Promuovere salute e prevenire cronicità nella popolazione over 65: il programma Gruppi di Cammino in Regione Lombardia

Author/s Giusi Gelmi, Giulia Parisi, Lia Calloni, Aurora Torri, Anna Paola Capriulo, Corrado Celata
Publishing Year 2022 Issue 2022/3 Language Italian
Pages 12 P. 40-51 File size 238 KB
DOI 10.3280/PDS2022-003006
DOI is like a bar code for intellectual property: to have more infomation click here

Below, you can see the article first page

If you want to buy this article in PDF format, you can do it, following the instructions to buy download credits

Article preview

FrancoAngeli is member of Publishers International Linking Association, Inc (PILA), a not-for-profit association which run the CrossRef service enabling links to and from online scholarly content.

Lombardy is the Italian region with the highest number of over 65s: over 2 million, equal to 22.9% of the total population (Istat, 2020). Many suffer from one or more chronic diseases, accounting for 70% of regional health expenditure (Dgr 4662/2015). The evidence indicates sedentary lifestyle among the causes that contribute to the development of chronic diseases and underlines the need for policies and programs to promote active and healthy aging (Active and Healthy Aging). In this sense, starting from 2009, Lombardy Region has identified Walking Groups as the main program to promote and maintain the health of the over 65 population, including them in its Regional Prevention Plans. The program consists of an organized activity where a group of people walk together, at least twice a week, following a safe urban or extra-urban path, under the guidance of a conductor (Walking leader). Therefore, Walking Groups represent a strategy capable of promoting movement of adults and the elderly in safety, knowledge of health issues and participation of citizens and their social skills, responding to the key principles of both health promotion and Active Aging policies (WHO, 2002). The article, through the description of the different steps adopted for the implementation of the program in Lombardy, according to the analysis lens of the Interactive System Framework, will highlight how the Walking Groups model is characterized as a strategy that today pro-motes the daily movement of over 18600 over 65.

Keywords: walking groups, active ageing, health promotion, NCD revention, older adults, physical activity

  1. Booth M. L., Owen N., Bauman A., Clavisi O. & Leslie E. (2000). Social–cognitive and perceived environment influences associated with physical activity in older Australians. Preventive Medicine, 31(1), 15-22.
  2. Carraro S., Ieva B., Meroni C. e Muzzi M. (2021). I Gruppi di cammino e la promozione della salute. La sfida digitale al tempo del Covid-19 [Walking groups and health promotion. The digital challenge at the time of Covid-19]. Prospettive Sociali e Sanitarie, 4: 25-28.
  3. Ceolim M.F. & Menna-Barreto L. (2000). Sleep/wake cycle and physical activity in healthy elderly people. Sleep Research Online, 3(3): 87-95.
  4. Hamer M. & Chida Y. (2008). Walking and primary prevention: a meta-analysis of prospective cohort studies. British Journal of Sports Medicine, 42(4): 238-43.
  5. Hanson S. & Jones A. (2015). Is there evidence that Walking groups have health benefits? A systematic review and meta-analysis. British Journal of Sports Medicine, 49(11): 710-715.
  6. ISPAH International Society for Physical Activity and Health (2017). The Bangkok declaration on physical activity for global health and sustainable development. British Journal of Sports Medicine, 51(19): 1389-1391.
  7. Istat (2022). Bes 2021. Il Benessere Equo e Sostenibile in Italia. Roma: Istat. -- https://www.
  8. Jackson S.F., Perkins F., Khandor E., Cordwell L., Hamann S. & Buasai S. (2006). Integrated health promotion strategies: a contribution to tackling current and future health challenges. Health Promotion International, 21 (1 Suppl): 75-83.
  9. Kassavou A., Turner A. & French D.P. (2013). Do interventions to promote Walking in groups increase physical activity? A meta-analysis. The International Journal of Behavioral Nutrition and Physical Activity, 10(18). DOI: 10.1186/1479-5868-10-1
  10. Lamb S., Bartlett H.P., Ashley A. & Bird W. (2002). Can lay-led Walking programmes increase physical activity in middle aged adults? A randomised controlled trial. Journal of Epidemiology and Community Health, 56(4): 246-252.
  11. Lee I.M. & Buchner D.M. (2008). The importance of Walking to public health. Medicine & Science in Sports & Exercise, 40 (7 Suppl): S512-S518.
  12. Ministero della Salute (2020). Piano Nazionale della Prevenzione 2020–2025. Roma.
  13. OMS (2012). Strategia e piano d’azione per l’invecchiamento sano in Europa, 2012-2020.
  14. Regione Lombardia (2022). Piano Regionale della Prevenzione 2021-2025.
  15. Robertson R., Robertson A., Jepson R. & Maxwell M. (2012). Walking for depression or depressive symptoms: a systematic review and meta-analysis. Mental Health and Physical Activity, 5(1): 66-75.
  16. Rogers E.M. (1995). Diffusion of Innovations: modifications of a model for telecommunications. In Die diffusion von innovationen in der telekommunikation (pp. 25-38). Berlin, Heidelberg: Springer.
  17. Saxena S., Van Ommeren M., Tang K.C. & Armstrong T.P. (2005). Mental health benefits of physical activity. Journal of Mental Health, 14(5): 445-451. DOI: 10.1080/0963823050027077
  18. Schutzer K.A. & Graves B.S. (2004). Barriers and motivations to exercise in older adults. Preventive Medicine, 39(5), 1056-1061.
  19. Sherrington C., Whitney J.C., Lord S.R., Herbert R.D., Cumming R.G. & Close J.C. (2008). Effective exercise for the prevention of falls: a systematic review and meta‐analysis. Journal of the American Geriatrics Society, 56 (12): 2234-2243.
  20. Taylor A.H., Cable N.T., Faulkner G., Hillsdon M., Narici M. & Van Der Bij A.K. (2004). Physical activity and older adults: a review of health benefits and the effectiveness of interventions. Journal of Sports Sciences, 22 (8): 703-725. DOI: 10.1080/02640410410001712421
  21. Wandersman A., Duffy J., Flaspohler P., Noonan R., Lubell K., Stillman L. & Saul J. (2008). Bridging the gap between prevention research and practice: the interactive systems framework for dissemination and implementation. American Journal of Community Psychology, 41(3-4): 171-181.
  22. WHO (1998). Health for All in the 21st century. Geneve: World Health Organization.
  23. WHO (2015). Global recommendation on physical activity for health.
  24. WHO (2020). WHO guidelines on physical activity and sedentary behaviour.

Giusi Gelmi, Giulia Parisi, Lia Calloni, Aurora Torri, Anna Paola Capriulo, Corrado Celata, Promuovere salute e prevenire cronicità nella popolazione over 65: il programma Gruppi di Cammino in Regione Lombardia in "PSICOLOGIA DELLA SALUTE" 3/2022, pp 40-51, DOI: 10.3280/PDS2022-003006