Symposium 9

Interdisciplinary Approaches in Promotion of Health and Wellbeing: Education for all in Healthy Habits

Interdisciplinary Approaches in Promotion of Health and Wellbeing: Education for for All in Healthy Habits, is an international and interdisciplinary symposium, with four presentations, all related to the education and promotion of physical activity and how it can improve health and wellbeing. Four countries/regions are represented in this symposium: Taiwan, Thailand, South Africa and Spain. Four topics will be presented: Athletes Nutrition, Guidelines for Physical Activity Levels improvement, Kinderkinetics, and Adapted Physical Activity. So, presentations will involve different populations: children, adults, athletes, seniors, and persons with intellectual disability. Studies are based on quantitative and qualitative research, including bio-psycho-social issues that might condition the achievement of an adequate level of health and wellbeing. The first study examines through questionnaires how athletes get information about nutrition, how they plan their meals and their usage of nutritional supplements, showing a high protein intake as well as nutrition supplementation, meanwhile the information resources are not very reliable. The second participant presents an on-line program for monitoring and improving physical activity levels based on the WHO’s recommendations; it has been validated for Thai population, and followed by its application to specific population as stroke patients and overweight individuals. The third participant will talk about Kinderkinetics and its practical implications in the field of motor development and physical activity taking into account typical and a-typical children’s development. And the fourth and final presentation focuses in persons with intellectual disability and different options of feasible exercise programs they can follow to be active such as dance, multicomponent exercises and high intensity intervallic training (HIIT).

Chairperson and Presenter

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Prof. Myriam GUERRA-BALIC, MD, PhD
PI of the Research Group on Health, Physical Activity and Sport
University Ramon Llull

Prof. Dr. Myriam Guerra-Balic, MD., Ph.D. is a professor in the Faculty of Psychology, Education and Sport Sciences–Blanquerna, University Ramon Llull (URL), Department chair of Physical Education and Sport Sciences. She is a Medical Doctor specialized in Sport Medicine, with a Doctoral Degree developed on Exercise Physiology and Down Syndrome. She was the Vice-Dean of International Relations at the URL for 9 years coordinating national and international exchange programs, cooperation programs and research mobility for students and professors. She has also been a member of the International Relations Committee of the ACSM. She has received the ACSM Student Award (2000) and the ACSM Dr. Lisa Stroud Krivickas Clinician Scholar Award (2015). She has taught as international visitor professor in several countries from Europe, North America, South America, Asia and Africa. She has been developing her career as a professor and researcher for more than 25 years in the field of Health, Adapted Physical Activity and Adapted Sport, especially focused in children, adults and elderly with Intellectual Disabilities. She collaborates with the Health Agency of the Barcelona’s City Council, with the Down21 website, and she is also involved in the ENPARID network and the HYPOXSPORT network. At present she is part of the Board of Directors of the Global Community Health Foundation.

Exercise Programs Applied to Spanish Adults and Seniors with Intellectual Disability: Dance, Multicomponent and HIIT

Physical activity is one of the main components for health and wellbeing in all kind of populations. It has been shown that persons with intellectual disabilities (ID), with and without Down syndrome (DS), have decreased cardiovascular fitness and present lower rates of physical activity (PA), and they are considered inactive and very sedentary. Moreover, the subgroup of adults and elderly with ID are especially at risk of presenting sedentary behavior that would decrease their functionality. Barriers to be active are several, as the economic one, low autonomy, institutionalization, or even lack of motivation. Because researches are worried about it, since some years ago, they are proposing different kind of activities that could be motivating for this population, and that would improve not only their functionality and fitness levels, but also produce some cognitive and social benefits. Some of our projects have applied different exercise programs to study how they improve functionality and fitness levels (aerobic capacity, balance, strength, flexibility and body composition) as well as psychological levels (cognition and emotions). The programs developed have been not only multicomponent exercise programs, but also a dance program and a HIITT program, all of them adapted to adults and elderly with ID. So, this presentation will show a review of how we develop these projects with different kind of programs, how we evaluate the health related fitness levels, the functionality and the psychological aspects in adults and elderly with ID.

