Exercise prescription is not just for medical doctors: the benefits of shared care by physicians and exercise professionals

Maiorana, Andrew; Levinger, Itamar; Davison, Kade; Smart, Neil A.; Coombes, Jeff S.

doi:10.1136/bjsports-2016-096994

Cited by 21 publications

(16 citation statements)

References 7 publications

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“…Exercise prescription is widely used in sports tness and medical activities and include goals such as muscle building, fat loss and disease rehabilitation, and the effects of the prescription are signi cant [5][6][7]. Since the epidemic of COVID-19 occurred, long-term home isolation to prevent the spread of COVID-19 posed a severe challenge for people's exercise health [4].…”

Section: Discussionmentioning

confidence: 99%

“…Exercise stimulates the release of dopamine and endorphins, which are also known as the "happy hormone" and "youth hormone" [12,13]. According to reports, the incidence of diseases such as angiocardiopathy, cerebrovascular disease, osteoporosis, and diabetes in people with good exercise habits was signi cantly lower than in those without good exercise habits [5,14,15].…”

Section: Discussionmentioning

confidence: 99%

“…An exercise prescription is based on the evaluation of an individual's physical status (body mass index (BMI), cardiopulmonary function, muscle strength, and so on) and the development of an appropriate exercise programme to guide the patient to perform scienti c, rational, planned, and purposeful exercise. Exercise prescriptions are widely used in sports, tness and medical elds, and their effects have been con rmed [5][6][7]. Therefore, according to the survey on the physical and mental health and exercise status of youth during the period of COVID-19, the purpose of this study was to explore home exercise prescription solutions to cope with major public health emergencies.…”

Section: Introductionmentioning

confidence: 99%

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Construction of a Home Exercise Prescription Solution for Youth During a Serious Public Health Emergency in China

Xiong

et al. 2020

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Abstract BackgroundCoronavirus disease 2019 (COVID-19) was identified as a serious public health emergency. The Chinese government required people to stay at home. The purpose of this study was to analyse the effect of home exercise prescription solutions on the physical and mental health of youth during the COVID-19 period.MethodsA home exercise prescription was formulated after investigating and categorizing the home exercise status of 4000 undergraduates during the period of COVID-19. In this prospective cohort study, 200 young people were recruited for a home exercise prescription intervention, and 200 individuals did not undergo any intervention for 4 weeks in February 2020. Physical and mental health indexes including anxiety factors, obsessive-compulsive symptoms factors, depression factors, somatization subscale factors, and sleep and diet factors were evaluated.ResultsOf 4,000 undergraduates living at home, 64.8% were dissatisfied with their physical and mental condition. Ninety-three percent wanted to adopt an exercise practice at home during the period of COVID-19. In the prospective cohort study, the average anxiety scores and sleep and diet scores before the intervention were 2.14 ± 0.43 and 2.24 ± 0.54, respectively, in the intervention group. After 4 weeks, participants reported that negative emotions were reduced. The scores for all factors were less than 2 points, and there were significant differences between the pre-intervention and post-intervention time points (P < 0.05). Differences between the two groups were statistically significant at 2 and 4 weeks (P < 0.05).ConclusionThere was an urgent need for home exercise programmes for youth during the period of COVID-19. Formulating appropriate home exercise prescriptions could help maintain physical and mental health, enhance immunity, and prevent disease.Trial registration ChiCTR, ChiCTR2000030090, Registered February 24th, 2020. http://www.chictr.org.cn/edit.aspx

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Construction of a Home Exercise Prescription Solution for Youth During a Serious Public Health Emergency in China

Xiong

et al. 2020

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“…I welcome the letter from Maiorana et al 1 and am delighted to respond. Thank you for your comments regarding our position statement 2.…”

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confidence: 94%

Physical activity prescription and engaging the entire ‘community of practice’

Thornton

2017

Br J Sports Med

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“…Additionally, the requirement to seek a medical appointment may create a barrier to the uptake of exercise [ 18 ], especially in individuals who are reticent to modify their lifestyle, and in socioeconomically disadvantaged groups in whom chronic disease is most prevalent and who have the most to benefit from regular exercise [ 19 ]. Despite the role expected of physicians, many medical school curricula do not address exercise screening and prescription in detail (in contrast to the training for exercise professionals [ 20 ]), meaning physicians are often not sufficiently familiar with exercise guidelines [ 21 – 23 ] and may feel ill-equipped to provide ‘clearance’ to exercise or the specific advice to offer about appropriate exercise parameters, such as type, intensity and duration [ 24 , 25 ]. Importantly, the efficacy of medical clearance that is limited to an office assessment, constrained by a consultation of 15 min or less [ 26 ], in the absence of any assessment of the response to exercise is questionable.…”

Section: Introductionmentioning

confidence: 99%

Exercise Professionals with Advanced Clinical Training Should be Afforded Greater Responsibility in Pre-Participation Exercise Screening: A New Collaborative Model between Exercise Professionals and Physicians

et al. 2018

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Regular exercise improves health but can also induce adverse responses. Although such episodes are rare, many guidelines for pre-participation exercise screening have historically had a low threshold for recommending medical clearance prior to the commencement of exercise, placing the responsibility for decision making about exercise participation on physicians. The ‘clearance to exercise’ model still occurs widely in practice, but creates cost burdens and barriers to the uptake of exercise. Moreover, many physicians are not provided the training, nor time in a standard consultation, to be able to effectively perform this role. We present a model for pre-participation exercise screening and the initial assessment of clients wishing to commence an exercise programme. It is designed to guide professional practice for the referral, assessment and prescription of exercise for people across the health spectrum, from individuals who are apparently healthy, through to clients with pre-existing or occult chronic conditions. The model removes the request that physicians provide a ‘clearance’ for patients to engage in exercise programmes. Instead the role of physicians is identified as providing relevant clinical guidance to suitably qualified exercise professionals to allow them to use their knowledge, skills and expertise in exercise prescription to assess and manage any risks related to the prescription and delivery of appropriate exercise programmes. It is anticipated that removing unjustified barriers to exercise participation, such as mandated medical review, will improve the uptake of exercise by the unacceptably high proportion of the population who do not undertake sufficient physical activity for health benefit.

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Exercise prescription is not just for medical doctors: the benefits of shared care by physicians and exercise professionals

Cited by 21 publications

References 7 publications

Construction of a Home Exercise Prescription Solution for Youth During a Serious Public Health Emergency in China

Construction of a Home Exercise Prescription Solution for Youth During a Serious Public Health Emergency in China

Physical activity prescription and engaging the entire ‘community of practice’

Exercise Professionals with Advanced Clinical Training Should be Afforded Greater Responsibility in Pre-Participation Exercise Screening: A New Collaborative Model between Exercise Professionals and Physicians

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