Process makes perfect: High-performance design creates healthy environments for high-performance learning

Considering the staggering benefits of high-performance schools, it seems an obvious choice to “go green.” High-performance schools offer an exceptionally cost-effective means to enhance student learning, using on average 33 percent less energy than conventionally designed schools, and provide substantial health gains, including reduced respiratory problems and absenteeism. According to the 2006 study, Greening America's Schools, Costs and Benefits, co-sponsored by the American Institute of Architects (AIA) and Capital E, a green building consulting firm, high-performance lighting is a key element of healthy learning environments, contributing to improved test scores, reduced off-task behavior, and higher achievement among students. Few argue this point more convincingly than architect Heinz Rudolf, of Portland-Oregon-based Boora Architects, who has designed sustainable schools for more than 80 school districts in Oregon, Washington, Colorado, and Wyoming, and has pioneered the high-performance school movement. Boora's recently completed project, the Baker Prairie Middle School in Canby, Oregon is one of the most sustainable K-12 facilities in the state, and illustrates Rudolf's progressive and research-intensive approach to school design.

Rediscovering nature in everyday settings : or how to create healthy environments and healthy people

It is estimated that half of the world’s population now live in urban environments. Urban living necessitates a removal from nature, yet evidence indicates that contact with nature is beneficial for human health. In fact, everyday urban places, such as where people live, study, and work, provide opportunities to bring nature back into cities to contribute to positive, healthy environments for people and to foster the human–nature connection. The inclusion of more nature in cities could have additional environmental benefits, such as habitat provision and improving the environmental performance of built environments. In the context of climate change, outcomes such as these assume further importance. This article explores how common urban places can foster links between people and nature, and generate positive health and well-being outcomes. We achieve this by exploring nature in the everyday settings of schools and residential housing.

The Portuguese National Programme for the Promotion of Healthy Eating: 2012–2015

This paper describes the first 4-year period (2012–2015) of implementation of the Portuguese National Programme for the Promotion of Healthy Eating (PNPAS). PNPAS was approved in 2012 and emerged as a preventive programme for noncommunicable diseases, aiming to improve the nutritional status of the population; it represents the first national strategy in Portugal for the promotion of healthy eating. To accomplish its mission, and taking into account its overall principles, PNPAS has five main goals: (i) to increase knowledge about the food intake of the Portuguese population and about its determinants and consequences; (ii) to modify the availability of certain foods (high in sugar, salt and fat), in schools, workplaces and public spaces; (iii) to inform and empower the population for the purchase, preparation and storage of healthy food, especially the most vulnerable groups; (iv) to identify and promote crosssectoral actions that encourage the consumption of foods of good nutritional quality in an articulate and integrated way with other sectors, namely agriculture, sport, environment, education, social security and local authorities; and (v) to improve the qualifications and conduct of the different professionals who, owing to their roles, may influence nutritional knowledge, attitudes and behaviours. The design of PNPAS followed the latest strategic lines suggested by WHO and the European Commission, proposing a crosssectoral mix of interventions to ensure physical and economic access to healthy eating by creating healthy environments and empowering individuals and communities. Several actions were implemented at different levels during the first 4-year period of implementation of PNPAS; two were especially relevant. The first concerned the empowerment of citizens regarding healthy eating, where the most important aspect was introduction of a digital strategy through development of a website and a blog dedicated to healthy eating. The second concerned the development of documents for health care and other professionals, including several guidelines in new areas, such as anthropometric measures and intervention in preobesity. Process and output indicators were defined to monitor and evaluate the programme. Among those considered as output indicators were the evaluation of childhood obesity, salt consumption and intake of breakfast by school-aged children.

Daylighting design and simulation : ease of use analysis of digital tools for architects

