Physical activity Follow us on Twitter @Covonthemove Find us on Facebook covonthemove move more, feel good For find out more please visit coventry.gov.uk/coventryonthemove Go to to page 18 r u plan yo ! life active move more, feel good in Coventry 3 Why be active? The human body is built to move, but in recent times our lives have become increasingly inactive. This has led not only to increased waistlines but also higher levels of diabetes, high blood pressure and coronary heart disease. Being inactive accounts for an estimated 1,000 deaths per year1 in Coventry, compared to 33 deaths caused by alcohol2. The good news is that it is never too late to start being active! Benefits can be felt immediately and in the long term, including: Section 1 Contents Why be active?.......................................................3 How much is enough?............................................. 5 Section 2 Physical activity for young children and babies...........7 Physical activity for children and teenagers................9 Physical activity for adults........................................11 Physical activity for older adults...............................12 Physical activity for pregnancy.................................13 Physical activity for health conditions or disabilities............................................................16 Section 3 Your physical activity plan......................................18 Coventry Activity Venues........................................31 Improved mood Regulated blood sugar levels Improved sleep Improved blood circulation Up to 40% less chance of having diabetes to 35% less chance of Coronary heart disease, stroke and Up cardiovascular disease to 68% reduced chance of a hip fracture and up to 30% Up reduced chance of falls in older adults average of 30% reduced risk of colon and 20% risk of An breast cancer to 30% less chance of depression and dementia for Up adults who are active every day Increased fun! Source: Start Active, Stay Active: a report on physical activity for health from the four home countries’ Chief Medical Officers. 2011 If there was a pill that did all these things people would be queuing up to get it! 1 UK Active, 2014 2 ONS, 2013 4 5 What happens to your body when you’re active How much is enough? Moving more isn’t about becoming an athlete – most people would feel better if they reached moderate intensity activity levels. Light intensity You’re able to breathe easily and talk while being active Moderate intensity You’re able to talk, but your breathing is quicker and deeper; your heart will be beating faster than normal but not racing Vigorous intensity You’re breathing very hard and are short of breath, you can’t have a conversation and your heart is beating hard. Typically, this could include walking, swimming, cycling, gardening, dancing, stretching exercises or sports. Remember, any amount of moving more will benefit you so start from your own level. Guidelines for the amount of activity people would benefit from are shown on the next page. 7 6 At least 1 hour daily At least 3 hours daily All under 5s should minimise the amount of time spent being sedentary (being restrained or sitting) for extended periods (except time spent sleeping). Children capable of walking unaided should be physically active daily for at least three hours, spread throughout the day. 1 At least 30 minutes five or more days a week Children, young people and adults should all minimise the amount of time spent sitting for extended periods of time - 64 6 1 Adults Over a week, activity should add up to at least 2½ hours of moderate intensity activity in bouts of 10 minutes or more – one way to approach this is to do 30 minutes on at least five days a week. Focus on strength, flexibility and balance to reduce the risk of falls. (Department of Health, 2011) C 12 Ba ch b il 5+ Older adults 6 p1 te a nd en 10 ldr 9hi ns p e young nd -8 a 7 s ie en p dr All children and young people would benefit from engaging in moderate to vigorous intensity physical activity for at least 60 minutes and up to several hours every day. Vigorous intensity activities, including those that strengthen muscle and bone, should be incorporated at least three days a week. p At least 30 minutes five or more days a week Adults should aim to be active daily. Over a week, activity should add up to at least 2½ hours of moderate intensity activity in bouts of 10 minutes or more – one way to approach this is to do 30 minutes on at least five days a week. Babies and young children Activity for babies (non-walking): All under 5s benefit from minimising the amount of time spent being sedentary (being restrained or sitting) for extended periods (except time spent sleeping). Babies need daily opportunities to move freely on their tummies, (tummy time) and back, in a variety of stimulating, safe spaces, without being constrained for long periods by clothing, wraps or straps, i.e., car seats, baby chairs or bouncers. Experiencing the outdoors is also very stimulating. As they start to move more, encourage the child to crawl more, to sit independently, use furniture to help them move around and support their own weight on their legs. 9 8 Children and teenagers All children and young people would benefit from minimising the amount of time spent sitting for extended periods and should aim to be active daily. Benefits for children include: Improved bone density Improved social skills Improved body image Emotional wellbeing Improved learning