{"id":3012,"date":"2012-05-16T03:08:27","date_gmt":"2012-05-16T02:08:27","guid":{"rendered":"https:\/\/blogs.bmj.com\/bjsm\/?p=3012"},"modified":"2013-03-26T23:21:11","modified_gmt":"2013-03-26T22:21:11","slug":"a-call-to-action-to-all-health-professionals-giving-exercise-advice-and-support-to-every-patient-part-2","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bjsm\/2012\/05\/16\/a-call-to-action-to-all-health-professionals-giving-exercise-advice-and-support-to-every-patient-part-2\/","title":{"rendered":"A Call to Action to ALL health professionals: Giving exercise advice and support to EVERY patient: Part 2"},"content":{"rendered":"<h2 style=\"text-align: left\">By Ann Gates<\/h2>\n<h3 style=\"text-align: left\" align=\"center\"><strong>(<a href=\"http:\/\/twitter.com\/#%21\/exerciseworks\" target=\"_blank\">@exerciseworks<\/a>)<\/strong><\/h3>\n<p>Giving regular exercise advice and support as part of every health care consultation is fast becoming a critical health intervention in the prevention of the \u2018tsunami\u2019 of lifestyle diseases such as obesity, diabetes and related cancers. In May 2012 the U.S. Centre for Disease Control together with the Institute of Medicine released a national report detailing recommendations to combat the \u2018Weight of the Nation\u2019. The data predicted 42 percent (or 32 million more people) of the American population would be obese by 2030, while 11 percent would be severely obese. The economic costs for the associated health care services: $550 billion. This is an unsustainable cost for most health care systems and countries. This burden of lifestyle diseases and suffering is an unacceptable outcome for 21<sup>st <\/sup>\u00a0century medicine.<\/p>\n<p>The \u2018<a href=\"http:\/\/books.nap.edu\/openbook.php?record_id=13275&amp;page=1\" target=\"_blank\">Weight of the Nation 2012\u2019 report<\/a>\u00a0summarised the key actions as:<\/p>\n<ol>\n<li>Integrating physical activity into people&#8217;s daily lives<\/li>\n<li>Making healthy food\u00a0and beverage options available everywhere<\/li>\n<li>Transforming marketing and messages about nutrition and physical activity<\/li>\n<li>Making schools a gateway to healthy weights<\/li>\n<li>Galvanizing employers and\u00a0<a href=\"http:\/\/www.huliq.com\/10473\/iom-obesity-prevention-strategies-released-cdc-weight-nation-conference\">health<\/a>\u00a0care professionals to support healthy lifestyles<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p><strong><span style=\"color: #800080\">Several \u2018best practice\u2019 initiatives<\/span><\/strong> covering both healthier diets and integrating physical activity are identified. The authors report that physical activity should be a \u2018routine and integral part of daily life\u2019.<\/p>\n<p>&nbsp;<\/p>\n<p><strong><span style=\"color: #800080\">This provides the \u2018call to action\u2019<\/span><\/strong> \u00a0for health professionals to lead on giving exercise advice and support to patients, relatives and caregivers on why regular exercise helps prevent and treat many lifestyle diseases or \u2018non communicable diseases\u2019 (#NCDs). 36 million people, around the world, die from lifestyle diseases each year. They are names and faces in every doctor\u2019s waiting room, every hospital outpatient clinic and everybody\u2019s family. This is a global health issue that needs urgent health professional intervention by every health professional around the world.<\/p>\n<p>&nbsp;<\/p>\n<p><strong><span style=\"color: #800080\">Giving physical activity advice to everyone is not as easy as it seems.<\/span><\/strong> We know that when doctors give exercise advice to patients that they are more likely to follow that advice (<a href=\"http:\/\/www.jfponline.com\/Pages.asp?AID=5972\" target=\"_blank\">read more here<\/a>). \u00a0We also know that brief i<a href=\"http:\/\/www.bmj.com\/content\/344\/bmj.e1389\" target=\"_blank\">ntervention during doctor \u2013patient consultations is cost effective<\/a>.<\/p>\n<p>&nbsp;<\/p>\n<p><strong><span style=\"color: #800080\">Exercise advice to patients<\/span><\/strong> should include warm up, exercise plan and cool down instructions on how to exercise effectively and safely. A weekly, balanced exercise programme for patients with chronic diseases should include cardiovascular, strength, flexibility and balance exercises. Different diseases often respond better to different types of exercises and physical activities. For example, <a href=\"http:\/\/www.hindawi.com\/journals\/jar\/2011\/232473\/\" target=\"_blank\">Nordic walking<\/a>\u00a0or <a href=\"http:\/\/www.ballet.org.uk\/editorial.php?ref=DanceForParkinsons\" target=\"_blank\">ballet<\/a>\u00a0has been shown to help improve the symptoms of patients with Parkinson\u2019s disease.