{"id":4520,"date":"2013-03-01T19:39:11","date_gmt":"2013-03-01T18:39:11","guid":{"rendered":"https:\/\/blogs.bmj.com\/bjsm\/?p=4520"},"modified":"2013-03-01T19:39:11","modified_gmt":"2013-03-01T18:39:11","slug":"what-exercise-can-i-do-doc","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bjsm\/2013\/03\/01\/what-exercise-can-i-do-doc\/","title":{"rendered":"\u201cWhat exercise can I do Doc?\u201d"},"content":{"rendered":"<h3>By Ann Gates (<a href=\"https:\/\/twitter.com\/exerciseworks\">@exerciseworks<\/a>)<\/h3>\n<h4>Can health care consultations change to incorporate best practice \u2018exercise medicine?\u2019<\/h4>\n<p><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-4521 alignleft\" alt=\"Treadmill-web\" src=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2013\/03\/Treadmill-web.jpg\" width=\"214\" height=\"226\" \/><\/p>\n<p>In 2012, we sent out <a 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\/\">a \u2018call to action\u2019 to ALL health professionals<\/a> about the pandemic of obesity and <a href=\"http:\/\/prezi.com\/xjgeogeoiaav\/non-communicable-diseases-explained\/\">non communicable diseases (NCDs)<\/a> which results in 36 million patients (worldwide) dying from preventable and treatable diseases. This call was enthusiastically answered by many health professionals and health organisations. However, inactivity is still the <a href=\"http:\/\/www.who.int\/chp\/media\/news\/releases\/2011_2_physicalactivity\/en\/index.html\">world\u2019s 4th leading cause of death<\/a> and the recent global <a href=\"http:\/\/www.who.int\/gho\/ncd\/risk_factors\/physical_activity\/en\/index.html\">physical inactivity maps<\/a> could be easily be superimposed across the <a href=\"http:\/\/www.guardian.co.uk\/news\/datablog\/interactive\/2013\/feb\/19\/obesity-map-of-world-weight\">world obesity maps<\/a>, showing a similar distribution of chronic disease and inactivity. This is no medical coincidence.<\/p>\n<p>It is well documented, (and we all know), that the relationships between preventable diseases, inactivity and the <a href=\"http:\/\/www.who.int\/nmh\/publications\/9789241597418\/en\/\">determinants of those diseases are complex and multi-factorial<\/a>. The time has arrived for health professionals to give an \u2018evidence based brief intervention\u2019 exercise prescription. This \u2018prescription to exercise\u2019 should be championed by all health, sports and exercise, and fitness professionals. It is not a specialism that is just for a few to practice. Giving exercise advice should be as medically intuitive as writing a medicine prescription or providing a referral.<\/p>\n<p><a href=\"http:\/\/www.bmj.com\/content\/344\/bmj.e1389\">We know that in sustained behaviour change, brief interventions work!<\/a> Consider the example of a patient with breast cancer; we treat the disease by advising the patient on the options of chemotherapy, surgery, radiotherapy and a variety of other key health care interventions. Patients follow and respect our advice during a time of despair, confusion and worry. That\u2019s because health professionals are trained to help provide the best support and medical advice they can give to breast cancer patients. And, (in the majority of cases), patients are grateful and benefit clinically from that expert advice. However, in many breast cancer consultations, patients are still not offered exercise advice despite <a href=\"http:\/\/www.macmillan.org.uk\/Documents\/AboutUs\/Commissioners\/Physicalactivityevidencereview.pdf\">evidence<\/a> that this <a href=\"http:\/\/www.bbc.co.uk\/news\/health-14417084\">supports<\/a> the patient clinically and emotionally. So why aren\u2019t we seeing brief intervention exercise advice in all consultations, when health professionals know that it can significantly reduce the risks of chronic diseases and their symptoms?<\/p>\n<p>Consider the situation we have globally. Patients are facing the greatest risk of NCDs through inactivity, poor lifestyle habits and lack of access to <i>suitable exercise and physical activity opportunities<\/i>. If we think about the patient in the consultation, why is it that we can\u2019t give <a href=\"http:\/\/exerciseismedicine.org\/\">exercise as a medicine<\/a>? Patients are suffering from obesity, cancer, diabetes, heart disease, stroke, osteoporosis, and poor mental health. Yet we know that a variety of medicines and treatments are available. Is it not conceivable that trained health professionals can\u2019t give <a href=\"http:\/\/www.mcgraw-hill.com.au\/html\/9781743073308.html\">disease specific, exercise advice<\/a>?