and productivity Help maintain a healthy weight Activities for under 5s (walkers) By about the age of three, as many children begin to attend an early years setting on a regular basis, they’re often called preschoolers. This is an important time for the development of many movement skills (jumping, hopping etc). Children need lots of opportunities for repeated practice in a variety of environments, with your encouragement, regular feedback and support. There are three main types of physical activity for the under 5s: physically active play (running, chasing games), developmental activities (climbing, jumping, swinging etc.) and everyday activities (walking, scootering, cycling etc.) At all stages, try to be as active as possible with your child so that you both get the benefits. You are also providing a great role model for your child. Helping children and teenagers become more active: Travelling actively to places such as school (i.e. walking, cycling and scootering) is a great way to increase activity levels and is good for the parent/carer too! Not only for physical health benefits but it could also save you money on petrol. Don’t only rely on schools to give your children enough opportunities to be active encourage children to be active after school and at weekends, too. 11 10 Ask your child(ren) what they enjoy doing and how you can either join in, or give them the support they need to include more activity in their lives. Remember, if you do the 60 minutes too, you’ll be achieving your recommendations, at the same time! Teenagers can be encouraged to be more independent by walking and cycling to places (when safe to) rather than relying on the Taxi of Mum or Dad. Or take your teenager for a walk if you want to discuss an issue in a non-confrontational way. It’s important that teenagers take part in activity they can continue into adulthood, so this might be the time for them to start attending leisure centres or using parks and open spaces more. Adults Adults should aim to be active daily. All adults would benefit from minimising the amount of time spent sitting for extended periods. What counts? Walking, cycling, gardening, playing games with children and housework all count towards your activity levels so you don’t need an expensive gym membership! Being active as an adult is often about fitting it into busy lives. If you have children, try taking part with them. If you go to work, have you considered travelling actively? Even if it means parking further away and walking in – you might save money on car parking that way! Remember to take lunch breaks too, even if you don’t go very far as this will reduce your sitting time in the day. Make a commitment to do something straight after work, before you go home so you can’t talk yourself out of it! At weekends or days off, take the opportunity to visit a local park or do some gardening if it’s good weather. Or have a go at sorting out that cupboard that you’ve been ignoring for ages. For all housework, put some upbeat music on and just go for it! 13 12 Older Adults Older adults should aim to be active daily, with particular focus on keeping mobile. Focus on strength, flexibility and balance to reduce risk of falls. Everyone would benefit from minimising the amount of time spent sitting for extended periods. Being active could include simple exercises such as those you can do sitting in a chair, walking with friends, or playing bowls. Many sessions are discounted at local community and leisure centres, so it’s worth seeing what’s going on there. Other ideas include: When watching TV, get up at every advert break and walk round the room. This is a good way of keeping the circulation going around in your body and keeps you warmer in winter. Before sitting for a cup of tea with your friends, why not go for a walk first? Try and make a routine of being active. Find some friends to do this with you who will help you stick to this. It will also help you get out of the house most days. It is particularly important for this age group to keep drinking fluids to reduce the chances of feeling dizzy while being active. Activity in pregnancy There are many benefits of keeping moving while pregnant. These include: Help you keep a healthy weight during and after your pregnancy Help you to sleep better and feel less tired Reduce your chances of developing varicose veins Reduce the likelihood of swelling of your feet, ankles or hands Reduce the chance and severity of anxiety or depression Help prevent back pain Reduce the risk of developing diabetes during your pregnancy (gestational diabetes). It may also help to improve the control of diabetes. Reduce the risk of problems with high blood pressure during your pregnancy. Source: www.patient.co.uk/health/pregnancy-and-physical-activity 15 14 5. Keep moving: Standing still for long stretches or while doing weights can decrease blood flow to your uterus (womb) and cause blood to pool in your legs. This can make you dizzy change positions, or walk on the spot to keep moving. 6. Don’t overdo it: Listen to your body. Try to stay at a moderate intensity during your workout so you can still hold a conversation. High-impact workouts may put too much stress on your joints and pelvic floor muscles. As well as following the guidance on warming up, cooling down and staying hydrated and talking through any concerns about medical conditions in the adults section, here are some tips specifically related to pregnancy: 1. Steer clear of dangerous sports: Avoid contact sports and activities that might throw you off balance, such as horseback, downhill skiing and mountain biking. Regular cycling should be ok in the early stages of your pregnancy but later on stick to recline or stationary bikes. 