Margaret Jip KUO bigger head photo 2013

Dr. Margaret Jip KUO
Executive Board Member, ACESS
Board Member, World YWCA
Executive Member, Asian Bodybuilding & Fitness Federation (ABBF)
World Class Judge & Medical & Anti-doping Committee
World Bodybuilding & Physique Fitness Sports Federation (WBPF)
Director of the Body Sculpture and Nutriton Consulting Laboratory

Dr. Margaret Jip Kuo is a former assistant professor in the China University of Technology, Taiwan. Margaret received her Bachelor of Science from Taipei Medical University; Master’s in Sports Science (Sports Nutrition) from National Taiwan University of Sport (NTUS); and her Doctorate in Food Sciences and Nutrition from Fu Jen Catholic University.  From 2002, Dr. Kuo works as a sports nutritionist for the baseball, judo, marathon and bodybuilding team. Her research interests include Chinese herbs Eleutherococcus senticosus, ergogenic aids and diet planning for athletes. Margaret has authored 15 books and over 95 articles: Sports Physiology, Exercise Nutrition; 365 tips to keep beauty and healthy; Sports Nutrition; and Teaching nutrition self-management etc. More specifically, she ran an ultra-marathon (45K) for a YWCA charity fund raising in 2014. She retired from university in Aug 2019 and starts to contribute more in volunteer jobs for health promoting through the community. Currently, she is the Scientific Adviser of The Foundation for Global Community Health (GCH), the Board Member of World YWCA, Ageing Advisor of the International Council of Women Council (ICW) and Executive Board Member of Asian Council of Exercise and Sports Science (ACESS). Dr. Kuo involved in the field of bodybuilding and fitness since 2005. Now she is the Executive Member of the Asian Bodybuilding & Fitness Federation (ABBF), World Class Judge and Medical & Anti-doping Committee of World Bodybuilding & Physique Fitness Sports Federation (WBPF).

Meal Planning and Nutritional Supplements for Male Sports Physique Athletes  in Taiwan

The interaction between diet and exercise are important for active living. Nowadays, sports physique competitions are very popular in Asia. The current survey was performed to assess information regarding the meal planning and use of nutritional supplements which among male sports physique athletes in Taiwan. This preparation phase of competition typically lasts from 16-24 weeks, which involves achieving the lowest body fat and the highest lean mass. This requires detailed nutrition programming and expertise to get the optimal diet, including energy balance, the timing and amount of protein, carbohydrate and fat. Twelve male sports physique athletes completed a questionnaire which conducted to examine the source of information, meal planning and usage of nutritional supplements. All the athletes ingest protein and carbohydrate following exercise to attain a positive protein balance and maximize their skeletal muscle adaptive response. The prevalence of supplement use was 60% and 7 different supplements were used. Athletes reported taking supplements to improve strength, immune system and for line cutting. The most frequently used supplements overall were multivitamin (98%), whey protein (100%), creatine (70%), vitamin C (82%), BCAA (65%), fish oil (75%) and glutamine (50%). Before using a product, 100% sought information. However, many did not know where to obtain reliable information. Supplements should be used to compliment a good nutrition program, not compensate for a poor nutritious diet plan. No matter you are an athlete or not, through exercise and sports science to get an accurate body fat are very important for everyone.


Dr. Juthamard SURAPONGCHAI PT, Ph.D.
Lecturer, Faculty of Physical Therapy
Mahidol University

Dr. Juthamard Surapongchai is a lecturer at the Faculty of Physical Therapy, Mahidol University, Thailand. Juthamard earned her bachelor’s and Master’s degree in Physical therapy and received her Ph.D. in Exercise Science from Mahidol University. She was awarded the Royal Golden Jubilee (RGJ) Ph.D. Scholarship from the Thailand Research Fund. The funding from RGJ in 2017 allows Dr. Surapongchai to be the research fellow at the National University of Singapore. As a physical therapist and exercise physiologist, her research interests are physical activity and wellness, exercise physiology, as well as heat stress and fluid replacement. Previous research projects in terms of physical activity study included the survey and assessment of musculoskeletal disorder and physical activity levels in the office workers of the private company and the crew of airline company.