<\/p>\n<p>&nbsp;<\/p>\n<p>Patients deserve the choice to choose how to incorporate \u2018exercise as a medicine\u2019 into their daily lives and in the prevention and management of long term diseases. Health care professionals can use tools like the American Institute for Cancer Research&#8217;s<span style=\"color: #666699\">**\u00a0<\/span>\u2018Make Time-Break Time\u2019 infographic to help patients understand the risks of inactivity and sedentary behaviour to their health during the day. This helps patients to \u2018choose\u2019 to increase their activity levels as part of the clinical management of their health condition.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-3013\" alt=\"\" src=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2012\/05\/exercise-works-part2.-jpg.jpg\" width=\"452\" height=\"349\" \/><\/p>\n<p>The more health professionals consult with their patients on the benefits of regular exercise and more patients start to realise the benefits to their health, the more likely health care organisations around the world can start to address the obesity and non communicable diseases epidemic in a sustainable way.<\/p>\n<p><strong><span style=\"color: #800080\">This is a call to action<\/span><\/strong> to change our clinical practice and implement the concept of exercise as a medicine in the prevention and treatment of chronic diseases. Exercise advice and support should be part of EVERY consultation.<\/p>\n<p>It is also time for sports and exercise professionals, health care professionals and patients to work together to help improve both the weight and health of nations all around the world.<\/p>\n<p><span style=\"color: #666699\"><em>\u00a0**The author apologizes to the\u00a0American Institute for Cancer Research for incorrectly attributing their infographic (the necessary correction has been made).<\/em><\/span><\/p>\n<p><em><a href=\"https:\/\/blogs.bmj.com\/bjsm\/2012\/04\/05\/call-to-action-for-world-physical-activity-day-6th-april-2012-help-patients-get-active\/\" target=\"_blank\">Follow this link to see &#8216;part 1&#8217; of this blog.<\/a> It has 292 tweets to date &#8211; a BJSM record! Thanks everyone for promoting physical activity.<\/em><\/p>\n<p>***************************************************************<\/p>\n<p><strong>Ann Gates<\/strong>\u00a0BPharm(Hons) \u00a0MRPharmS<\/p>\n<p>Personal Trainer, Chronic Disease Exercise Specialist, BACPR Exercise Instructor.<\/p>\n<p>Founder of Exercise Works!<\/p>\n<p><a href=\"http:\/\/www.exercise-works.org\/\" target=\"_blank\">www.exercise-works.org<\/a><\/p>\n<p><a href=\"https:\/\/twitter.com\/#!\/exerciseworks\" target=\"_blank\">@exerciseworks<\/a><\/p>\n<p>email: ann@exercise-works.org<\/p>\n<p>&nbsp;<!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Ann Gates (@exerciseworks) Giving regular exercise advice and support as part of every health care consultation is fast becoming a critical health intervention in the prevention of the \u2018tsunami\u2019 of lifestyle diseases such as obesity, diabetes and related cancers. In May 2012 the U.S. Centre for Disease Control together with the Institute of Medicine [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bjsm\/2012\/05\/16\/a-call-to-action-to-all-health-professionals-giving-exercise-advice-and-support-to-every-patient-part-2\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[188,187],"tags":[2934,1786,8268,8274],"class_list":["post-3012","post","type-post","status-publish","format-standard","hentry","category-guest-posts","category-hot-topic","tag-exerciseworks","tag-exercise-is-medicine","tag-exercise-prescription","tag-smokadiabesity"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>A Call to Action to ALL health professionals: Giving exercise advice and support to EVERY patient: Part 2  - BJSM blog - social media&#039;s leading SEM voice<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bjsm\/2012\/05\/16\/a-call-to-action-to-all-health-professionals-giving-exercise-advice-and-support-to-every-patient-part-2\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"A Call to Action to ALL health professionals: Giving exercise advice and support to EVERY patient: Part 2  - BJSM blog - social media&#039;s leading SEM voice\" \/>\n<meta property=\"og:description\" content=\"By Ann Gates (@exerciseworks) Giving regular exercise advice and support as part of every health care consultation is fast becoming a critical health intervention in the prevention of the \u2018tsunami\u2019 of lifestyle diseases such as obesity, diabetes and related cancers. 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