{"id":4865,"date":"2013-05-01T06:07:13","date_gmt":"2013-05-01T05:07:13","guid":{"rendered":"https:\/\/blogs.bmj.com\/bjsm\/?p=4865"},"modified":"2013-05-07T11:10:22","modified_gmt":"2013-05-07T10:10:22","slug":"the-couch-is-the-killer-getting-our-population-to-sit-less-and-move-more","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bjsm\/2013\/05\/01\/the-couch-is-the-killer-getting-our-population-to-sit-less-and-move-more\/","title":{"rendered":"The Couch is a Killer&#8211;getting our population to sit less and move more"},"content":{"rendered":"<h4><em><span style=\"color: #008000\">Sport and Exercise Medicine: The UK trainee perspective<\/span><strong><span style=\"color: #008000\">\u00a0<\/span><span style=\"color: #ff6600\">(A BJSM blog series)<\/span><\/strong><\/em><\/h4>\n<h3>\u00a0<span style=\"color: #000000\">By Drs.\u00a0Andrew Murray (<a href=\"https:\/\/twitter.com\/docandrewmurray\" target=\"_blank\"><span style=\"color: #000000\">@docandrewmurray<\/span><\/a>)\u00a0and\u00a0David White (<a href=\"https:\/\/twitter.com\/Rightwhite1\" target=\"_blank\">@rightwhite1<\/a>)<\/span><\/h3>\n<p style=\"text-align: center\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-4866 aligncenter\" alt=\"happy in the pool\" src=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2013\/05\/happy-in-the-pool.jpg\" width=\"452\" height=\"168\" srcset=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2013\/05\/happy-in-the-pool.jpg 452w, https:\/\/blogs.bmj.com\/bjsm\/files\/2013\/05\/happy-in-the-pool-300x111.jpg 300w\" sizes=\"auto, (max-width: 452px) 100vw, 452px\" \/><\/p>\n<p>Health systems worldwide need to think differently. Fancy new medications and rescue helicopters may help once people become unwell, but the <a href=\"http:\/\/www.thelancet.com\/themed\/global-burden-of-disease\" target=\"_blank\">2010 Global Burden of Disease study<\/a>\u00a0highlights that over 70% of disease burden in the UK is caused by Non Communicable Diseases- whose principal root causes include physical inactivity, smoking, and excess alcohol.<\/p>\n<p><b>Physical Activity<\/b><\/p>\n<p>Bulletproof evidence worldwide proves that physical inactivity kills a lot of people and makes a lot of people ill through chronic disease. Time and resources need to be directed towards getting people off the couch, which will increase life expectancy, decrease health inequalities, and save lorry loads of cash for health boards and the UK economy.<\/p>\n<p><a href=\"http:\/\/www.youtube.com\/watch?v=aUaInS6HIGo\" target=\"_blank\">23 and a half hours is a video worth sharing<\/a>\u00a0whilst the <a href=\"http:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736%2812%2960898-8\/abstract\" target=\"_blank\">2012 Lancet series highlighted the problem as \u201cpandemic\u201d<\/a>.<\/p>\n<p><b>What works to get people active?<\/b><\/p>\n<p>Comprehensive and systematic approaches to address excess alcohol and smoking have had considerable success- smoking rates have declined by over 25% in the last 30 years in Scotland.\u00a0 The same is required for physical inactivity<\/p>\n<p><a href=\"http:\/\/www.globalpa.org.uk\/investments\/\" target=\"_blank\">\u00a0\u201c7 Investments that Work for Physical Activity\u201d<\/a>\u00a0show where to get maximum bang for your buck. They are evidence supported and applicable to local and national communities. \u00a0The 7 investments have also influenced a National Implementation Plan for Physical Activity in Scotland, as well as guided Local Authorities and Community planners.\u00a0 In Scotland, action plans are moving forward in each of these \u201c7 investment areas.\u201d<\/p>\n<p>As one example, within <span style=\"color: #800080\"><strong>Health and Social Care the Scottish Government<\/strong> <\/span>has outlined plans to:<\/p>\n<p>1)\u00a0\u00a0\u00a0 Embed physical activity for health into undergraduate and postgraduate curriculums, CPD and workforce development.