Embed Size (px)
DESCRIPTION
The Chief Medical Officer of the FIA, Dr John Searle, spoke at the Annual Congress of the Chartered Society of Physiotherapy, in Liverpool on October 15. His subject was 'Fitness as a routine part of health care - pie in the sky or exciting possibility?' He summarised the present epidemic of diseases which result from a sedentary life style together with the ways in which exercise can promote health and reduce these risks. He stressed the importance of partnerships with health professionals including physiotherapists and looked forward to the day when a fitness professional would be part of every GP team in the country. The talk was well received and many questions came from the audience.
Citation preview
Making exercise a normal part of health care
Pie in the sky?John Searle
Chief Medical Officer, Fitness Industry Association
Where am I coming from?
• NHS consultant• RA diagnosed in my mid-fifties• Key role of exercise• Personal trainer• CMO - FIA working with
• Health professionals and DH• Fitness sector
Fitness sector’s objective
To establish exercise as a normal part of healthcare
• in the prevention of disease• as part of the treatment of disease• in the promotion of healthy and
independent old age
WHY?
• What is the biggest threat to the nation’s wellbeing?
Threats to the nation’s wellbeing
• Terrorism• Climate change• Economic instability• Diseases of Western affluence• Ageing population
Obesity
2010• Men 24%• Women 25%• Children 16%2050• Men 60%• Women 50%• Children 25%
Heart disease
• Annual: 275,00 heart attack annually
• Deaths: 120,00
• UK death rates highest in the world
Heart disease
• Annual: 275,00 heart attack annually
• Deaths: 120,00
• UK death rates highest in the world
Strokes
• 110,000 annually
• Third biggest killer
Type 2 diabetes
• 2,000,000 cases in the UK• heart attack• stroke• hypertension• kidney failure• peripheral vascular disease
Falls
• 30% of 65+ have a fall
• 50% are recurrent
Dementia
• 820,000in UK
• 1:3 >65 will suffer from some form of dementia
• £23 billion: annual cost of care
Depression
40,000,000 prescriptions for depression each year in the UK
Older people
• 2010: 9.7m 65+(16% population)
• 2015: 14m 65+
• 60% of hospital bed days.
The state of the nation
A sedentary, overweight population,costing billions of pounds every year, heading for dementia and nursing homes.
Do we want to go there?
Slow, mass suicide
But we have the answer
‘the benefits of regular physical activity on health, longevity and wellbeing easily surpass the effectiveness of any drugs or other medical treatment.’
John Dryden:1631-1700
By chance our learned fathers earned their food,Toil strained the nerve and purified the blood.But we, their sons, a pampered race of men Are limited to three score years and ten.Better to hunt in fields for health unsought Than fee the doctor for a nauseous draft.The wise for cure on exercise depend;God never made his work for man to mend.
Exercise
• Reduces the risk of developing these diseases
• Is a key component in their management
• Promotes a healthy and independent old age
Coronary artery disease
Aerobic exercise:150’ moderate intensity / 75’ high
intensity exercise per week
20-30% reduction in risk of CV disease
(Hamer and Chida 2008)
Exercise and disease risk reduction
• CV disease +++• Type 2 diabetes +++• Obesity +++• PM breast cancer ++• Colon cancer +• Depression ++• Cognitive impairment +
O’Donovan G et al (2010)
Exercise as part of treatment
BJSEM August 2009• CV disease: CAD, HF, BP+, cholesterol +• COPD• Asthma• OA and RA• Type 2 DM• Parkinsons’s• MS
Exercise in older age
‘Among those >65 years, physical activity is strongly associated with reduced health resources and costs’
(Woolcott JC et al 2010)
What can we do?
• Culture change among health professionals
• Engagement between health and fitness professionals
• Move the fitness industry from cosmetics to health
Culture change among health professionals
Our own health and fitness
Health professionals
Why are we an unhealthy bunch?• Increasing work loads• Constrained resources• Loss of control• Stress
• weariness• no time• poor nutrition
Culture change among health professionals
• our own health and fitness• education - evidence base• rewards• make it easier to
recommend/prescribe exercise
Engagement between health and fitness professionals
CSP/FIA Joint Working Group
• referral guidelines between each other
• referral advice for GPs
• joint educational opportunities
Engagement between health and fitness professionals
Joint Consultative Forum between thefitness sector and the Medical RoyalColleges• best practice guidance for using exercise in the
treatment of chronic disease• advice to doctors, fitness professionals and the
DH
Engagement between health and fitness professionals
Local contacts - the changing contextof GP commissioning and public healthboards
Move the fitness industry from cosmetics to health
How has the fitness industry developed?
Industry development
1960’s and 70’s
Industry developmentIndustry development
1980’s
Industry development
1990’ & 2000’s
- equipment
Industry development
1990’ & 2000’s
‘looking good feeling great’
Fitness Industry 2010+
Health agenda• disease prevention• disease treatment• healthy and independent old age
• through clubs and community hubs
Making a start
Who is missing?
