we care & why you should too! National Association of Home Builders, Mar. 2014 • Consumer desire • Flexibility in design • Lower development costs . . . www.markfenton.com

  29. Counter the NIMBYs & CAVEs. Homes abutting trails sell in 1/3 to 1/2 the time, and at a larger % of asking price, than non-abutters. Bedford MA Trails & Greenways: Advancing the Smart Growth Agenda Rails-to-Trails Conservancy www.markfenton.com

  30. Smart Growth & Economic Success www.epa.gov/smartgrowth/economic_success.htm Dec. 2012, Nov 2013 www.markfenton.com www.markfenton.com

  31. Environmental & economic sustainability www.epa.gov/smartgrowth • Support, protect the rural landscape – Economic development – Protecting agriculture • Help existing places, downtowns thrive. • Create great new places – Designate growth areas – Constrain road costs www.markfenton.com

  32. Benefits of protected bike facilities BikeWalkAlliance.org GreenLaneProject.org • Healthier, more productive workers. • Support real estate values. • Increased retail revenue. • Recruiting & retaining skilled employees. www.markfenton.com

  33. #4 Don’t just create a giant coalition w/ monthly meetings. • Schools & education • Planning & Zoning • Engineering, DPW • Parks & recreation • Historical Society • Public Health & Safety • Chamber of Commerce • Economic Development, employers • Neighborhood Assoc., church & service groups • Environment, Conservation . . . www.markfenton.com

  34. Not so organized chart: Bike/Ped Advocates YMCA Parks Rec. AHA Planning Trails ACS Health ADA Developers Transport Electeds Hospital Employers PTOs DPW Schools Insurer Neighbor- hoods www.markfenton.com

  35. Build a “stealth” team: Bike/Ped Trails Advocate Rec. Elected Transport Planning Parks Enviro. Econ. DPW Vision Neighbor- Devlpmt hoods Jobs NAR Agriculture Banks Reach Developer NAHB YMCA Schools Health Employers PTOs Hospital Insurer Churches Found. ADA Service Orgs. AHA ACS www.markfenton.com

  36. Focused action teams: Zoning updates • Small, strong, well-connected Open space protection leadership team. Ped/Bike Plan • Tight, focused ‘Stealth’ action teams on Leadership Team specific topics. • No monthly meetings, just Transport Complete trails Streets functionally targeted work. SRTS www.markfenton.com

  37. #5 Don’t bother unless you’re working to change infrastructure & policies! (Fenton, Community Design & Policies for Free Range Children, Childhood Obesity 8(1), Feb 2012) 1. Healthy planning & zoning. 2. Complete Streets. 3. Transportation trail networks. 4. Transit- & bicycle-friendly policies. 5. Comprehensive Safe Routes to School. www.markfenton.com

  38. 5a Best practices in zoning. Less of this . . . More like this? • Narrow streets, sidewalks both sides, required links to trail system (existing & planned). • Compact design, shared open space. • Mix housing types, sizes (& incomes). www.markfenton.com

  39. Steer residential & Greenfield IN retail development back into cities and towns. E.g. Naperville, IL www.markfenton.com

  40. Policy – Multi-modal Transportation Analysis vs. Traffic Impact Analysis (MMTA vs TIA) • Typical: Turn lanes, signal . . . • Sidewalk link? Benches? Bike lane, sharrows? • Transit shelter, pathway? www.markfenton.com

  41. 5b Policy: Complete Streets 1. Pedestrians, cyclists, transit riders, & drivers of all ages & abilities considered whenever we touch a corridor. 2. Limited, specific exemptions. 3. Update design guidelines www.completestreets.org www.markfenton.com

  42. Update guidelines, design requirements. Urban Street Design Guide • Don’t reinvent the wheel! Nat’l Association of City Transportation Officials have compiled the evidence base and best practices. www.markfenton.com

  43. Complete Streets for a complete network • Reduces collisions & • 5 or 4 lanes reduced to 3, severity. “road diets.” • Improves performance for pedestrians, bikes. Urbana, IL; before & after. www.markfenton.com

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