Thai Physical Activity Guideline (TPAG), an Online Program for Monitor and Improving Physical Activity

The definition of physical activity (PA) defined by the American College of Sports and Medicine (ACSM)  is the bodily movement produced by the contraction of skeletal muscles that results in a substantial increase in caloric requirements over the resting energy expenditure. Increasing PA is associated with improved health and wellness whereas physical inactivity can lead to an increased risk of health problems especially non-communicable diseases (NCDs), a top-five cause of mortality rate. The World Health Organization (WHO) recommends that people should perform moderate-intensity PA at least 150 minutes or vigorous-intensity PA at least 75 minutes a week for improving physical fitness and long life expectancy. Therefore the compendium of Physical Activities was developed for use in the identified PA intensity since 1993. The compendium physical activities are well-known as a tool for classified PA level and it was translated into many languages. Now the compendium is available in seven languages including the Thai language which was cross-cultural studied and translated by Assoc. Prof. Chutima Jalayondaje and her research team in 2015. Thai Physical Activity Guideline (TPAG) is an online program ( consists of 21 issues and 836 physical activities. TPAG program is validated and adjusted to appropriate for Thai people. Moreover, TPAG has been continue to study in a specific population such as stroke patients and overweight individuals.

Assoc. Prof. Dr. Dané COETZEE
Program Leader: Kinderkinetics
Senior Future Leader/Volunteer (FLV) of Global Community Health (GCH)
School of Human Movement Sciences & PhASRec
Faculty of Health Science
North-West University, Potchefstroom
South Africa

Assoc. Prof. Dr. Dané Coetzee is currently an associate professor in the School of Human Movement Sciences at the North-West University’s Potchefstroom Campus. She also acts as the program leader for the Kinderkinetics program. Her teaching responsibilities at the NWU include modules on undergraduate and post graduate levels as well as guidance to several masters and doctoral students in the field of Kinderkinetics and Human Movement Science. Furthermore, Prof. Coetzee is currently the Immediate Past President for the South African Professional Instituted for Kinderkinetics (SAPIK) that is the professional body for Kinderkinetics ( Prof Coetzee is further part of the Kinderkinetics team at the North-West University that conducts workshops to teachers, disadvantage coaches and other Kinderkinetici to improve and promote the importance of early childhood development. Several national and international publications have been published from her pen and she currently serves as reference for a national and international journal respectively. In 2017 Prof Coetzee received Y-rating from the National Research Foundation Researcher (NRF). Her research interests focus on early motor development, visual stimulation, ADHD, Developmental Coordination Disorder (DCD), learning related problems, sportsvision, early intervention for children, physical activity and physical fitness, effect of technology on children’s physical activity levels and physical fitness levels. She has been representing South Africa as a member of the Future Leader Program (FLV) under Prof. Mingkai Chin’s and Prof Hans de Ridder’s advisory since 2016. As Senior FVL, she participated in Global Forum on Physical Education Pedagogy (GoFPEP 2016) held in Turkey, APCESS 2017 in Bangkok, BRICSCESS 2017 in Brazil, IFPESS 2018 in Turkey; BRICSCESS 2019 in South Africa, APCESS 2019 in Philippines.

Kinderkinetics in South Africa: Practical implications

The profession of Kinderkinetics was established in 1996 when physical education was removed from the school curriculum in South Africa, and the cessation of a much needed service delivery to children from professionals with specialized knowledge in the field of motor development and physical activity was necessary. Kinderkinetics is the professional field which, from a health perspective and based on educational principals, aims to increase the total well-being of children between the ages of 0–13 years by stimulation, rectifying and optimization of age specific motor skills and physical activity. Kinderkinetics is a scientifically based movement development programme that uses the scientific principles, as well as the physical activity guidelines of the WHO. The purpose of this presentation will be to describe how Kinderkinetics is presented in South Africa taking into account typical and a-typical children’s development and what the practical implications is. The 5 distinctive elements (Specialist vs General knowledge based; Professional guidance; Evidence based practice; Practice based evidence; and Professional learning) that makes this profession stand out from any other program in South Africa will also be discussed.