Good daylighting design in buildings not only provides a comfortable luminous environment, but also delivers energy savings and comfortable and healthy environments for building occupants. Yet, there is still no consensus on how to assess what constitutes good daylighting design. Currently amongst building performance guidelines, Daylighting factors (DF) or minimum illuminance values are the standard; however, previous research has shown the shortcomings of these metrics. New computer software for daylighting analysis contains new more advanced metrics for daylighting (Climate Base Daylight Metrics-CBDM). Yet, these tools (new metrics or simulation tools) are not currently understood by architects and are not used within architectural firms in Australia. A survey of architectural firms in Brisbane showed the most relevant tools used by industry. The purpose of this paper is to assess and compare these computer simulation tools and new tools available architects and designers for daylighting. The tools are assessed in terms of their ease of use (e.g. previous knowledge required, complexity of geometry input, etc.), efficiency (e.g. speed, render capabilities, etc.) and outcomes (e.g. presentation of results, etc. The study shows tools that are most accessible for architects, are those that import a wide variety of files, or can be integrated into the current 3d modelling software or package. These software’s need to be able to calculate for point in times simulations, and annual analysis. There is a current need in these software solutions for an open source program able to read raw data (in the form of spreadsheets) and show that graphically within a 3D medium. Currently, development into plug-in based software’s are trying to solve this need through third party analysis, however some of these packages are heavily reliant and their host program. These programs however which allow dynamic daylighting simulation, which will make it easier to calculate accurate daylighting no matter which modelling platform the designer uses, while producing more tangible analysis today, without the need to process raw data.

Condiciones de trabajo saludables. Análisis de los estudios realizados en Colombia y Europa en el periodo 2002-2012

INTRODUCCIÓN. El presente trabajo explora las condiciones de trabajo saludables más frecuentemente estudiadas en Colombia y Europa en el período 2002 a 2012. OBJETIVO. Este trabajo busca definir los avances en investigación de las condiciones de trabajo saludables que presentaron Colombia y Europa en el período 2002 a 2012, a través de: el análisis del concepto de salud en el trabajo desde diferentes enfoques e investigaciones; el análisis los modelos sobre condiciones saludables en el trabajo; así como la revisión, consolidación y análisis documental alrededor del estado del arte de la investigación sobre los aspectos relacionados con las condiciones psicosociales del trabajo. METODO. Investigación documental, a través de la búsqueda en base de datos y posterior consolidación, sistematización y análisis de la literatura científica que evaluaban aspectos relacionados con las condiciones de trabajo saludable, en Colombia y Europa, durante el período 2002-2012. RESULTADOS. En la revisión documental se encontró que la implementación de ambientes saludables a nivel organizacional es un esfuerzo y compromiso de los empresarios, los trabajadores y la sociedad para mejorar el bienestar de las personas en el trabajo que representa una responsabilidad social empresarial, así como una ventaja competitiva sostenible en el sector económico. De igual manera, se resalta el avance que presenta Europa y España en el desarrollo de estudios nacionales de las condiciones detrabajo saludables frente a Colombia que aún no ha tenido investigaciones de representatividad nacional.

La responsabilidad social empresarial en la política pública nacional de primera infancia. Estudio de caso: programa de gestantes y lactantes, fundación éxito (2006-2014)

Dada la importancia de la primera infancia en el desarrollo de la sociedad, el Estado, a través de la gobernanza, trabaja en conjunto con otros actores en el cumplimiento de la Política Pública Nacional de Primera Infancia (PPNPI) para mejorar el bienestar de los niños menores de seis años. Hoy cada vez más empresas, al asumir su responsabilidad social empresarial, se interesan en el tema. A través de la Fundación Éxito, los almacenes Éxito promueven la nutrición de la primera infancia por medio de sus diferentes programas enfocados en nutrición. Entre estos se encuentra el Programa de gestantes y lactantes, el cual se evalúa aquí según las metas del objetivo específico de la PPNPI: promover la salud, la nutrición y los ambientes sanos, desde la gestación hasta los seis años.

Prevalence of health promotion policies in sports clubs in Victoria, Australia

In recent years, some health agencies offered sponsorship to sporting associations to promote healthy environments by encouraging clubs to develop health-related policies. However, the extent to which these sponsorship contracts reach their stated aims is of concern. This study aimed to quantify levels of policy development and practice in sports clubs for each of five key health areas, namely smoke-free facilities, sun protection, healthy catering, responsible serving of alcohol and sports injury prevention. Representatives from 932 Victorian sports clubs were contacted by telephone with 640 clubs (69%) participating in the survey. Results suggested that the establishment of written policies on the key health areas by sports clubs varied widely by affiliated sport and health area: 70% of all clubs with bar facilities had written policies on responsible serving of alcohol, ranging from 58% of tennis clubs to 100% of diving and surfing clubs. In contrast, approximately one-third of sports clubs had a smoke-free policy, with 36% of tennis, 28% of country football and 28% of men's cricket clubs having policy. Moreover, 34% of clubs overall had established sun protection policy, whereas clubs competing outside during summer months, [diving (86%) and life-saving (81%)] were most likely to have a written sun protection policy. Injury prevention policies were established in 30% of sports clubs, and were most common among football (56%), diving (43%) and life-saving (41%). This study suggests that policy development for health promotion can be achieved in sports clubs when it is well supported by health agencies and consideration is given to the appropriateness of the specific behaviours to be encouraged for a given sport. Communication between associations and clubs needs to be monitored by health agencies to ensure support and resources for policy development to reach the club level.

