Table 2

Detailed information on SIMPLE modules for physical activity

LevelIndicatorSurvey question [and answer categories]EU monitoring system/databaseA Data gathered from…B ValidationC Proportion of individuals meeting WHO recommendation(s)
Physical activity recommendations
Public policyNational recommendations on physical activity for health
  • Are there national guidelines which provide recommended levels of physical activity for the population or a specific segment of the population?

  • [Yes, No, Don’t know]

  • If yes, are there guidelines specifically addressing any of the following age groups:

    • - Children under 5: [Yes | No | Don’t Know]

    • - Children and adolescents (ages 5–19 years): [Yes | No | Don’t Know]

    • - Adults: [Yes | No | Don’t Know]

  • - Older adults: [Yes | No | Don’t Know]

WHO NCD Country Capacity Survey
  • A National level experts

  • B –

CommunityProportion of people aware of physical activity programmes organized by the communitya
  • To what extent do you agree or disagree with the following statement about sport and physical activity?

  • The area where you live offers you many opportunities to be physically active.

  • [Agree/Disagree]

Eurobarometer
  • A Population (adults)

  • B –

OrganizationalSettings included in the delivery of specific health-enhancing physical activity actionsConsidering all (…) key physical activity policy documents (…), please indicate which settings are included for the delivery of specific Health-Enhacing Physical Activity actions.
  • [- Pre-schools/kindergarten

  • - Primary schools

  • - Secondary/high schools

  • - Colleges/universities

  • - Primary health care

  • - Clinical health care (e.g. hospitals)

  • - Workplace

  • - Older adult/senior services

  • - Sport and recreation

  • - Transport

  • - Tourism

  • - Environment

  • - Urban design and planning

  • - Community]

HEPA PAT
  • A National level experts

  • B –

InterpersonalProportion of people who see others being active in their neighbourhooda
  • Earlier you said you engage in sport or another physical activity, vigorous or not. Where do you do this?

  • [- In a park, outdoors, etc.

  • - At home

  • - On the way between home and school, work or shops

  • - At a health or fitness centre

  • - At a sport club

  • - At school or university

  • - Elsewhere (spontaneous)

  • - Don’t know]

Eurobarometer
  • A Population (adults)

  • B –

IndividualsTotal time spent with physical activity per week
  • In a typical week, on how many days do you carry out sportsb, fitnessc or recreationald (leisure) activities for at least 10 mine continuously?

  • [___ days per week]

EHIS
  • A Population (adults)

  • B33f

  • C –

  • How much time in total do you spend on sportsb, fitnessc or recreationald (leisure) physical activities in a typical week?

  • [- ___ hours per week

  • - ___ minutes per week]

EHIS
  • A Population (adults)

  • B33f

  • C –

Cycling and walking
Public policyGovernment supports the incorporation of walking and cycling infrastructure in urban, rural and transport plansa
  • Are the European Guidelines for Improving Infrastructures for Leisure-Time Physical Activity applied systematically to develop leisure-time infrastructures in your country?

  • [- Implemented

  • - Foreseen in the next 2 years

  • - Not implemented]

EU/WHO HEPA Monitoring Framework survey
  • A National level experts

  • B –

CommunityAvailability and quality of cycling networks/paths/amenities; cycle-friendly infrastructure[User generated content, e.g. bicycle map, hiking map, wheelchair user map]Open Street Maps
  • A Users

  • B Validity differs from region to region due to the user-generated content and the differences in user numbers and their activity34

Organizational
Interpersonal
IndividualsTime spent walking in order to get to and from places in a typical week
  • In a typical week, on how many days do you walk for at least 10 min continuously in order to get to and from places?

  • [___ days per week]

EHIS
  • A Population (adults)

  • B33g

  • C –

  • How much time do you spend walking in order to get to and from places on a typical day?

