Exercise is Medicine Australia What is Exercise is

Exercise is ® Medicine Australia

What is Exercise is Medicine • A global initiative • Managed in Australia by Exercise & Sports Science Australia (ESSA). • Encouraging health care providers to review and assess every patient’s physical activity levels • Counselling patients on exercise • Providing patients with an exercise prescription or referral • AEP

Data from Australian Bureau of Statistics, World Health Organisation and Medibank Private

Exercise is Medicine is not a 12 week challenge, or a weight loss program. Regardless of the condition of an individual, we advocate for appropriate physical activity that is sustained for the long term.

23 and a half hours http: //www. youtube. com/watch? v =a. Ua. In. S 6 HIGo

For more visit exerciseismedicine. org. au

For more visit exerciseismedicine. org. au

Inactivity: Effect of low cardio respiratory fitness (CRF) on mortality. Br J Sports Med. 2009; 43: 1 -2. 18 Contributing factors for All-Cause deaths Study of 40, 482 men and 12, 943 women 16 14 12 10 8 Men 6 Women 4 2 0 Di et es ro te es n io ns ol Ch r rte pe gh ab Hi Hy e ok Sm e F CR es Ob w Lo l

It’s not all about weight loss Physical activity is very beneficial to an individual’s health, whether or not they lose weight. Blair S. (2009). 'Physical inactivity: the biggest public health problem of the 21 st century', British Journal of Sports Medicine, 43: 1 -2.

Moderate vs. Vigorous • Moderate activity e. g. brisk walking (like you’re late for the bus), steady cycling. You can talk but can’t sing • Vigorous activity makes you ‘huff and puff’ e. g. running, fast cycling. You can’t carry on a conversation during vigorous activity

Moderate intensity cardio 30 -60 minutes a day, 5 days a week OR Vigorous intensity cardio 20 -40 minutes a day, 3 days a week PLUS Strength training 8 to 10 exercises, 8 to 12 reps of each exercise 2 days a week AND Balance exercises minimum 3 days a week Exercise is Medicine® Australia support the utilisation of the Australian Physical Activity and Sedentary Behaviour Guidelines 2014.

Accredited Exercise Physiologists are… Allied health professionals, providing exercise and lifestyle therapies for the prevention and management of chronic disease, injury and disability. essa. org. au

Typical AEP treatment model • Support for better self-management • 2 -5 consultations over initial 12 weeks • Multi-disciplinary approach (GP, dietician etc) Week 1 Initial Consultation & Assessment 2 Program follow-up 3 Program follow-up 7/8 Program Review & upgrade 11/12 Program Review & upgrade

Case Study - Robert • 66 year old male • Diagnosed with Parkinson's disease with right side tremor in 2006. • Coronary angiography and two stents in 2009, • Spinal cord injury (L 1) and left knee replacement following a horse riding accident in 1998. Robert’s GP identifies that he is at a high risk of a fall so refers him to an Accredited Exercise Physiologist (AEP) to improve his balance and flexibility.

Case Study - Robert Initial measurements showed that Robert could: • Cycle on a stationary bike for 8 minutes • Pedal at 60 RPM max • Perform a sit to stand exercise from a fit ball with assistance from a pole for stability

Case Study - Robert At the end of the 12 week intervention, measurements showed the following improvements • Increase from 8 minute cycle to 25 minute cycle • Increase from pedaling at 60 RPM to 100 RPM max • Performs sit to stand without assistance from arms and from low chair • Waist decreased by at least 4 cm • Flexibility increased by at least 5 cm on both legs

Start the conversation Are you aware of the general benefits of exercise? Do you know how exercise can specifically impact on your medical condition / health? What do you think will happen if you maintain your current lifestyle? Plant the seed! Don’t feel like you need to have an outcome in the 1 st consultation

Common misconceptions • “Need to use a gym to get fit” • “Too old to begin structured physical activity” • “Need to use sophisticated equipment to perform strength training”

Provide options Physical activity advice (factsheets) AND Specific exercise prescription OR Referral if required (EIM prescription form) Your details here

The only address you need when prescribing exerciseismedicine. org. au

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