{"id":4917,"date":"2013-05-10T06:57:38","date_gmt":"2013-05-10T05:57:38","guid":{"rendered":"https:\/\/blogs.bmj.com\/bjsm\/?p=4917"},"modified":"2013-05-10T06:57:38","modified_gmt":"2013-05-10T05:57:38","slug":"pushing-the-physical-activity-polypill-cardiff-exercise-medicine-symposium-15th-june-2013-csemsexmed2013","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bjsm\/2013\/05\/10\/pushing-the-physical-activity-polypill-cardiff-exercise-medicine-symposium-15th-june-2013-csemsexmed2013\/","title":{"rendered":"Pushing the Physical Activity &#8216;Polypill&#8217; \u2013 Cardiff Exercise Medicine Symposium 15th June 2013 (@CSEMSExMed2013)"},"content":{"rendered":"<p><strong><span style=\"color: #008000\"><em>Undergraduate perspective on Sports &amp; Exercise Medicine &#8211;<\/em>\u00a0<\/span><span style=\"color: #ff6600\"><em>a BJSM blog series<\/em><\/span><\/strong><\/p>\n<p><b>By <\/b><b>Bryn Savill<\/b><b>\u00a0(<\/b><a href=\"https:\/\/twitter.com\/BrynSavill\"><b>@BrynSavill<\/b><\/a><b>)<\/b><b>\u00a0<\/b><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright  wp-image-4918\" alt=\"CSEMS\" src=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2013\/05\/CSEMS.jpg\" width=\"251\" height=\"346\" srcset=\"https:\/\/blogs.bmj.com\/bjsm\/files\/2013\/05\/CSEMS.jpg 1937w, https:\/\/blogs.bmj.com\/bjsm\/files\/2013\/05\/CSEMS-217x300.jpg 217w\" sizes=\"auto, (max-width: 251px) 100vw, 251px\" \/>The evidence behind exercise as medicine is substantial and it can no longer be ignored.<sup>1<\/sup> Prof. Blair (2009) named physical inactivity the \u201cBiggest public health issue of the 21<sup>st<\/sup> Century\u201d after discovering that physical inactivity was killing\u00a0more Americans than smoking, diabetes and obesity\u00a0combined.<sup>2<\/sup> Cardiff Exercise Medicine Symposium hopes to explore the wealth of evidence about physical activity, and inspire us all to be more active and proactive in promoting physical activity both at an individual and policy level.<\/p>\n<p><span style=\"color: #800080\"><b>Symposium Rationale<\/b><\/span><\/p>\n<p>Physical activity promotion in the UK is limited. This is not unexpected given the reality that healthcare is influenced heavily by the drug, devices and diagnostic trades with the aim of boosting their share price<sup>3<\/sup>. Further, the\u00a0NHS has a strong track record of favoring interventions that involve something to swallow,\u00a0breathe in\u00a0and\/or a syringe. We need to develop the skills, tools, and collective capacity to not only prescribe exercise as medicine but also move it to the front lines of government healthcare agendas.\u00a0Of the four key adjustable risk factors to health: alcohol, smoking, food and physical activity &#8211; only physical activity seems to lack champions in the higher echelons of government. \u00a0We must act now and thrust this physical inactivity plague into the limelight. Physical activity is the polypill that we have been searching for; a moderate level of fitness causes a 44% reduction in mortality <sup>4<\/sup> \u2013 how many drugs are that effective?<\/p>\n<p><span style=\"color: #800080\"><b>Physical Inactivity vs Obesity<\/b><\/span><\/p>\n<p>Everyday the newspapers, TV, and media are full with stories about the obesity crisis whilst we see little press on physical inactivity: yet which is the bigger public health issue &#8211; obesity or physical inactivity? Prof. Steven Blair has shown in a number of papers that being fit can alleviate the risks of being fat,<sup>5,6,7,8<\/sup> and Weiler <i>et al.<\/i> (2010) argue that health policy should focus on physical inactivity not obesity.