  • [- 10–29 min per day

  • - 30–59 min per day

  • - 1 h to less than 2 h per day

  • - 2 h to less than 3 h per day

  • - 3 h or more per day]

EHIS
  • A Population (adults)

  • B33g

  • C –

Time spent cycling in order to get to and from places in a typical week
  • In a typical week, on how many days do you bicycle for at least 10 min continuously to get to and from places?

  • [___ days per week]

EHIS
  • A Population (adults)

  • B33h

  • C –

  • How much time do you spend bicycling to get to and from places on a typical day?

  • [- 10–29 min per day

  • - 30–59 min per day

  • - 1 h to less than 2 h per day

  • - 2 h to less than 3 h per day

  • - 3 h or more per day]

EHIS
  • A Population (adults)

  • B33h

  • C –

LevelIndicatorSurvey question [and answer categories]EU monitoring system/databaseA Data gathered from…B ValidationC Proportion of individuals meeting WHO recommendation(s)
Physical activity recommendations
Public policyNational recommendations on physical activity for health
  • Are there national guidelines which provide recommended levels of physical activity for the population or a specific segment of the population?

  • [Yes, No, Don’t know]

  • If yes, are there guidelines specifically addressing any of the following age groups:

    • - Children under 5: [Yes | No | Don’t Know]

    • - Children and adolescents (ages 5–19 years): [Yes | No | Don’t Know]

    • - Adults: [Yes | No | Don’t Know]

  • - Older adults: [Yes | No | Don’t Know]

WHO NCD Country Capacity Survey
  • A National level experts

  • B –

CommunityProportion of people aware of physical activity programmes organized by the communitya
  • To what extent do you agree or disagree with the following statement about sport and physical activity?

  • The area where you live offers you many opportunities to be physically active.

  • [Agree/Disagree]

Eurobarometer
  • A Population (adults)

  • B –

OrganizationalSettings included in the delivery of specific health-enhancing physical activity actionsConsidering all (…) key physical activity policy documents (…), please indicate which settings are included for the delivery of specific Health-Enhacing Physical Activity actions.
  • [- Pre-schools/kindergarten

  • - Primary schools

  • - Secondary/high schools

  • - Colleges/universities

  • - Primary health care

  • - Clinical health care (e.g. hospitals)

  • - Workplace

  • - Older adult/senior services

  • - Sport and recreation

  • - Transport

  • - Tourism

  • - Environment

  • - Urban design and planning

  • - Community]

HEPA PAT
  • A National level experts

  • B –

InterpersonalProportion of people who see others being active in their neighbourhooda
  • Earlier you said you engage in sport or another physical activity, vigorous or not. Where do you do this?

  • [- In a park, outdoors, etc.

  • - At home

  • - On the way between home and school, work or shops

  • - At a health or fitness centre

  • - At a sport club

  • - At school or university

  • - Elsewhere (spontaneous)

  • - Don’t know]

Eurobarometer
  • A Population (adults)

  • B –

IndividualsTotal time spent with physical activity per week
  • In a typical week, on how many days do you carry out sportsb, fitnessc or recreationald (leisure) activities for at least 10 mine continuously?

  • [___ days per week]

EHIS
  • A Population (adults)

  • B33f

  • C –

  • How much time in total do you spend on sportsb, fitnessc or recreationald (leisure) physical activities in a typical week?

  • [- ___ hours per week

  • - ___ minutes per week]

EHIS
  • A Population (adults)

  • B33f

  • C –

Cycling and walking
Public policyGovernment supports the incorporation of walking and cycling infrastructure in urban, rural and transport plansa
  • Are the European Guidelines for Improving Infrastructures for Leisure-Time Physical Activity applied systematically to develop leisure-time infrastructures in your country?

  • [- Implemented

  • - Foreseen in the next 2 years

  • - Not implemented]

EU/WHO HEPA Monitoring Framework survey
  • A National level experts

  • B –

CommunityAvailability and quality of cycling networks/paths/amenities; cycle-friendly infrastructure[User generated content, e.g. bicycle map, hiking map, wheelchair user map]Open Street Maps
  • A Users

  • B Validity differs from region to region due to the user-generated content and the differences in user numbers and their activity34

Organizational
Interpersonal
IndividualsTime spent walking in order to get to and from places in a typical week
  • In a typical week, on how many days do you walk for at least 10 min continuously in order to get to and from places?

