title: 2015-2018 Regional Prevention Plan of Lombardy (Northern Italy) and sedentary prevention: a cross-sectional strategy to develop evidence-based programmes.
abstract: Cross-sector, life-course, and setting approaches are identified in the 2015-2018 Regional Prevention Plan (PRP) of Lombardy Region (Northern Italy) as valuable strategies to ensure the efficacy and sustainable prevention of the non-communicable disease (NCDs). The involvement of non-health sectors in health promotion activities represents a suitable strategy to affect on social, economic, and political determinants and to change environmental factors that could cause NCDs. A dialogue among communities, urban planning, and prevention know-how is a prerequisite to develop a system of policies suitable to promote healthy lifestyle in general and, specifically, active lifestyles. The 2015-2018 Lombardy PRP pursues its aims of health promotion and behavioural risk factors for NCDs prevention through programmes that implement their own setting networks (Health Promoting Schools - SPS; Workplace Health Promotion - WHP) and develop new networks. Sedentary lifestyle prevention and active lifestyle promotion are performed through the approach promoted by the Healthy Cities Programme (WHO), encouraging two main processes: 1. creating integrated capacity-building among health and social prevention services, academic research, and local stakeholders on different urban planning and design issues; 2. promoting community empowerment through active citizens participation. Through this process, Lombardy Region aims to orient its services developing evidence-based programmes and enhancing advocacy and mediating capacity skills in order to create a profitable partnership with non-health sectors. This paper reports the main impact data: 26,000 children that reach school by foot thanks to walking buses, 57% of 145 companies joining WHP are involved in promoting physical activity, 18,891 citizens who attend local walking groups.
authors.affiliation: Welfare General Directorate, Lombardy Region, Milan. liliana_coppola@regione.lombardia.it.
authors.forename: Liliana
authors.initials: L
authors.lastname: Coppola
authors.affiliation: University of Milano-Bicocca, Milan.
authors.forename: Ennio
authors.initials: E
authors.lastname: Ripamonti
authors.affiliation: Welfare General Directorate, Lombardy Region, Milan.
authors.forename: Danilo
authors.initials: D
authors.lastname: Cereda
authors.affiliation: Health territorial agency Milano - città metropolitana, Milan.
authors.forename: Giusi
authors.initials: G
authors.lastname: Gelmi
authors.affiliation: Welfare General Directorate, Lombardy Region, Milan.
authors.forename: Lucia
authors.initials: L
authors.lastname: Pirrone
authors.affiliation: Department of Architecture, Built environment and Construction engineering (ABC), University Politecnico di Milano, Milan.
authors.forename: Andrea
authors.initials: A
authors.lastname: Rebecchi
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D015992:Body Mass Index; D002648:Child; D002675:Child, Preschool; D002958:City Planning / Q000592:standards*; D003430:Cross-Sectional Studies; D019317:Evidence-Based Medicine; D005260:Female; D006293:Health Promotion / Q000379:methods; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007558:Italy; D008297:Male; D008875:Middle Aged; D000073296:Noncommunicable Diseases / Q000517:prevention & control*; D009765:Obesity / Q000517:prevention & control; D012307:Risk Factors; D040242:Risk Reduction Behavior; D012574:Schools / Q000592:standards*; D057185:Sedentary Behavior