Alcohol sponsorship of community football clubs : the current situation

Issue addressed: There is accumulating evidence supporting a link between alcohol industry sponsorship and alcohol-related problems in both community and elite-level sports. Little is known, however, about the current status of such sponsorship, particularly of community sport. This study aimed to assess associations between alcohol industry sponsorship and different community football clubs in Australia.

Methods: The study involved 101 community football clubs across New South Wales, Australia. One representative from each club took part in a cross-sectional telephone survey designed to assess club (football code, number of players, socioeconomic and geographic descriptors) and alcohol industry sponsorship (money, equipment, free alcohol or discounted alcohol) characteristics. Chi-square analysis was used to test associations between club characteristics, and: i) any alcohol industry sponsorship; and ii) type of sponsorship.

Results: Eighty-eight per cent of clubs reported receiving sponsorship from the alcohol industry, and most clubs (82%) were sponsored by a licensed premises. There were no significant associations between club characteristics and source of alcohol industry sponsorship. However, small clubs were found to be significantly more likely to receive free or discounted alcohol sponsorship than larger clubs (p=0.05).

Conclusions: This exploratory study suggests a significant presence of alcohol industry sponsorship among community football clubs in Australia.

Community-based efforts to prevent obesity: Australia-wide survey of projects

Issues addressed: 

A snapshot of the scope of obesity prevention practice in Australia.

Community-based initiatives (CBIs) that build capacity and promote healthy environments hold promise for preventing obesity and non-communicable disease, however their characteristics remain poorly understood and lessons are learned in isolation. This limits understanding of likely effectiveness of CBIs; the potential for actively supporting practice; and the translation of community-based knowledge into policy. Building on an initial survey (2010), an online survey was launched (2013) with the aim to describe the reach and characteristics of Australian CBIs and identify and evaluate elements known to contribute to best practice, effectiveness and sustainability. Responses from 104 CBIs were received in 2013. Geographic location generally reflected population density in Australia. Duration of CBIs was short-term (median 3 years; range 0.2-21.0 years), delivered mostly by health departments and local governments. Median annual funding had more than doubled since the 2010 survey, but average staffing had not increased. CBIs used at least two strategy types, with a preference for individual behaviour change strategies. Targeting children was less common (31%) compared with the 2010 survey (57%). Logic models and theory were used in planning, but there was low use of research evidence and existing prevention frameworks. Nearly, all CBIs had an evaluation component (12% of budget), but dissemination was limited. This survey provides information on the scope and varied quality of the current obesity prevention investment in Australia. To boost the quality and effectiveness of CBIs, further support systems may be required to ensure that organizations adopt upstream, evidence-informed approaches; and integrate CBIs into systems, policies and environments.

Docencia universitaria en ambientes saludables : diseño ergonómico para espacios y equipamiento

El trabajo plantea el estudio de ‘ambientes saludables’ en edificios de instituciones académicas, particularmente del campus de la Universidad Nacional de Cuyo. Su propósito es mejorar la calidad de vida, salud y seguridad de las personas en el trabajo. Se elaboraron propuestas como ‘guía de recomendaciones’ para el diseño y adquisición de equipamiento universitario. El método aplicado es el propio de la Ergonomía, incluyendo: análisis de tareas, desarrollo de propuestas, experimentación, validación, seguimiento. El resultado puede aplicarse a los edificios del contexto antes señalado y a otros similares, pudiendo transferirse asimismo a la enseñanza de la Ergonomía en diferentes disciplinas.