<\/p>\n<p>And of course the basic answer is that all health professionals can give quality exercise advice to their patients: even if it\u2019s just an enthusiastic endorsement of national and international <a href=\"http:\/\/www.nhs.uk\/Livewell\/fitness\/Pages\/physical-activity-guidelines-for-adults.aspx\">exercise guidelines<\/a> as a brief intervention!<\/p>\n<p>We ought to be giving more to our patients. In 21<sup>st<\/sup> century medicine we should go beyond the basics.<\/p>\n<p>We should <span style=\"text-decoration: underline\">know<\/span> which exercises work best for a <a href=\"http:\/\/www.parkinsons.org.uk\/advice\/living_with_parkinsons\/exercise_and_parkinsons.aspx\">Parkinson\u2019s disease patient<\/a> or any other disease or ailment. Just like we know how to prescribe which medicines to an asthma patient. When exercise medicine is incorporated as part of <a href=\"http:\/\/bjsm.bmj.com\/content\/early\/2012\/07\/20\/bjsports-2012-091380\">clinical training<\/a> for all health professionals, and supported by cultural change within health organisations and the public at large- we will then be moving to this ideal patient\/health professional consultation scenario:<\/p>\n<p>\u201c<b>What exercise can I do Doc<\/b>?\u201d asked the patient<\/p>\n<p>\u201c<b>There are lots of <\/b><a href=\"http:\/\/www.mcgraw-hill.com.au\/html\/9781743073308.html\"><b>fun exercises<\/b><\/a><b> and <\/b><a href=\"http:\/\/everybodywalk.org\/\"><b>physical activity opportunities<\/b><\/a><b> to improve your symptoms\/disease condition by&#8230;\u201d <\/b>replied the health professional.<\/p>\n<p>And yes- health care consultations can change, evolve AND deliver better exercise advice to the majority of patients.<\/p>\n<p><a href=\"http:\/\/www.mcgraw-hill.com.au\/html\/9781743073308.html\">McGraw Medical Education Australia has published a series of \u2018patient exercise sheets<\/a>\u2019 by Exercise Works!<\/p>\n<p>For further details and licensing arrangements please contact: Mr Andy Santhosh <a href=\"\\Users\\Ann\\Downloads\\andy_santhosh@mcgraw-hill.com\">andy_santhosh@mcgraw-hill.com<\/a> <a href=\"\\Users\\Ann\\Downloads061299001826\">+61 2 9900 1826<\/a><\/p>\n<p>***************************************************<\/p>\n<p><a href=\"http:\/\/www.exercise-works.org\/about-ann-gates\/\">Ann Gates BPharm(Hons) MRPharmS<\/a><\/p>\n<p>Founder of <a href=\"http:\/\/www.exercise-works.org\/\">Exercise Works!<\/a><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Ann Gates (@exerciseworks) Can health care consultations change to incorporate best practice \u2018exercise medicine?\u2019 In 2012, we sent out a \u2018call to action\u2019 to ALL health professionals about the pandemic of obesity and non communicable diseases (NCDs) which results in 36 million patients (worldwide) dying from preventable and treatable diseases. This call was enthusiastically [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bjsm\/2013\/03\/01\/what-exercise-can-i-do-doc\/\">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":[1370,1],"tags":[2934,8268],"class_list":["post-4520","post","type-post","status-publish","format-standard","hentry","category-exercise-prescription","category-uncategorized","tag-exerciseworks","tag-exercise-prescription"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>\u201cWhat exercise can I do Doc?\u201d - 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\/2013\/03\/01\/what-exercise-can-i-do-doc\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u201cWhat exercise can I do Doc?\u201d - BJSM blog - social media&#039;s leading SEM voice\" \/>\n<meta property=\"og:description\" content=\"By Ann Gates (@exerciseworks) Can health care consultations change to incorporate best practice \u2018exercise medicine?\u2019 In 2012, we sent out a \u2018call to action\u2019 to ALL health professionals about the pandemic of obesity and non communicable diseases (NCDs) which results in 36 million patients (worldwide) dying from preventable and treatable diseases. 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