2. Don’t get over heated: Especially during the first trimester try not to overheat, so wear suitable clothing, drink plenty, and try to keep to low impact exercises which keep your heart rate lowered. 3. Wear the right clothes: As your breasts will increase in size make sure to wear a supportive sports bra and supportive trainers, be aware that if your feet and ankles are swollen you might need to go up a size in your trainers. 4. Don’t lie flat on your back: Try not to lie flat on your back after the first trimester, as lying on your back puts pressure on the big vein which carries blood back to the heart and could cause dizziness or even loss of consciousness. 7. Get up from the floor slowly: As your bump grows your centre of gravity shifts, so take your time to get down and up off the floor, if you get up too fast you might become dizzy and lose your balance. 8. Make it a habit: Try and make it part of your daily routine, so you are fit for baby. Source: www.babycenter.com/0_the-13-rules-of-safe-pregnancy-exercise_622.bc July 2014 17 16 Physical activity for Health conditions and/or disabilities Every individual with a health condition and/or disability could benefit from being active. The recommended amount of activity doesn’t change, so please refer to the appropriate age range guidlelines. However, what the activity is may vary between conditions and individuals and people should start at their own level. Benefits of activity on health conditions: • Heart disease Improving muscle strength and endurance makes it easier to do daily activities, and slows disease-related decreases in muscle strength. Being active raises levels of good cholesterol and helps to reduce high blood pressure. • Diabetes Moving more can help your insulin levels become more stable, which can reduce your chance of developing diabetes, or help to control it if you have the condition. It can also help you control your weight and boost your energy. • Asthma Often, being active can help control the frequency and severity of asthma attacks. Being active can improve your lung capacity, which will help you to manage your asthma better. It helps you to cope better with everyday chores such as cleaning and shopping, as it increases stamina. Keep your inhaler with you at all times. • Back pain Regular low-impact activities can increase strength and endurance in your back. Stomach area and back muscle exercises (corestrengthening) help reduce back pain symptoms by strengthening the muscles around your spine. • Arthritis You can reduce pain, help maintain muscle strength in affected joints and reduce joint stiffness by keeping mobile. Being active can improve range of movement and joint mobility as well as increasing muscle strength and reducing stiffness. • Mental well-being and mental health People with good mental well-being feel good and function well on a daily basis. Being active can help boost mental well-being for everyone. At any point in time, 1 in 4 people suffer from poor mental health such as depression, anxiety, phobias, Bipolar Disorder and Schizophrenia. The majority of people who experience poor mental health will feel better over time or learn to live with how they feel, especially if they get help early on. Being more active can make a real difference, by giving people endorphins or ‘happy hormones’ when they are active. Being active can also provide a safe place for social interaction, which can really help people to manage or recover from mental health problems. •Cancer When someone is living with or after cancer, physical activity can help them make a positive change to their life. Benefits include strengthening the bones and heart, reducing body fat, improving mental health, and reducing lymphedema and fatigue. It also reduces the risk of progression or recurrence of some cancers. If you haven’t been active for a while, start slowly and build up gradually. Ask your doctor what kind of exercise goals you can safely set for yourself as you progress. Ensure you take all medications as recommended by your doctor or pharmacist prior to taking part in physical activity. 18 19 Your physical activity plan You now know quite a lot about the effects of inactivity and the benefits of moving more in your everyday life. Hopefully you’ve made a decision to try to be more active. In the rest of this booklet we’ve laid out a 5-step plan that you can follow to help you move more. It won’t always be easy, but you’ll feel much better for it. Remember… • If you have any concerns about starting being active, please consult your healthcare professional. On the whole, being active is less risky than doing no activity. STEP 1 Think of some good reasons to change There are plenty of good reasons to be more active – here are some examples, and you can probably think of more. Tick the ones that appeal to you the most. There’s also some space below where you can add any more reasons that you think of. You’ll be able to run around after children or grandchildren more easily You’ll sleep better You’ll have more energy You’ll have fun with friends or family • It is important to drink plenty of water while being active, to replace the water you lose through sweat. You’ll help with one or more health conditions • A balanced diet can also