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Exercise is Medicine 2nd World Congress - Physical Activity is More Powerful than Drugs
- 1. 2nd World CongressExercise is Medicine Karim Khan, MD, PhD Centre for Hip Health and Mobility Professor, Department of Family Practice, University of British Columbia andMobility
- 2. 1. Show of hands - who has already accumulated the US guideline dose of physical activity today?
- 3. 2. Who is firmly committed to meeting the guideline dose of physical activity today?
- 4. 3. If you had to choose between medication OR physical activityfor lifetime prevention of chronic conditions.
- 5. Which kills more people in the US?
- 6. Top 3 reasons whyexercise/physical activity is more powerful than drugs for prevention…
- 7. #3 Cancer reduction Moderate physical activity* reduces colorectal cancer by 50% (Boursi, 2007) *combined with balanced diet, avoidance of smoking & excess alcohol…
- 8. # 2 reason whyexercise is more powerful than medicine…
- 12. Which kills more Americans?
- 13. Low fitness kills more people than smokadiabesity
- 14. No Physical Activity For 1 Day… No Problem! Health costs equivalent to smoking just 3 cigarettes!
- 15. Very simple question for sport and exercise medicine specialists... How much PA will optimise health (dose in minutes / days per week)
- 16. Consistent reduction in diseases with greater ‘dose’.
- 17. Take one ‘pill’ or ‘two’? Bouts OK; not lycra
- 18. Last word on dose...
- 19. Why not? Brush teeth 3-4 times weekly... Showering ‘most days of the week’
- 20. Practical approaches Goal (motivation and then concrete SMART goal) Build in to daily routine – not an additional task; schedule it Walking is likely to be a key part of it – commuting (car is the enemy-hour in car increases risk of obesity by 20%) Pedometers work
- 21. Practical approaches Social elements might fit in – making goal public (fits with Ciadlini) Community – new england paper on the contagious nature of networks Public transport Walking meetings at work and socially – ‘lets go for a walk’ as much as ‘let’s go for coffee [and cinammon bun etc]
- 22. Personal story...accumulating 60 minutes of PA daily 1. GOAL SETTING and RECORDING 2009 – missed 11 days 2010 – missed 5 days 2011 – missed 4 days Scheduled it, went public about it, commute to work, have walking meetings, look for walking social activities, friends have similar approach
- 23. This has the steps in the Notes box
- 24. Swedish Physical Activity Book
- 25. @BJSM_BMJ
- 26. Thank you!! Karim Khan, MD, PhD Centre for Hip Health and Mobility Professor, Department of Family Practice, Faculty of Medicine, University of British Columbia andMobility
Editor's Notes
- Smokadiabesity – Smoking – half as many – kills 8%Diabetes – quarter as many – kills 4%Obesity – eighth as many – kills 2%Low fitness is the primary risk factor for 16-17%Applies to men and women -
- Exercise as a vital sign – ask about itUse Bess Marcus as an approach to readiness for change etc – customisedCounselling method of choiceWritten prescription – think of three categories – health, disease plus stable, frail. Each has a different setting [referral]Local resources – in person and on the web (everybody walk) – practical steps – how and when. Followup – part of the counselling method of choice (6As)Political action -