Exercise is Medicine Dr Stuart Armstrong Sport and Exercise - PowerPoint PPT Presentation

Dr Stuart Armstrong Sports Physician Hamilton 14:00 - 14:10 Exercise is Medicine

Exercise is Medicine Dr Stuart Armstrong Sport and Exercise Physician

Leading Causes of Death in the U.S. The 15 leading causes of death in 2013 were: 1. Heart Disease 2. Cancer 3. Chronic lower respiratory diseases 4. Cerebrovascular diseases 5. Accidents 6. Alzheimer’s disease 7. Diabetes 8. Nephritis, nephrotic syndrome and nephrosis 9. Influenza and pneumonia 10. Suicide 11. Septicemia 12. Chronic liver disease and cirrhosis 13. Essential hypertension and hypertensive renal disease 14. Parkinson’s disease 15. Pneumonitis due to solids and liquids

Cardiorespiratory Fitness & Mortality All-Cause Death Rates by CRF Categories – 3,120 Women and 10,224 Men 70 Age adj death rate/10,000 PY Women 60 Men 50 40 30 20 10 0 Low Moderate High Cardiorespiratory Fitness Level Blair SN. JAMA 1989

Effect of CRF on Mortality Attributable Fractions (%) for All-Cause Deaths 40,842 men & 12,943 women from the Aerobic Cooper Longitudinal Study 18 16 Men 14 Women 12 10 8 6 4 2 0 Blair SN. Br J Sports Med 2009; 43:1-2.

Activity recommendations • 30 mins of moderately intense activity on at least 5 days a week • 2 strength based exercise sessions a week • Balance activities if over 65 years • 10,000 steps

We have to get people moving Engaged in an Out of the chair Regularly Active & off the couch Active, Healthy Lifestyle

Healthcare Systems Physical Activity Assessment Healthcare professionals initiate a conversation about physical activity by assessing their current activity levels • Physical activity can be quickly and efficiently assessed in the clinic setting through the use of the Physical Activity Vital Sign (PAVS). • The PAVS is a simple 2 item questionnaire that can determine weekly minutes of moderate intensity physical activity. • Healthcare teams can then assess whether patients are meeting national physical activity recommendations and adjust their treatment accordingly. • The PAVS is most effective when embedded as a “vital sign” in the patient’s medical records.

Patient engagement Getting them moving Healthcare professionals provide their patients with a general advice as a first step in promoting physical activity to their patient • Using the results from the PAVS, healthcare providers can provide the patient with an appropriate physical activity advice. • This needs to be worked into their normal life, practical and enjoyable. • Positive reinforcement on follow up visits.

The Exercise Is Medicine Solution Begins with the engagement of Healthcare Providers to screen for physical inactivity then provide suggestions to increase physical activity.

Exercise Resources • www.exerciseismedicine.org – multitude of varying resources on this subject • www.health.govt.nz – Green prescription • www.sportwaikato.org.nz – local version