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The PRESAPTER (EFA162/05) project is now underway. Its full name is Prevención de la Salud a través de la Actividad Física y el Deporte en el Territorio: de la caracterización a la predicción de recomendaciones personalizadas (Health prevention through physical activity and sport in the territory: from characterisation to the prediction of personalised recommendations). It is a new project that places the health of people and mountain territories at the centre of research, with the aim of delivering personalised recommendations based on a detailed diagnosis. PRESAPTER is a cross‑border cooperation project within the Interreg VI‑A Spain–France–Andorra (POCTEFA 2021–2027) programme, co‑funded by the European Union, with a duration of 2 years and 9 months (from 1 September 2025 to 31 May 2028).

PRESAPTER has been launched in the Eastern Mountain Functional Area (AFME), which includes the mountain regions of the Pyrenees in Catalonia, Occitania and Andorra. This is a territory with an ageing population, communities that are often far from health services and, at the same time, a strong presence of mountain athletes and people who regularly engage in physical activity outdoors. The central objective of the project is to develop predictive models and personalised recommendations to promote health through physical activity and sport, taking into account both individual characteristics and the environmental and social specificities of each valley.

The project is coordinated by the Université de Perpignan Via Domitia (UPVD, France), with two main partners: the Institut Nacional d’Educació Física de Catalunya (INEFC) and the Kilian Jornet Foundation. It also has the support of associated partners such as the Government of Andorra and the Hospital de Cerdanya.

The PRESAPTER EFA162/05 project has been co-financed at 65% by the European Union through the Interreg VI-A Spain–France–Andorra Programme (POCTEFA 2021–2027). The objective of POCTEFA is to strengthen the economic and social integration of the Spain–France–Andorra border area.

PRESAPTER is structured in three main stages, from territorial diagnosis to the development of health recommendations tailored to each person and each mountain valley. The project’s main aim is to understand how people living in the Catalan and French Cerdanya, Capcir, Alt Urgell and Andorra live, move and take care of themselves, in order to propose realistic, safe and beneficial ways of practising physical activity and sport for their health.

FASE 1

In the first phase, the project will carry out a detailed assessment of health status and physical activity habits in the territory. This will involve collecting data on how people move in their daily lives, how they feel physically and emotionally, their relationship with natural spaces and the environmental conditions that shape their everyday lives, from altitude to air pollution and the type of landscape they inhabit. Specific questionnaires, simple physical tests and connected devices will be combined to monitor health and activity parameters on a continuous basis, always under informed consent and strict confidentiality criteria.

In parallel, environmental and territorial data will also be collected: information on topography and slope, climatic conditions, air quality and the characteristics of the places where people live, work and do sport. The aim is not only to understand what each person does, but also the context in which they do it.

FASE 2

The second phase will focus on developing artificial intelligence models capable of identifying patterns and relationships between physical activity, health status and environmental conditions. These models will provide an additional layer of knowledge on which types of physical activity are most beneficial for specific profiles, and how living in the AFME area influences the body’s response to exercise. The result will be predictive models that help anticipate risks and improve the targeting of prevention strategies.

FASE 3

Finally, in a third phase, the results will be translated into concrete tools for people and institutions in the territory. On the one hand, a digital application will be developed to offer personalised and adaptive recommendations on physical activity and sport, tailored to each user’s health profile and environment. On the other hand, guidelines and recommendations will be produced for health and sports professionals and for public policy makers, so that they can integrate this knowledge into their daily practice.

PRESAPTER will work with three main profiles of people living in the Cerdanya (Catalan and French), Capcir, Alt Urgell and Andorra, each with different life situations and health needs.

General adult population

People aged 18 to 80 living in the area, reflecting the diversity of lifestyles, occupations, levels of physical activity and health situations typical of a mountain region.

Mountain athletes

Runners, skiers, cyclists and mountaineers who train and compete regularly in these environments.

People with chronic illnesses

People with respiratory or cardiovascular diseases, diabetes or obesity, as well as mental health conditions, for whom physical activity can be a key tool for prevention and wellbeing but must be prescribed and guided with particular care.

In a context marked by climate change, an ageing population and growing pressure on mountain environments, understanding how physical activity can become a preventive tool adapted to the reality of each territory is increasingly necessary. The project aims to move beyond one‑size‑fits‑all health advice and towards recommendations that take into account where we live, how we move and the limits of both our bodies and our mountains.

The PRESAPTER EFA162/05 project has been co-financed at 65% by the European Union through the Interreg VI-A Spain–France–Andorra Programme (POCTEFA 2021–2027). The objective of POCTEFA is to strengthen the economic and social integration of the Spain–France–Andorra border area.

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