  • [___ days per week]

EHIS
  • A Population (adults)

  • B33g

  • C –

  • How much time do you spend walking in order to get to and from places on a typical day?

  • [- 10–29 min per day

  • - 30–59 min per day

  • - 1 h to less than 2 h per day

  • - 2 h to less than 3 h per day

  • - 3 h or more per day]

EHIS
  • A Population (adults)

  • B33g

  • C –

Time spent cycling in order to get to and from places in a typical week
  • In a typical week, on how many days do you bicycle for at least 10 min continuously to get to and from places?

  • [___ days per week]

EHIS
  • A Population (adults)

  • B33h

  • C –

  • How much time do you spend bicycling to get to and from places on a typical day?

  • [- 10–29 min per day

  • - 30–59 min per day

  • - 1 h to less than 2 h per day

  • - 2 h to less than 3 h per day

  • - 3 h or more per day]

EHIS
  • A Population (adults)

  • B33h

  • C –

a

Only partial fit of indicator and survey question.

b

Examples (sports): ball games, athletics, competitive bicycling, running, swimming, etc.35

c

Examples (fitness): endurance training, strength exercise, flexibility training, etc.35

d

Examples (recreational activity): nordic walking, brisk walking, ball games, jogging, bicycling, swimming, aerobics, rowing, badminton, etc.35

e

The time frame of ‘at least 10 minutes’ is no longer recommended in WHO’s Global Physical Activity Guidelines, i.e. a modification of this survey question might be necessary in future.

f

Applicable to moderate-to-vigorous aerobic recreational activity (minutes per day).

g

Applicable to walking time (minutes per day).

h

Applicable to cycling time (minutes per day).

Table 2

Detailed information on SIMPLE modules for physical activity

LevelIndicatorSurvey question [and answer categories]EU monitoring system/databaseA Data gathered from…B ValidationC Proportion of individuals meeting WHO recommendation(s)
Physical activity recommendations
Public policyNational recommendations on physical activity for health
  • Are there national guidelines which provide recommended levels of physical activity for the population or a specific segment of the population?

  • [Yes, No, Don’t know]

  • If yes, are there guidelines specifically addressing any of the following age groups:

    • - Children under 5: [Yes | No | Don’t Know]

    • - Children and adolescents (ages 5–19 years): [Yes | No | Don’t Know]

    • - Adults: [Yes | No | Don’t Know]

  • - Older adults: [Yes | No | Don’t Know]

WHO NCD Country Capacity Survey
  • A National level experts

  • B –

CommunityProportion of people aware of physical activity programmes organized by the communitya
  • To what extent do you agree or disagree with the following statement about sport and physical activity?

  • The area where you live offers you many opportunities to be physically active.

  • [Agree/Disagree]

Eurobarometer
  • A Population (adults)

  • B –

OrganizationalSettings included in the delivery of specific health-enhancing physical activity actionsConsidering all (…) key physical activity policy documents (…), please indicate which settings are included for the delivery of specific Health-Enhacing Physical Activity actions.
  • [- Pre-schools/kindergarten

  • - Primary schools

  • - Secondary/high schools

  • - Colleges/universities

  • - Primary health care

  • - Clinical health care (e.g. hospitals)

  • - Workplace

  • - Older adult/senior services

  • - Sport and recreation

  • - Transport

  • - Tourism

  • - Environment

  • - Urban design and planning

  • - Community]

HEPA PAT
  • A National level experts

  • B –

InterpersonalProportion of people who see others being active in their neighbourhooda
  • Earlier you said you engage in sport or another physical activity, vigorous or not. Where do you do this?

  • [- In a park, outdoors, etc.

