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A joint Faculty of the Royal College of Physicians of Ireland (RCPI)

A joint Faculty of the Royal College of Physicians of Ireland (RCPI) and the Royal College of Surgeons in Ireland (RCSI). Exercise as part of a Healthy Lifestyle. Dr Laurence J Conway Sports and Exercise Medicine Specialist. FSEM RCSI &RCPI. Humans. Hunter gatherer

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A joint Faculty of the Royal College of Physicians of Ireland (RCPI)

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  1. A joint Faculty of the Royal College of Physicians of Ireland (RCPI) and the Royal College of Surgeons in Ireland (RCSI)

  2. Exercise as part of a Healthy Lifestyle Dr Laurence J Conway Sports and Exercise Medicine Specialist. FSEM RCSI &RCPI

  3. Humans • Hunter gatherer • Brain development required energy • Hunter survived because of endurance

  4. Where has evolution led us?

  5. Where has evolution led us? • Lessons from the aboriginal people of Australia • Less Hunting/more gathering due supply

  6. Where are we today? • What is Best indicator risk of death in next 10 years?

  7. Where are we today? • What is Best predictor of mortality risk in next 10 years? • Exercise Capacity = Aerobic capacity

  8. Exercise is the best medicine

  9. 1 0.8 0.6 0.4 0.2 0 0 1-59 min 1.0-1.5 h >2h Time Spent Walking per Week Relative Risk of CVD 1.0 0.68 Relative Risk Score 0.37 0.33 Mansoon JAMA, 2001, 285:1447

  10. First 15 minutes of Exercise per day • 3 year increase in Life expectancy • First 15min/day: there is 14% reduction all causes mortality • Every extra 15 min/day there is a further extra 4% reduction mortality

  11. Exercise = Treatment and Prevention • Dose = Intensity + Duration • Frequency = Frequency • Treatment is life long • Risk Benefit ratio • Side effects

  12. How do we Reduce risk? • Start at realistic level • Build up slowly • Exercise should be FUN • As a group or on own • Warm up • Cool Down • Stretch • No intense exercise after meals • Medical assessment?

  13. Disease Prevention • Cardiovascular disease • Diabetes Mellitus • Cancers • Obesity • Bone Health • Mood/stress • Immune function • Cognitive function • Mobility / risk falls

  14. Treatment • Heart or Vascular Disease. • High Blood Pressure • Cholesterol • Obesity • Diabetes Mellitus • Cancers • Osteoarthritis • Osteoporosis • Respiratory illness • Mood • Cognitive Function • Neurological Disorders

  15. Exercise; the Cost Benefit ratio • Effective • Low Cost • Effects multiple related problems • Prevention other disease • Quality of Life benefit • Socialisation of isolated • Dose tailored to individual

  16. 40 Men Women 37 33 30 27 27 26 20 Percent 21 21 21 18 17 14 10 11 0 1988 2002 1988 2002 1988 2002 No Physical Exercise During a 7-Day Period 18-34 35-54 55+ Slan Survey 1999

  17. Why are people inactive?

  18. Why are people inactive? • No Time • Work • Family • Cost • Lost the Habit • Poor motivation/mood due inactivity • Health issues • Social isolation • Hard first few sessions so stop

  19. How do we get message to those that need it the most • How do we change lifestyle • Those that need change are not here

  20. Psychological states of change • Pre contemplation • Contemplation. • Preparation • Action • Maintenance

  21. Lifestyle • Diet Quantity Quality Timing • Hydration • Risks Tobacco • Leisure drugs • Healthy BMI • Positive Mental Attitude • Rewards in life

  22. 7 areas of Investment • Schools • Transport • Urban Design • Health Care • Public Education • Community • Sports for all

  23. Schools • Greater opportunity National Schools • Ways to keep girls active through out secondary • Insurance issue • Develop physical Literacy Curriculum

  24. Transport • Walking & Public Transport • Cycling • Drive children to school

  25. Urban Design • New Housing Estates • Safe Friendly environment • Urban Plan; Green areas Sports Facilities Cycle tracks Local facilities

  26. Health Care • 47% Primary Care Doctor say they ask about exercise • 13% Patients report getting advice about exercise • What can Medical Profession do?

  27. What Can Medical Profession do? • Ask people about exercise • Give green prescriptions • Do not tell people to stop exercise • Modify where possible

  28. What Can Medical Profession do? • Educate doctors & student in exercise prescription • Increase medical profession awareness • Role Models • Help remove barriers; • Cost • Time • Educate

  29. Public Education • Media need to have consistent clear message • Irish innovation

  30. National Physical Activity Guidelines ‘Get Ireland Active’ www.getirelandactive.ie

  31. Community • School • Public • Private sector • Fitness Industry

  32. Activity for ALL

  33. Balance life • Work Life balance • We need find place all parts of our life • Look Positive • Beware of negative thoughts • Goal setting

  34. Work Life Balance • Stressors Recovery _____________________________________ Financial Sleep Work related Food Social Social life Health Rewards Exercise Exercise

  35. Health and Quality of life

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