Emphasizing The Importance Of Exercise In Improving Health

Matt Werd, DPM

   • Our longevity depends on three factors: genetics, environment and behavior. It is our behavior that is most problematic and has lead to the leading causes of death (cardiac disease, cancer and stroke) in the U.S.
   • The most preventable factors of premature death are tobacco use and physical inactivity. In 2004, a “tipping point” occurred with tobacco when the number of ex-smokers outnumbered the number of current smokers.
   • The death rate for a fit 80-year-old is lower than that of a sedentary 60-year-old.
   • Exercise is a “wonder drug” and everyone should take it.
   • Our insurance industry needs to change. Why will insurance pay to refer a patient for bariatric surgery but will not pay to refer a patient to an exercise specialist?
   • We need to move from a treatment-oriented society to a prevention-oriented society.
   • Seven out of 10 Americans will die from a preventable disease.
   • Childhood obesity is our number one health problem in the U.S. For the first time in our history, our youth will have a shorter life span than adults. This is a terrible, embarrassing comment on our nation’s current health.
   • Each of us can play a key role to increase exercise in the U.S. Start by being a fit personal role model and incorporate Exercise is Medicine into practice.
   • Healthy food choices and lifestyle choices need to be parts of the solution for healthy living.

What About Athletic Shoe Prescriptions?

   As podiatric physicians, we can play an additional preventive role in exercise injuries by providing our newly exercising patients with an appropriate athletic shoe prescription on each comprehensive visit. The athletic shoe prescription should include: proper athletic shoe type, athletic sock recommendation, lacing techniques and supportive insoles or orthoses if necessary.

   Our Academy’s shoe review committee has made a tremendous effort to update our athletic shoe Web pages (www.AAPSM.org), which include a wealth of contemporary knowledge needed to write an athletic shoe prescription. This is useful for the novice as well as the experienced podiatric practitioners.

What You Should Know About Updated Physical Activity Recommendations

   The ACSM and the American Heart Association (AHA) recently released updated physical activity recommendations for adults (www.acsm.org). This message should be clear and consistent for all sports and medical organizations.

   The recommendations are that patients should undertake moderate intensity aerobic physical activity for a minimum of 30 minutes on five days each week. As an alternative, patients should undergo vigorously intense physical activity for a minimum of 20 minutes on three days each week. These recommendations are an update and clarification of the 1995 recommendations on the types and amounts of physical activity needed by healthy adults and older adults to improve and maintain health.

   The core recommendation of the ACSM/AHA Physical Activity Guidelines is to promote and maintain health. The intent is to provide a more comprehensive and explicit public health recommendation based upon available evidence-based research of the health benefits of physical activity. The preventive recommendation specifies how adults, by engaging in regular physical activity, can promote and maintain health and reduce the risk of chronic disease and premature mortality.

   We must continue to emphasize a single evidence-based message into the daily routine of all Americans if we are to be successful in altering the exercise and activity behaviors in the U.S. This effort must involve everyone from the Surgeon General to the coach, from the healthcare provider to the physical educator, and from the school administrator to the health insurance provider.

Final Notes

Please visit www.ExerciseisMedicine.org for a more detailed description of Exercise is Medicine, including ways to counsel patients on their exercise regimens and information on how physical activity can be an integral part of any patient’s healthcare program.

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