<sup>9<\/sup><\/p>\n<p><strong>Prof. Blair will be presenting his latest research in the field at the symposium, whilst Prof. Terence Wilkin will be discussing the link between physical activity, genetics and childhood obesity.\u00a0<\/strong><\/p>\n<p><span style=\"color: #800080\"><b>Sedentary behaviour<\/b><\/span><\/p>\n<p>High levels of sedentary behaviour are damaging to our health, and sitting forms part of our everyday life so it\u2019s an issue which we must address although I\u2019m not in any way saying we should ban sitting; that\u2019s mad! Indeed, sedentary behaviour is now included in the UK physical activity guidelines with the general advice to \u201cminimise the amount of time spent sitting\u201d.<\/p>\n<p><strong>Dr Emmanuel Stamatakis will discuss realigning are public health priorities with sedentary behaviour on the afternoon of Cardiff Exercise Medicine Symposium.\u00a0<\/strong><\/p>\n<p><span style=\"color: #800080\"><b>National exercise guidelines &#8211; evidence or opinion?<\/b><\/span><\/p>\n<p><span style=\"color: #000000\">There is growing confusion over how we should become active, perhaps stoked by programs such as the BBC documentary, \u201cThe Truth about Exercise\u201d and <a href=\"http:\/\/www.telegraph.co.uk\/health\/9993344\/Does-Andrew-Marrs-stroke-tell-us-its-time-to-slow-down.html\" target=\"_blank\">Andrew Marr\u2019s recent appearance on the BBC<\/a>. Whilst providing mixed messages to the public can only serve to negatively impact physical activity levels, we need the debate and research between exercise professionals to continue so we can formulate clear evidence-based guidelines. <\/span><\/p>\n<p><span style=\"color: #000000\"><strong>At the Symposium, Prof. Jamie Timmons will clear up the confusion by identifying if high intensity interval training has a role to play in the national exercise guidelines.\u00a0<\/strong><\/span><\/p>\n<p><strong><span style=\"color: #800080\">Final Thoughts<\/span><\/strong><\/p>\n<p>It\u2019s our responsibility, students and healthcare professionals alike, \u00a0to lobby for change, and form a voice to create a compelling fight for the role of physical activity in the health of the nation. Have you ever spoken to anybody who didn\u2019t deem exercise as beneficial for your health? The response is most likely an emphatic \u201cno.\u201d However, do you have the expertise to lead by example and rally for change? Are you up to date with the latest developments in the exercise medicine field? Why not come to Cardiff Exercise Medicine Symposium to learn more about how we can construct effective models of physical activity intervention, the role of sedentary behaviour, the genetics of physical activity, and the interface between obesity and physical activity.<\/p>\n<p>Remember we as emerging and seasoned healthcare practitioners can provide one of the seven \u201cbest investments\u201d to combat this public health disaster<sup>10<\/sup> &#8211; Listen to <a href=\"http:\/\/podcasts.bmj.com\/bjsm\/category\/fiona-bull\/\">Fiona Bull\u2019s podcast on the \u201cSeven Best Investments\u201d<\/a><\/p>\n<p>Cardiff Exercise Medicine Symposium 2013 will be held on the 15<sup>th<\/sup> June at the University Hospital of Wales. For more information on Cardiff Exercise Medicine Symposium &amp; to register <a href=\"http:\/\/groups.cardiffstudents.com\/sems\/exercise-medicine-symposium\/\" target=\"_blank\">CLICK HERE\u00a0<\/a><\/p>\n<p><b>References<\/b><\/p>\n<p>1 <a href=\"https:\/\/www.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/152000\/dh_133101.pdf.pdf\" target=\"_blank\">Department of Health (2012). Let\u2019s Get Moving \u2013 A Physical Activity Care Pathway.\u00a0<\/a><\/p>\n<p>2.Blair\u00a0SN. Physical inactivity: the biggest public health problem of the 21st century.\u00a0Br J Sports Med\u00a02009;43:1\u20132.