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Increasing Physical Activity in Primary Care Andrew Murray GP and Scottish Government. Life expectancy trends. Portugal. Scotland. Trends in male life expectancy: Scotland. Richest 20%. Poorest 20%. Insanity “is doing the same thing over and over again and expecting different results”.
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Increasing Physical Activity in Primary Care Andrew Murray GP and Scottish Government
Life expectancy trends Portugal Scotland
Trends in male life expectancy: Scotland Richest 20% Poorest 20%
Insanity “is doing the same thing over and over again and expecting different results” Albert Einstein
Scotland (males) 25-34yo- 63% active 65-74yo- 24% active 75yo plus- 13% active Female population even worse Elderly Population less active
Risk reduction associated with physical activity- preaching to the converted!!
MYTHBUSTING • Too old to exercise • Too Fat to exercise • I’m diabetic, have OA, COPD, high BP, etc etc • Regular physical activity actually helps treat these conditions
Investments that work • Whole of school programmes- early input to produce active ageing!! • Transport policies and systems that prioritise walking, cycling and public transport • Urban design that provides for equitable and safe access for recreational physical activity • Physical activity and NCD prevention integrated into primary health care systems • Public education, including mass media to raise awareness and change social norms on physical activity • Community-wide programs that mobilize and integrate community engagement and resources • Sports systems and programs that promote ‘sport for all’ and encourage participation across the life span.
NHS- how we deliver • Embed it into the NHS- make it normal • Education- integrate into CPD, workforce development, post and undergraduate curriculums • Health promoting Health Service
CMO guidelines • Known by 13% GP’s, • 9% PN, • 7% HV • 30 mins 5x per weeks (or 150 mins total) moderate exercise- adults • 60 mins daily for kids
Embed it into the Primary Care • Ask the question?? • “How many days a week do you do physical activity, and for how long” ??150 mins • Assess • Advice • (Intervention) • Direct to resources
Primary Care pathway • Feasibility study Jan 2013 • Roll out when success proved • Applicable to secondary care, and other professional groups also • Announced by Ms Robison in parliament
Brief interventions in Primary Care • Physical Activity £20-440 • Smoking £8-9000 • Statin >£10k
Education • 40% of med schools teach CMO guidelines • Share information • Guidelines • Grand rounds • 23 and a half hours
50% adults active by 2022 80% children Increase life expectancy by 5 years in 10 years Decrease health inequalities Less spend on scripts, appointments Outcome aims
Life expectancy trends Portugal Scotland
Resources • http://www.fyss.se/fyss-in-english/chapters-in-fyss/ Physical Activity in the Treatment of disease • 23 and a half hours • Active Scotland • Take Life On • @docandrewmurray @scotgovhealth