Recommendation for use of point-of-decision prompts to increase stair use in communities.

verweight and obesity remain major health concerns in the U.S. and elsewhere. Obesity increases the risk of many diseases and health conitions including coronary heart disease, type 2 diabetes, range of cancers (e.g., endometrial, breast, and colon), ypertension, dyslipidemia (e.g., high total cholesterol or igh levels of triglycerides), stroke, liver and gallbladder isease, sleep apnea and respiratory problems, osteoarhritis, and gynecologic problems (abnormal menses, nfertility). While regular physical activity improves erobic capacity, muscular strength, body agility and oordination, and metabolic functioning, and is associted with enhanced health and reduced risk for all-cause ortality, maintaining energy balance (defıned as the alance between energy taken in and energy expended) is lso important in achieving and maintaining a healthy eight and overall health. One way to increase energy expenditure, and improve nergy balance, is to incorporate small bouts of physical ctivity into daily routines. According to the CDC, envionmental and policy interventions to promote physical ctivity are important because they can benefıt all people xposed to the environment rather than focusing on hanging physical activity behavior one person at a time. he use of point-of-decision prompts (PODP) to increase he use of stairwells is one intervention of this type. In 2002, the Guide to Community Preventive Services the Community Guide) published recommendations on vidence-based practices to increase physical activity in ommunities. Because there has since been a substantial ncrease in available literature and interest in the applicaility of some fındings to worksite settings, this report rovides an update on the 2002 Community Guide recmmendation to use PODPs to increase stair use. The urrent recommendation and the earlier one represent