<\/p>\n<p>2)\u00a0\u00a0\u00a0 Embed physical activity for health into primary care, using a simple validated assessment tool, brief advice and brief intervention.<\/p>\n<p>3)\u00a0\u00a0\u00a0 Embed physical activity for health into secondary care using a National Secondary Care Pathway.<\/p>\n<p>4)\u00a0\u00a0\u00a0 Inspire medical leaders to prioritise getting people active, championing this in health boards, royal colleges, hospital or department.<\/p>\n<p><b>Conclusion<\/b><\/p>\n<p>Health boards and governments that bury their heads in the sand and hope that the problem of <em>physical inactivity<\/em> will go away may be consigning their populations to poor health outcomes, and their children to a dark economic future. Those with an interest in Sports and Exercise Medicine are uniquely placed to help populations \u201csit less and move more.\u201d Sharing and helping implement \u201c7 investments that work\u201d will increase life expectancy, improve life quality, and save cash for the communities, health boards and governments . There is considerable scope and opportunity to create jobs, and make a difference in this area.<\/p>\n<p>************************************************************<\/p>\n<p><em><b>Dr Andrew Murray <\/b>(<b><a href=\"https:\/\/twitter.com\/docandrewmurray\" target=\"_blank\">@<\/a><\/b><a href=\"https:\/\/twitter.com\/docandrewmurray\" target=\"_blank\">docandrewmurray<\/a>)\u00a0is a registrar in SEM and worked for a year as the Scottish Government\u2019s first Physical Activity Champion. <\/em><\/p>\n<p><a href=\"http:\/\/www.youtube.com\/watch?v=WKvd-yPFuKM&amp;list=PLsRNoUx8w3rM_7URm7bIQXHvQzSOOVigQ&amp;index=5\">http:\/\/www.youtube.com\/watch?v=WKvd-yPFuKM&amp;list=PLsRNoUx8w3rM_7URm7bIQXHvQzSOOVigQ&amp;index=5<\/a><\/p>\n<p><b>\u00a0<em>Dr David White<\/em><\/b><em>\u00a0<\/em>(<a href=\"https:\/\/twitter.com\/Rightwhite1\" target=\"_blank\">@rightwhite1<\/a>)\u00a0<em>is currently employed as the Physical Activity Champion within the Scottish Government, working in the offices of the Chief Medical Officer, and the Minister for Commonwealth Games and Sport.<\/em><\/p>\n<p><b><i>Dr James Thing<\/i><\/b><i> co-ordinates \u201cSport and Exercise Medicine: The UK trainee perspective\u201d monthly blog series.<\/i><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Sport and Exercise Medicine: The UK trainee perspective\u00a0(A BJSM blog series) \u00a0By Drs.\u00a0Andrew Murray (@docandrewmurray)\u00a0and\u00a0David White (@rightwhite1) Health systems worldwide need to think differently. Fancy new medications and rescue helicopters may help once people become unwell, but the 2010 Global Burden of Disease study\u00a0highlights that over 70% of disease burden in the UK is caused [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bjsm\/2013\/05\/01\/the-couch-is-the-killer-getting-our-population-to-sit-less-and-move-more\/\">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":[1],"tags":[1786,2964],"class_list":["post-4865","post","type-post","status-publish","format-standard","hentry","category-uncategorized","tag-exercise-is-medicine","tag-policy"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>The Couch is a Killer-getting our population to sit less and move more - 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\/05\/01\/the-couch-is-the-killer-getting-our-population-to-sit-less-and-move-more\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"The Couch is a Killer-getting our population to sit less and move more - BJSM blog - social media&#039;s leading SEM voice\" \/>\n<meta property=\"og:description\" content=\"Sport and Exercise Medicine: The UK trainee perspective\u00a0(A BJSM blog series) \u00a0By Drs.\u00a0Andrew Murray (@docandrewmurray)\u00a0and\u00a0David White (@rightwhite1) Health systems worldwide need to think differently. 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