Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Nov 28;32(Suppl 4):iv50-iv58.
doi: 10.1093/eurpub/ckac062.

The Physical Activity Environment Policy Index for monitoring government policies and actions to improve physical activity

Affiliations

The Physical Activity Environment Policy Index for monitoring government policies and actions to improve physical activity

Catherine B Woods et al. Eur J Public Health. .

Abstract

Background: A multifaceted response, including government action, is essential to improve population levels of physical activity (PA). This article describes the development process of the 'Physical Activity Environment Policy Index' (PA-EPI) monitoring framework, a tool to assess government policies and actions for creating a healthy PA environment.

Methods: An iterative process was undertaken. This involved a review of policy documents from authoritative organizations, a PA policy audit of four European countries, and a systematic review of scientific literature. This was followed by an online consultation with academic experts (N = 101; 20 countries, 72% response rate), and policymakers (N = 40, 4 EU countries). During this process, consensus workshops were conducted, where quantitative and qualitative data, alongside theoretical and pragmatic considerations, were used to inform PA-EPI development.

Results: The PA-EPI is conceptualized as a two-component 'policy' and 'infrastructure support' framework. The two-components comprise eight policy and seven infrastructure support domains. The policy domains are education, transport, urban design, healthcare, public education (including mass media), sport-for-all, workplaces and community. The infrastructure support domains are leadership, governance, monitoring and intelligence, funding and resources, platforms for interaction, workforce development and health-in-all-policies. Forty-five 'good practice statements' or indicators of ideal good practice within each domain conclude the PA-EPI. A potential eight-step process for conducting the PA-EPI is described.

Conclusions: Once pre-tested and piloted in several countries of various sizes and income levels, the PA-EPI good practice statements will evolve into benchmarks established by governments at the forefront of creating and implementing policies to address inactivity.

PubMed Disclaimer

Figures

Figure 1
Figure 1
The PA-EPI framework (including the final number of good practice statements for each domain (N = 45))
Figure 2
Figure 2
Process for assessing the policies and actions of governments to create healthy physical activity environments and determining the government Healthy PA-EPI (adapted from Swinburn et al., 2013)

References

    1. World Health Organization. Noncommunicable Diseases. 2020. Available at: https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases (14 December 2021, date last accessed).
    1. GBD 2019 Risk Factors Collaborators. Global burden of 87 risk factors in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet 2020;396:1223–49. - PMC - PubMed
    1. Active Healthy Kids Global Alliance. Home. Available at: https://www.activehealthykids.org/ (6 December 2021, date last accessed).
    1. Varela AR, Pratt M, Powell K, et al.Worldwide surveillance, policy, and research on physical activity and health: the global observatory for physical activity. J Phys Act Health 2017;14:701–9. - PubMed
    1. Whiting S, Mendes R, Morais ST, et al.Promoting health-enhancing physical activity in Europe: surveillance, policy development and implementation 2015-2018. Health Policy (New York) 2021;125:1023–30. - PMC - PubMed

Publication types