Physical activity RX enhances HealthSpan, life and function

Physical activity suggests a new study that reduces the risk of chronic diseases, improves functions, extends the life, and thus supports the use of clinicians as a health intervention.

Reviews on the impact of physical activity in the elderly are specified, such as preventing or reducing the risk of more than 30 chronic diseases, including coronary disorders, heart failure, type 2 diabetes, chronic obstructive pulmonary disease, osteoporosis, depression, and dementia. Recorded the advantages of. cancer.

“Beyond physical health, physical activity is also useful for social and mental health,” he said, Dr. Jane Southton Medicine, London, Ontario, and Western University in Western, Canadian University of Western. Associate Professor, Health Director, International Olympic Committee's medicine and science Medscape Medical News。

“As we say in the article, she added as follows. I will prescribe the exercise.”

the study It was released January 27th Canadian Medical Association Journal。

Main advantage

Researchers evaluate the evidence announced between 2002 and 2024, which are related to the health benefits of the elderly, and use it for a strategy to talk about gaining activities with patients and prescriptions of exercise. We presented a tool to do. Two reviewers screened search results and selected only meta analysis and systematic reviews to include in reviews.

This review offers the next advantages of physical activity and examples of evidence to support them.

longevity: According to meta analysis of large -scale positive research in 2023, the level of physical activity equivalent to the recommended 150 minutes/week of the week is 31 % reduced by 31 % compared to physical activity. I understand that it was made.

Functional independence: This advantage includes the ability to implement daily activities, recognize, social attribute, and quality of life. In 2012 meta analysis involving weak elderly people, it was found that physical activity could improve the ability to balance everyday life, walking speed and balance.

Fall prevention: In 2016 systematic reviews and meta analysis, it has shown that exercise intervention and physical activity in the elderly will decrease 21 %. A 2021 meta analysis of the randomization comparison test shows that the integrated exercise program, which the patient participated in 5 times or more for more than 5 times for 32 weeks or more, is the most effective in reducing the risk of falling.

Bone and joint health: Review of deformed arthritis in 2018 may increase the risk of very high levels of physical activity, but moderate levels of physical activity is not. I understand. Regular exercises can also reduce pain and improve physical functions as described above.

Cognitive health: An analysis of aging vertical research in 2021 is related to the higher the level of elderly physical activity, the lower the risk of mild dementia, and the progress of mild dementia to severe dementia. I understand that. Compared to low -level physical activities, we have discovered an increase in the rate of returning from severe cognitive impairment to mild cognitive impairments from mild cognitive impairment.

Mental health: The systematic review of 2022 revealed that Excel Garming (that is, technical physical activity such as virtual reality and Wii sports) is related to improvement of depression symptoms.

Quality of life: The two 2021 meta analysis emphasized the impact of outdoor sports parks and aquatic movements in the quality, mood, anxiety of the elderly, and other neuropsychological results.

“Physical activity is not used as a health intervention for both the community and the provision of healthcare for the elderly,” wrote. “Elderly people who are more physically active can potentially add to their own life for years and add higher quality of life that year.”

Prescription method

Souton said the clinician could prescribe the patient's movement by following the “priority initial steps”. One step that primary care doctors and experts can take is to track the patient's physical activity level. “This indicates that both patients and providers indicate that physical activity is important, and further discussions are promoted when the level changes or changes.”

The second step was to incorporate physical activity counseling into the treatment plan for drugs and other interventions. “this [step] You can take the form of a written prescription or guideline discussion [referral] For community lilies. “

“Risk and symptoms evaluation (recent heart events, high risk of falling, or non -controlled chronic diseases, etc.), and needs more tests and needs exercise specialists. Soonton pointed out at the first stage.

The introduction to the exercise specialist may be useful, but she warns that such a visit may be presented if it is not covered by insurance or only in a specialized gym, and may present a barrier to exercise. 。 “Most people can gradually start working physically without an expert's supervision, and it is important for clinicians to follow up and check in.”

Lucas J. Kerr, Ph.D., Aoiwa University at Iowa University, Iowa University, commented on this research. Medscape Medical News。 I wasn't involved in my current research, Recent research He pointed out that such screening is a useful initial step and can be performed in a timely manner in patient inert screening.

“” Vital sign of physical activity The questionnaire is a survey of three questions that patients can complete in less than 30 seconds, “he said. “Use an electronic medical recording system to automatically determine whether the patient is physically inactive and promote alerts to the provider.”

The research author proposed the use of a World Health Organization 5 -stage framework (Called “5AS”) As a roadmap to promote patients' activities. They also suggested that they would input physical activity in the patient's record as an important sign that would be protected over time.

Overcome the task

Souton acknowledged that not all clinicians could prescribe the patient's physical activity. “I usually break the challenge of three clinicians's lack of T, that is, time, training, and lack of trust,” she said. “Insufficient time is a major problem in prescribing physical activity because the clinic visits are often 5 to 15 minutes long, and other problems are often imminent. Ta.

“Despite the demand from medical and patients, the basic training of physical activity prescriptions is still short in many medical schools,” she continued. “Finally, some doctors do not engage in counseling, as they do not trust patients engaged in physical activities.”

These points were “healthy, but not overcoming,” Souton said. Her team's approach is to enhance the ability and comfort of doctors in physical activity prescriptions and deal with three barriers. The team is also more easy to use as the team has been working on domestic and international strategies to increase physical activity training in medical curriculum.

“Time and money are a big barrier,” from the viewpoint of the car. “Considering the number of clinical prevention services and conversations that are already recommended for the elderly, even when screening the patient for physical inactivity,” he said. In addition, non -activity screening is not directly refunded by the US medical system.

For clinicians who are considering introducing patients to medical coaches or personal trainers, CARR recommends exploring professional qualifications before concluding a contract.

“There is a big need to integrate physical activity into a healthcare system,” he said. “It is necessary to deal with barriers that hinder this integration. This includes a shortage of claim options and the time limit of time to advise patients. It has the time, knowledge, and abilities to claim for these types of services. You need a place for exercise counseling specialists.

“Even if additional resources and training are still needed, prescriptions of physical activity are effective, cost -effective, and patients are evaluated. If not, please!

No data reviews have been reported. Southton is a research committee of Tia 2 Canada, a prevention and physical activity prevention and physical activity of the International Olympic Committee's health, medicine, and science. The car has declared that there is no relevant financial relationship.

Marilin Lakin, Massachusetts, is a medical writer and editor who has won awards, many publishers, including Medscape Medical News, his sister publications MDEDGE, The Lancet (where she was a contribution editor), and Reuters Health. It has appeared.