help your energy levels. Speak to a healthcare professional or see the local information section on how you can find help with this. You’ll lose weight/maintain a healthy weight • Take frequent breaks during activity if needed. You’ll look and feel better You’ll be less likely to develop or control serious health problems related to inactivity like diabetes and heart disease More of your reasons for increasing activity levels: 21 20 STEP 2 Set your goals People who set goals are much more likely to make positive lifestyle changes. Choose from the list of goals below or set your own that you can achieve in the next four weeks – remember that’s not very long so make sure it’s manageable. Try thinking about: • What physical activities do I enjoy? • Do I prefer group or individual activities? • What programs best fit my schedule? • Do I have physical conditions that limit my choice of exercise? Example Goals I will walk with my friend Jill on Tuesday mornings at 8am. We will meet at my house and walk around the block. We’ll then come back to mine for a cuppa. By the fifth time I aim to walk two times around the block with Jill. We will buy waterproof coats so that we can still walk in the rain. I will also make sure I leave the office every day at lunch time, just so I move a bit more than sitting at my desk. I will take my children to the park every weekend. I will talk to them on Friday about which park they would like to go. I will play games with them like hide and seek and play on the swings. I may have to rest on the bench in between games to start with, but by the tenth week I will be fitter and need not do this. I will also tell my family on the phone that this is my plan, and ask them to ask me how it went every Sunday night Write your own goals here: Goal Likelihood of achieving this 1-10 22 23 Can you stick to your goal? If you’ve scored 6 or lower on an individual goal, have another think about if there’s a more realistic goal for you. These should be a good start to achieving a bigger goal for the future. Use the activity tracker on page 27 to make sure you stay focused. STEP 3 Be ready for anything! What can help you achieve your goals? Pick from this list or make up your own: Meet a friend to go for a walk with your buggies Leave your trainers out where you can see them when you get up, so you don’t forget to take them with you Park further away from work/the shops/school When the weather’s bad and you don’t want to leave the house, there are a lot of free YouTube videos to help get you moving, or just put your back into cleaning the house! If you plan to be active earlier in the day, this may help you not put it off later on when you become busy Get the kids to see how many games they can think to play inside the house. Join them and see how much fun you can have! Think of a reward for achieving your weekly goals such as having your favourite meal (ideally healthy!), paint your nails or visit your favourite park or place of cultural interest. This is how we did it: “Come on, join us!” Hannelore Ely has arthritis, but soon after a joint replacement she joined the Health walk scheme through Walking for Health she explains, “Just because you suffer from painful arthritis, have a heart problem or some other activity-limiting condition, or maybe just you’re in your later years, this should not stop you taking part in health walks. I love to meet all my new friends twice a week. It is a firm date in my calendar and i am walking my way back to100% fitness again. If I can do it as a ‘senior citizen’, you can!” “I’m definitely not as tired as before” Emma Bradley joined her local get back into netball scheme, which “has had a big impact on my life”, she says. “As well as having fun and meeting new people, I have lost weight and got more active, encouraging me to get involved in other sports.” “Exercise helps me clear my mind”. Ben Cavey overcame depression through counselling and running. He says, “exercise relieves me when I’m stressed or feeling anxious. It’s such an escape.” 24 25 STEP 4 Find the support you need You are likely to find it easier to increase your activity levels if you talk to someone about your goals, or even better, get them to join you. If they can’t join you, perhaps they can text you to see how your activity went? Maybe you could do the same for them, with a goal they have? Choose someone you can talk to easily and be honest with. It could be your partner, a friend, a colleague or anyone who would like to be more active. Don’t underestimate how happy people are to help – it will make them feel better, too! Need to be connected locally? Don’t forget to check out section six to find out what’s happening in your area. STEP 5 Stick to goals and make new ones It’s ok to watch a good TV programme every so often, but getting into the habit of sitting down for long periods can be really damaging to your health – which includes your mood! Once you achieve your goal, write another one, especially if you’re still not achieving as much activity as you should. If the first one didn’t go so well, modify it and keep going! Mistakes are there to be learnt from, not abandoned. Keeping tabs on your activity will help you stay motivated. Use a diary like this one on the next page to keep a record of your achievements. Day Activity Total time Monday Walk to work 30mins Lunchtime walk Skipping 20 mins 2 mins Friday Table tennis 25 mins Saturday Play in the park with the kids 1 hour Tuesday Wednesday Thursday Sunday Total