<\/p>\n<p>3. Stamatakis\u00a0E, Weiler E, and Ioannidis JPA. Undue industry influences that distort healthcare research, strategy, expenditure and practice: a review. Eur J Clin Invest\u00a02013. Article first published online: 25 MAR 2013<\/p>\n<p>4.Lee\u00a0DC,\u00a0Sui\u00a0X,\u00a0Ortega\u00a0FB,\u00a0et al.\u00a0Comparisons of leisure-time physical activity and cardiorespiratory fitness as predictors of all-cause mortality in men and women.\u00a0Br J Sports Med\u00a02011;45:504\u201310.<\/p>\n<p>5. Ortega FB,\u00a0Lee DC,\u00a0Katzmarzyk PT,\u00a0Ruiz JR,\u00a0Sui X,\u00a0Church TS,\u00a0Blair SN. The intriguing metabolically healthy but obese phenotype: cardiovascular prognosis and role of fitness. Eur Heart J.\u00a02013 Feb;34(5):389-97.<\/p>\n<p>6. McAuley PA,\u00a0Artero EG,\u00a0Sui X,\u00a0Lee DC,\u00a0Church TS,\u00a0Lavie CJ,\u00a0Myers JN,\u00a0Espa\u00f1a-Romero V,\u00a0Blair SN. The obesity paradox, cardiorespiratory fitness, and coronary heart disease. Mayo Clin Proc.\u00a02012 May;87(5):443-51<\/p>\n<p>7. Lee DC,\u00a0Sui X,\u00a0Church TS,\u00a0Lavie CJ,\u00a0Jackson AS,\u00a0Blair SN. Changes in fitness and fatness on the development of cardiovascular disease risk factors hypertension, metabolic syndrome, and hypercholesterolemia. J Am Coll Cardiol.\u00a02012 Feb 14;59(7):665-72.<\/p>\n<p>8. Lee DC,\u00a0Park I,\u00a0Jun TW,\u00a0Nam BH,\u00a0Cho SI,\u00a0Blair SN,\u00a0Kim YS. Physical activity and body mass index and their associations with the development of type 2 diabetes in korean men. Am J Epidemiol.\u00a02012 Jul 1;176(1):43-51.<\/p>\n<p>9.Weiler\u00a0R,\u00a0Stamatakis\u00a0E,\u00a0Blair\u00a0S. Should health policy focus on physical activity rather than obesity? Yes.\u00a0BMJ\u00a02010;340:c2603.<\/p>\n<p>10. Global Advocacy for Physical Activity (GAPA) the Advocacy Council of the International Society for Physical Activity and Health (ISPAH).\u00a0NCD prevention: investments that work for physical activity.\u00a0Br J Sports Med\u00a02012;46:709\u201312.<\/p>\n<p>******************************************************************<\/p>\n<p><b><i>Bryn Savill <\/i><\/b><i>BSc (Hons) is a fourth year medical student at Cardiff University, Wales, having undertaken an intercalated BSc in Sports and Exercise Science at Loughborough University. He sits on the undergraduate committee of the European College of Sports and Exercise Physicians (ECOSEP) and is a Move. Eat. Treat. Ambassador.<\/i><\/p>\n<p><b><i>Liam West<\/i><\/b><i> BSc (Hons) is a final year medical undergraduate student at Cardiff University, Wales. He coordinates the \u201cUndergraduate Perspective on Sports &amp; Exercise Medicine\u201d Blog Series for BJSM.<\/i><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Undergraduate perspective on Sports &amp; Exercise Medicine &#8211;\u00a0a BJSM blog series By Bryn Savill\u00a0(@BrynSavill)\u00a0 The evidence behind exercise as medicine is substantial and it can no longer be ignored.1 Prof. Blair (2009) named physical inactivity the \u201cBiggest public health issue of the 21st Century\u201d after discovering that physical inactivity was killing\u00a0more Americans than smoking, diabetes [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bjsm\/2013\/05\/10\/pushing-the-physical-activity-polypill-cardiff-exercise-medicine-symposium-15th-june-2013-csemsexmed2013\/\">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],"tags":[1786,2905],"class_list":["post-4917","post","type-post","status-publish","format-standard","hentry","category-guest-posts","tag-exercise-is-medicine","tag-undergraduate-perspective"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Pushing the Physical Activity &#039;Polypill&#039; 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