during or after pregnancy to talk to a health professional such as a GP, practice nurse, dietitian, health visitor or pharmacist. NICE, 2010b CVD National and local government This guidance is based on 4 National policy A. This morbidity, Ensure guidance for local evidence reviews and one primary eg Creating an intervention is mortality transport plans supports research study. Evidence reviewed Active Wales, is supported by Physical and risk physically active travel such as relates to multiple risk factor supportive of good evidence activity factors walking and cycling as modes interventions and not physical some elements of its interventions including of transport. activity per se but relevant but delivery will effectiveness for promotion of evidence statements include: vary at local and is physical Create an environment and level. recommended disease activity incentives which promote Mixed results from good-moderate for use in the prevention physical activity, including quality studies re: effect of on Some of these UK physically active travel to and physical activity of multiple interventions at work and prioritising the CVD prevention are needs of pedestrians and programmes. implemented National cyclists over motorists when locally in some Institute for developing or redeveloping Local barriers to physical activity areas. Health and highways. including no sidewalks, unmetalled Clinical roads or loose dogs; lack of school The NERS Level Excellence Consider and address factors provision to secure bikes or store 4 element which discourage physical kit which discourages includes those Whole activity, including physically exercise; and local at risk of CVD population active travel to and at work. An availability of gyms or other example of the latter is facilities. subsidised parking. High pricing can impact on Encourage and support physical people’s ability & willingness to activity in the workplace. participate in organised physical activity.
during or after pregnancy to talk to a health professional such as a GP, practice nurse, dietitian, health visitor or pharmacist. NICE, 2010b Physical activity interventions for disease prevention National Institute for Health and Clinical Excellence Whole population CVD morbidity, mortality and risk factors including promotion of physical activity National and local government Ensure guidance for local transport plans supports physically active travel such as walking and cycling as modes of transport. Create an environment and incentives which promote physical activity, including physically active travel to and at work and prioritising the needs of pedestrians and cyclists over motorists when developing or redeveloping highways. Consider and address factors which discourage physical activity, including physically active travel to and at work. An example of the latter is subsidised parking. Encourage and support physical activity in the workplace. This guidance is based on 4 evidence reviews and one primary research study. Evidence reviewed relates to multiple risk factor interventions and not physical activity per se but relevant evidence statements include: Mixed results from good-moderate quality studies re: effect of on physical activity of multiple CVD prevention programmes. Local barriers to physical activity including no sidewalks, unmetalled roads or loose dogs; lack of school provision to secure bikes or store kit which discourages exercise; and local availability of gyms or other facilities. High pricing can impact on people’s ability & willingness to participate in organised physical activity. National policy eg Creating an Active Wales, is supportive of some elements but delivery will vary at local level. Some of these interventions are implemented locally in some areas. The NERS Level 4 element includes those at risk of CVD A. This intervention is supported by good evidence of its effectiveness and is recommended for use in the UK