{"id":10575,"date":"2023-07-21T06:00:54","date_gmt":"2023-07-21T05:00:54","guid":{"rendered":"https:\/\/blogs.bmj.com\/bjsm\/?p=10575"},"modified":"2023-09-01T16:58:37","modified_gmt":"2023-09-01T15:58:37","slug":"speak-up-and-move-with-the-new-massive-open-online-course-exercise-in-medicine-from-functional-evaluation-to-adapted-exercise-training","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bjsm\/2023\/07\/21\/speak-up-and-move-with-the-new-massive-open-online-course-exercise-in-medicine-from-functional-evaluation-to-adapted-exercise-training\/","title":{"rendered":"Speak up and move with the new Massive Open Online Course Exercise in Medicine: From Functional Evaluation to Adapted Exercise Training"},"content":{"rendered":"

Keywords<\/b>: exercise prescription, cardiopulmonary exercise test, chronic diseases<\/span><\/p>\n

Although physical activity and exercise are evidence-based treatment modalities for different chronic diseases (class I recommendation, level of evidence A*), the respective implementation in healthcare systems and its impact on public health is still very limited. Indeed, this promising treatment is currently underused in real-world settings, mostly because of a lack of information and awareness. In this blog article we introduce a new Massive Open Online Course (MOOC), which approaches this issue by providing specific interactive and innovative higher education about exercise prescription in chronic diseases and its implementation from clinical settings to the gyms. The MOOC is provided by the Sports and Exercise Medicine Division of the Department of Medicine of the University of Padova, Italy. <\/span><\/p>\n

Click on the image<\/strong> below to take you to the course homepage.\u00a0<\/span><\/p>\n

\"\"<\/a><\/p>\n

The physical activity paradox<\/h3>\n

Physical activity and exercise are highly effective and cost-saving treatment modalities for the prevention and treatment of different chronic diseases (1). Nevertheless, even if there is a lot of scientific evidence and resources demonstrating its huge benefits, there has been a worldwide significant decrease in physical activity levels in recent decades (2).\u00a0<\/span><\/p>\n

The World Health Organisation declared thus among its highest priorities to defeat this <\/span>pandemic of sedentary lifestyle<\/span><\/i>, making people more physically active for a healthier world. The aim is to reduce the global physical inactivity by 10% within 2025 and by 15% within 2030 (3).<\/span><\/p>\n

The evidence is clear and international guidelines do strongly recommend the \u201cExercise Pill\u201d for a large variety of health conditions, but is physical exercise really prescribed in the healthcare setting?\u00a0<\/span><\/p>\n

Data suggest that there is still work to do (4) and a collective international effort is needed in order that healthcare and exercise professionals have access to this knowledge and can develop abilities to translate into daily practice.<\/span><\/p>\n

Moreover, cultural initiatives and educational resources are needed for helping clinicians and healthcare professionals in approaching exercise prescription, also by implementing a network among rehabilitation facilities, health-gyms, exercise professionals and the population.\u00a0<\/span><\/p>\n

The Massive Open Online Course (MOOC) <\/span>Exercise in Medicine: From Functional Evaluation to Adapted Exercise Training<\/b><\/a>, actively contributes to this public health issue with an open-access educational resource for a global audience.<\/span><\/p>\n

Click on the video<\/strong> below to watch!<\/p>\n

\"\"<\/a><\/p>\n

From clinical evaluations to tailored exercise prescription<\/h3>\n

Starting from proposing the <\/span>physical activity level as a <\/span>routinely evaluated v<\/span>ital sign, the course rationale regarding adapted exercise prescription is based on the individualised assessment of each patient. Among the different functional evaluation methods, cardiopulmonary exercise testing is not only the gold standard to measure cardiorespiratory fitness and efficiency (as some of the most important prognostic markers in medicine), but it also allows to identify underlying functional limitations in the oxygen transport system during exercise. The subsequent exercise prescription should thus try to bypass these functional limitations in order to ensure a safe and effective training program, considering also disease-related risks and comorbidities.\u00a0<\/span><\/p>\n

The planning and counselling of the training intervention must start from assessing motivation, identifying barriers to overcome, and implementing exercise as medicine in real-life settings and incorporated in activities of daily living.<\/span><\/p>\n

Thus, the aim of this course is to learn how to use functional evaluation for adapted exercise prescription and to understand how to integrate exercise as medical treatment into healthcare systems. This interactive MOOC may also facilitate collaboration with colleagues and allied professionals by sharing experiences and best practices, thereby also developing a network within international initiatives working on Exercise in Medicine.<\/span><\/p>\n

An active learning approach with innovative technologies, <\/span>many clinical cases and practical insights into exercise prescription\/application are provided, while <\/span>this <\/span>interactive <\/span>infographic<\/b> will<\/span> give you an overview of the main topics addressed in this course. <\/span><\/p>\n

Click on the infographic<\/strong> to take you to the interactive version.\u00a0<\/span><\/p>\n

 <\/p>\n

\"\"<\/a><\/p>\n

Why you should not miss it<\/h3>\n

This educational project has been actively supported by many high-level international experts in this specific field, providing an added value for this course. Many different clinical conditions and diseases will be addressed, and participants will learn how to bypass the underlying functional limitation with adapted exercise prescriptions for:<\/span><\/p>\n