  • - At home

  • - On the way between home and school, work or shops

  • - At a health or fitness centre

  • - At a sport club

  • - At school or university

  • - Elsewhere (spontaneous)

  • - Don’t know]

Eurobarometer
  • A Population (adults)

  • B –

IndividualsTotal time spent with physical activity per week
  • In a typical week, on how many days do you carry out sportsb, fitnessc or recreationald (leisure) activities for at least 10 mine continuously?

  • [___ days per week]

EHIS
  • A Population (adults)

  • B33f

  • C –

  • How much time in total do you spend on sportsb, fitnessc or recreationald (leisure) physical activities in a typical week?

  • [- ___ hours per week

  • - ___ minutes per week]

EHIS
  • A Population (adults)

  • B33f

  • C –

Cycling and walking
Public policyGovernment supports the incorporation of walking and cycling infrastructure in urban, rural and transport plansa
  • Are the European Guidelines for Improving Infrastructures for Leisure-Time Physical Activity applied systematically to develop leisure-time infrastructures in your country?

  • [- Implemented

  • - Foreseen in the next 2 years

  • - Not implemented]

EU/WHO HEPA Monitoring Framework survey
  • A National level experts

  • B –

CommunityAvailability and quality of cycling networks/paths/amenities; cycle-friendly infrastructure[User generated content, e.g. bicycle map, hiking map, wheelchair user map]Open Street Maps
  • A Users

  • B Validity differs from region to region due to the user-generated content and the differences in user numbers and their activity34

Organizational
Interpersonal
IndividualsTime spent walking in order to get to and from places in a typical week
  • In a typical week, on how many days do you walk for at least 10 min continuously in order to get to and from places?

  • [___ days per week]

EHIS
  • A Population (adults)

  • B33g

  • C –

  • How much time do you spend walking in order to get to and from places on a typical day?

  • [- 10–29 min per day

  • - 30–59 min per day

  • - 1 h to less than 2 h per day

  • - 2 h to less than 3 h per day

  • - 3 h or more per day]

EHIS
  • A Population (adults)

  • B33g

  • C –

Time spent cycling in order to get to and from places in a typical week
  • In a typical week, on how many days do you bicycle for at least 10 min continuously to get to and from places?

  • [___ days per week]

EHIS
  • A Population (adults)

  • B33h

  • C –

  • How much time do you spend bicycling to get to and from places on a typical day?

  • [- 10–29 min per day

  • - 30–59 min per day

  • - 1 h to less than 2 h per day

  • - 2 h to less than 3 h per day

  • - 3 h or more per day]

EHIS
  • A Population (adults)

  • B33h

  • C –

LevelIndicatorSurvey question [and answer categories]EU monitoring system/databaseA Data gathered from…B ValidationC Proportion of individuals meeting WHO recommendation(s)
Physical activity recommendations
Public policyNational recommendations on physical activity for health
  • Are there national guidelines which provide recommended levels of physical activity for the population or a specific segment of the population?

  • [Yes, No, Don’t know]

  • If yes, are there guidelines specifically addressing any of the following age groups:

    • - Children under 5: [Yes | No | Don’t Know]

    • - Children and adolescents (ages 5–19 years): [Yes | No | Don’t Know]

    • - Adults: [Yes | No | Don’t Know]

  • - Older adults: [Yes | No | Don’t Know]

WHO NCD Country Capacity Survey
  • A National level experts

  • B –

CommunityProportion of people aware of physical activity programmes organized by the communitya
  • To what extent do you agree or disagree with the following statement about sport and physical activity?

  • The area where you live offers you many opportunities to be physically active.