time for the week: 2 hours 20 mins After each week review your achievements: which days were you most active? How can you make other days more like that one? 26 27 Your activity tracker Week 1 - Day Activity Total time Further information Monday Tuesday More information and advice to help you get more active is available from: Wednesday Thursday Friday Change 4 Life: National campaign to encourage people to live a healthier lifestyle has a range of resources at www.nhs.uk/Change4Life NHS Choices: The official site of the English NHS and has a huge range of resources and information, including downloadable apps, videos and tools at www.nhs.uk/Livewell Saturday Sunday Total time for the week: Week 2 - Day Activity Total time Monday Getting more active Tuesday Wednesday Thursday Friday NHS Choices: Information on becoming more active. www.nhs.uk/livewell/fitness British Heart Foundation Ways to get more active and information on the benefits. www.bhf.org.uk/keeping_your_heart_ healthy/staying_active.aspx English Federation of Disability Sport Opportunities for people with disabilities to be active www.efds.co.uk Saturday Sunday Total time for the week: Week 3 - Day Activity Total time Monday Walking and Cycling Tuesday Travelwise in the West Midlands www.travelwisewestmids.org.uk/Coventrypg36.html Walk England A comprehensive website, with information on how to get active through walking, linking to lots of different local opportunities. www.walkengland.org.uk/ walknowgettingstarted.aspx Wednesday Thursday Friday Saturday Sunday Total time for the week: 28 29 Ramblers Details of many locally organised walking groups, catering for all levels of fitness. www.ramblers.org.uk Walking for Health Aims to encourage people, particularly those who take little exercise, to do regular short walks in their local community. www.walkingforhealth.org.uk Walk It A website covering a number of cities which helps you plot your active travel route. www.walkit.com Sustrans Information on starting off cycling and national cycle network maps. www.sustrans.com British Cycling Go to Skyride for information on led rides and mass participation events. Have a look at the travel and recreation sections for online cycling support, cycling routes and events. www.britishcycling.org.uk Nature conservation The Conservation Volunteers Information on outdoor conservation opportunities. www.tcv.org.uk Other websites to help you live a healthy, active life include: www.nhs.uk/5aday www.eatwell.gov.uk www.nhs.uk/change4life www.nhs.uk/smokefree www.nhs.uk/livewell/alcohol www.nhs.uk/lifecheck The organisations and resources listed below may give you some extra ideas or inspiration to get active in Coventry: CSW Sport The official sports partnership for the Coventry, Warwickshire and Solihull region. Visit www.cswsport.org.uk Parks and open spaces Coventry has over 1750 hectares of parks, play areas, outdoor sports and play areas, woodlands and allotments. Information on these is available from www.coventry.gov.uk/parks (or call 024 7683 4333) Passport to Leisure and Learning The Passport to Leisure and Learning scheme gives discounts on many leisure and learning activities across Coventry for people claiming specific benefits. www.coventry.gov.uk/ptll Walking routes There are hundreds of miles of walking routes in and around the city, including the Coventry Way – a 40 mile circular footpath around the entire city. Visit www.acoventryway.org.uk Cycling routes Cycle routes and cycle storage are widely available. Visit www.sustrans.org.uk/Cycle-Routes or www.coventry.gov.uk or call 024 7683 4333. 30 31 7 minute workout Centre AT7 This is great as it uses all big muscle groups and takes just 7 minutes. You can do it in your own home and you need no equipment. There are several apps with this name, some are free, some have a small charge. covsf.com Bell Green Couch to 5k or ‘C25k’ A great way to start jogging. You alternate between walking and running until you build strength. This is really fantastic for those who struggle to run and you see results really quickly. Map my run/Runkeeper These are good if you want to do a specific route and share it on social media. Geocaching Involves walking, but for a purpose. Your mission: to find hidden objects out and about. There are loads in Coventry city centre and all over the city. Then you can also hide your own! Use a different app that you find really helpful? Get in touch with your idea to win a prize! Email: publichealth@ coventry.gov.uk Xcel Leisure Centre covsf.com Canley Alan Higgs Centre covsf.com Binley Moat House Leisure Centre coventrysports.co.uk City Centre Skate park and BMX track Wood End Coventry Sports and Leisure Centre coventrysports.co.uk Climbing/abseiling tower Children’s indoor play area Health Suite Sports Hall Exercise classes Record how active you are, as well as your food (if you want to). It allows you to review how active you’ve been so you can see improvements. Gym Myfitnesspal Splash pool Swimming pool It’s like a pedometer, but it’s on your phone! Moves automatically records any walking, cycling, and running you do. You can view the distance, duration, steps, and calories burned for each activity. The app is always on, so there’s no need to start and stop it. Just keep your phone in your pocket or your bag. Children’s outdoor play area Coventry Activity Venues Netball and tennis courts Moves All-weather pitches Recommended free smartphone apps:
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