Exercise is Medicine Dr Stuart Armstrong Sport and Exercise - - PowerPoint PPT Presentation

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Mar 15, 2023 486 likes •615 views

Dr Stuart Armstrong Sports Physician Hamilton 14:00 - 14:10 Exercise is Medicine Exercise is Medicine Dr Stuart Armstrong Sport and Exercise Physician Leading Causes of Death in the U.S. The 15 leading causes of death in 2013 were: 1. Heart

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Dr Stuart Armstrong

Sports Physician Hamilton 14:00 - 14:10 Exercise is Medicine

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Exercise is Medicine

Dr Stuart Armstrong Sport and Exercise Physician

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The 15 leading causes of death in 2013 were:

1. Heart Disease
2. Cancer
3. Chronic lower respiratory diseases
4. Cerebrovascular diseases
5. Accidents
6. Alzheimer’s disease
7. Diabetes
8. Nephritis, nephrotic syndrome and nephrosis
9. Influenza and pneumonia
10. Suicide
11. Septicemia
12. Chronic liver disease and cirrhosis
13. Essential hypertension and hypertensive renal disease
14. Parkinson’s disease
15. Pneumonitis due to solids and liquids

Leading Causes of Death in the U.S.

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All-Cause Death Rates by CRF Categories – 3,120 Women and 10,224 Men

10 20 30 40 50 60 70

Low Moderate High

Age adj death rate/10,000 PY

Cardiorespiratory Fitness Level

Women Men

Blair SN. JAMA 1989

Cardiorespiratory Fitness & Mortality

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2 4 6 8 10 12 14 16 18 Men Women

40,842 men & 12,943 women from the Aerobic Cooper Longitudinal Study

Effect of CRF on Mortality

Attributable Fractions (%) for All-Cause Deaths

Blair SN. Br J Sports Med 2009; 43:1-2.

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Activity recommendations

30 mins of moderately intense activity on at least 5 days a

week

2 strength based exercise sessions a week
Balance activities if over 65 years
10,000 steps

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We have to get people moving

Regularly Active Out of the chair & off the couch Engaged in an Active, Healthy Lifestyle

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Physical activity can be quickly and efficiently assessed in the clinic setting through the use of

the Physical Activity Vital Sign (PAVS).

The PAVS is a simple 2 item questionnaire that can determine weekly minutes of moderate

intensity physical activity.

Healthcare teams can then assess whether patients are meeting national physical activity

recommendations and adjust their treatment accordingly.

The PAVS is most effective when embedded as a “vital sign” in the patient’s medical records.

Physical Activity Assessment

Healthcare professionals initiate a conversation about physical activity by assessing their current activity levels

Healthcare Systems

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Patient engagement

Getting them moving

Healthcare professionals provide their patients with a general advice as a first step in promoting physical activity to their patient

Using the results from the PAVS, healthcare providers can provide the

patient with an appropriate physical activity advice.

This needs to be worked into their normal life, practical and enjoyable.
Positive reinforcement on follow up visits.

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The Exercise Is Medicine Solution

Begins with the engagement of Healthcare Providers to screen for physical inactivity then provide suggestions to increase physical activity.

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Exercise Resources

www.exerciseismedicine.org – multitude of varying resources
n this subject
www.health.govt.nz – Green prescription
www.sportwaikato.org.nz – local version