  • [Agree/Disagree]

Eurobarometer
  • A Population (adults)

  • B –

OrganizationalSettings included in the delivery of specific health-enhancing physical activity actionsConsidering all (…) key physical activity policy documents (…), please indicate which settings are included for the delivery of specific Health-Enhacing Physical Activity actions.
  • [- Pre-schools/kindergarten

  • - Primary schools

  • - Secondary/high schools

  • - Colleges/universities

  • - Primary health care

  • - Clinical health care (e.g. hospitals)

  • - Workplace

  • - Older adult/senior services

  • - Sport and recreation

  • - Transport

  • - Tourism

  • - Environment

  • - Urban design and planning

  • - Community]

HEPA PAT
  • A National level experts

  • B –

InterpersonalProportion of people who see others being active in their neighbourhooda
  • Earlier you said you engage in sport or another physical activity, vigorous or not. Where do you do this?

  • [- In a park, outdoors, etc.

  • - At home

  • - On the way between home and school, work or shops

  • - At a health or fitness centre

  • - At a sport club

  • - At school or university

  • - Elsewhere (spontaneous)

  • - Don’t know]

Eurobarometer
  • A Population (adults)

  • B –

IndividualsTotal time spent with physical activity per week
  • In a typical week, on how many days do you carry out sportsb, fitnessc or recreationald (leisure) activities for at least 10 mine continuously?

  • [___ days per week]

EHIS
  • A Population (adults)

  • B33f

  • C –

  • How much time in total do you spend on sportsb, fitnessc or recreationald (leisure) physical activities in a typical week?

  • [- ___ hours per week

  • - ___ minutes per week]

EHIS
  • A Population (adults)

  • B33f

  • C –

Cycling and walking
Public policyGovernment supports the incorporation of walking and cycling infrastructure in urban, rural and transport plansa
  • Are the European Guidelines for Improving Infrastructures for Leisure-Time Physical Activity applied systematically to develop leisure-time infrastructures in your country?

  • [- Implemented

  • - Foreseen in the next 2 years

  • - Not implemented]

EU/WHO HEPA Monitoring Framework survey
  • A National level experts

  • B –

CommunityAvailability and quality of cycling networks/paths/amenities; cycle-friendly infrastructure[User generated content, e.g. bicycle map, hiking map, wheelchair user map]Open Street Maps
  • A Users

  • B Validity differs from region to region due to the user-generated content and the differences in user numbers and their activity34

Organizational
Interpersonal
IndividualsTime spent walking in order to get to and from places in a typical week
  • In a typical week, on how many days do you walk for at least 10 min continuously in order to get to and from places?

  • [___ days per week]

EHIS
  • A Population (adults)

  • B33g

  • C –

  • How much time do you spend walking in order to get to and from places on a typical day?

  • [- 10–29 min per day

  • - 30–59 min per day

  • - 1 h to less than 2 h per day

  • - 2 h to less than 3 h per day

  • - 3 h or more per day]

EHIS
  • A Population (adults)

  • B33g

  • C –

Time spent cycling in order to get to and from places in a typical week
  • In a typical week, on how many days do you bicycle for at least 10 min continuously to get to and from places?

  • [___ days per week]

EHIS
  • A Population (adults)

  • B33h

  • C –

  • How much time do you spend bicycling to get to and from places on a typical day?

  • [- 10–29 min per day

  • - 30–59 min per day

  • - 1 h to less than 2 h per day

  • - 2 h to less than 3 h per day

  • - 3 h or more per day]

EHIS
  • A Population (adults)

  • B33h

  • C –

a

Only partial fit of indicator and survey question.

b

Examples (sports): ball games, athletics, competitive bicycling, running, swimming, etc.35

c

Examples (fitness): endurance training, strength exercise, flexibility training, etc.35

d

Examples (recreational activity): nordic walking, brisk walking, ball games, jogging, bicycling, swimming, aerobics, rowing, badminton, etc.35

e

The time frame of ‘at least 10 minutes’ is no longer recommended in WHO’s Global Physical Activity Guidelines, i.e. a modification of this survey question might be necessary in future.

f

Applicable to moderate-to-vigorous aerobic recreational activity (minutes per day).

g

Applicable to walking time (minutes per day).

h

Applicable to cycling time (minutes per day).

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