O idoso e sua participação - aspectos da vida urbana componentes da cidade amiga do idoso

Esta investigação teve por objetivo analisar a participação de idosos em direção à promoção da saúde considerando a articulação com oito aspectos da vida urbana do projeto cidade amiga do idoso (espaços abertos e prédios, transporte, moradia, participação social, respeito e inclusão social, participação cívica e emprego, comunicação e informação, e apoio comunitário e serviços de saúde) do bairro Vila Tibério, município de Ribeirão Preto, estado de São Paulo, Brasil. Trata-se de pesquisa descritiva de abordagem qualitativa sustentada pelos conceitos e princípios da promoção da saúde, a partir da perspectiva da participação social e do estabelecimento de ambientes saudáveis, motivo do alinhamento com os aspectos da vida urbana do Projeto Cidade Amiga do Idoso. A pesquisa atendeu aos preceitos éticos, sendo sua realização aprovada por Comitê de Ética em Pesquisa. A captação do empírico se deu por meio da realização de grupos focais com base no Protocolo de Vancouver, desenvolvido pelo Government of British Columbia, somando 32 idosos e 6 representantes de prestadores de serviços em 5 grupos focais. Adicionalmente, foi aplicado instrumento de avaliação funcional para verificar condição de independência ou dependência dos 32 idosos, sendo feita avaliação qualitativa da capacidade autorreferida pelos idosos, segundo a escala utilizada. Realizou-se análise de conteúdo na vertente temática para o material dos grupos, com a identificação de três temas: território: lugar de vida e cidadania, formação de redes de suporte social ao idoso e participação dos idosos na vida do bairro. A violência, o abandono presentes no território, em especial nos espaços coletivos, trazem preocupação e medo aos idosos, pois dificultam a livre circulação no território. Por outro lado, há no bairro certa tradição e possibilidade de serem construídas relações de amizade e apoio, que permitem ao idoso sentir-se acolhido, sendo enfatizado que as relações de amizade e mesmo as institucionalizadas, como por exemplo, o trabalho dos agentes comunitários de saúde, são necessárias às relações de convivência e sustentação na vida dos idosos. É trazida a importância dos jornais do bairro e de seu papel como elemento constitutivo da rede apoio na área de comunicação e informação dentro do território. A vinculação ao mundo do trabalho, com atividades remuneradas, ainda é uma forma que os idosos encontram de se manterem próximos aos amigos e participantes da vida em comunidade. Há dificuldade em ampliar a participação dos idosos por diferentes motivos que vão desde a dificuldade de mobilidade dentro do bairro, acesso à informação sobre as atividades disponíveis, ausência de canais mais ágeis de comunicação, baixa adesão aos processos de participação social no campo da saúde e assistência social, trabalho dos idosos como cuidadores de outros idosos familiares ou de netos. Situações que dificultam maior adesão aos processos de participação social, embora seja assinalada a importância destes processos para a melhoria do bairro. O conjunto dos resultados aponta que os idosos apresentam muitas dificuldades para ampliar sua participação nos processos coletivos no bairro, que por vezes se mostra hostil em suas condições a este grupo. Por outro lado se fazem presentes potencialidades, nas brechas e sugestões que indicam a possibilidade para se situarem no processo de construção da Promoção da Saúde no território em que estão inseridos, utilizando de suas características, perfis de vida e atuação para agir com autonomia e constituírem-se como protagonistas dos processos e de ações no território. Com a ciência dos limites, credita-se a esta investigação a possibilidade de que os elementos aqui discutidos possam oferecer subsídios para que as políticas voltadas ao envelhecimento saudável nos âmbitos da saúde, segurança, educação, assistência social, dentre outras possam se repensadas ou reestruturadas

Promoción de salud para la generación de entornos saludables en un barrio vulnerable: el caso de Las Remudas, Gran Canaria

Las desigualdades sociales en salud se reflejan también en la segregación espacial de barrios que concentran desventajas estructurales generando entornos poco saludables. Este estudio describe las acciones y estrategias desarrolladas, dentro de un proceso de intervención socio-comunitaria en salud, para mejorar el entorno de un barrio desfavorecido y la percepción vecinal de las transformaciones vividas. Metodología: Se construye un estudio de caso a partir de entrevistas semiestructuradas a informantes clave. Resultado: los informantes reconocen la transformación del entorno en aspectos urbanísticos, ambientales y sociales y la importancia de su participación en ello. La apertura de nuevos comercios o la disminución de la criminalidad son indicadores objetivos de esta mejora. Conclusión: Las intervenciones de promoción de salud para mejorar el entorno deben considerar su multidimensionalidad y, por tanto, su abordaje multisectorial a través de metodologías participativas que involucren a los diversos actores sociales.