Exercise is Medicine Public Slide Deck Version 2.0

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Exercise is Medicine Public Slide DeckVersion
2.0
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-Robert E. Sallis, M.D., M.P.H., FACSM, Exercise
is Medicine Task Force Chairman
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An initiative of
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American College of Sports Medicine

• The American College of Sports Medicine is the
  largest sports medicine and exercise science
  organization in the world. More than 35,000
  international, national, and regional members and
  certified professionals are dedicated to
  advancing and integrating scientific research to
  provide educational and practical applications of
  exercise science and sports medicine.
• ACSM is leading the way in physical activity
  guideline-setting.
• ACSM facilitated and led the 2006 roundtable
  discussion in Washington, D.C., that resulted in
  the creation of the 2008 Physical Activity
  Guidelines for Americans.

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Exercise is Medicine
Vision
To make physical activity and exercise a standard
part of a disease prevention and treatment
medical paradigm in the United States.
Background

• Launched in November 2007 by the American College
  of Sports Medicine (ACSM) and the American
  Medical Association (AMA).
• Developed to encourage primary care physicians to
  include exercise when designing treatment plans
  for patients. Calls on doctors to prescribe
  exercise to their patients.
• Committed to the belief that exercise and
  physical activity are integral in the prevention
  and treatment of diseases, and should be assessed
  as part of medical care and integrated into every
  primary care office visit.

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Exercise is Medicine and California Governor's
Council on Physical Fitness and Sports
Governor Arnold Schwarzenegger State of California
Robert E. Sallis, M.D. Past President, American
College of Sports Medicine
Rear Admiral Steven K. Galson, M.D., M.P.H Acting
Surgeon General of the United States
(Click here to access video)
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(Click box to start video)
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PROBLEM
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Actual Causes of Death
Leading Causes of Death, US 1. Tobacco, 18.1 2.
Poor diet and Physical inactivity, 16.6 3.
Alcohol, 3.5
JAMA March 10, 2004
Deaths per Year in U.S. (1,000s)
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SOLUTION
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The Solution Physical Activity

• If we had a pill that gave all those benefits
  and was readily available, we would find a way to
  make sure every patient took it.-Robert E.
  Sallis, M.D.
• Why isnt this happening with exercise?
• Lack of media advocacy.
• No tangible success measures.
• Physicians are lacking the time to effectively
  counsel patients.
• Physicians may lack the proper training to
  effectively counsel patients about exercise.
• No national reimbursement policy for referrals.
• Minimal side effects
• Overuse injuries start low and go slow.
• Sudden death very rare.

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Exercise As Medicine

• Tremendous health benefits are seen with even low
  levels of exercise.
• Amount of exercise needed to benefit health is
  much lower than amount needed for fitness.
• Regular physical activity at the correct
  intensity
• Reduces the risk of heart disease by 40.
• Lowers the risk of stroke by 27.
• Reduces the incidence of diabetes by almost 50.
• Reduces the incidence of high blood pressure, by
  almost 50.
• Can reduce mortality and the risk of recurrent
  breast cancer by almost 50.
• Can lower the risk of colon cancer by over 60.
• Can reduce the risk of developing of Alzheimers
  disease by one-third.
• Can decrease depression as effectively as Prozac
  or behavioral therapy.

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U.S. Physical Activity Guidelines

• 150 minutes per week of moderate-intensity
  physical activity
• Choose your own schedule
• For example 30 minutes of moderate-intensity
  exercise, five days per week OR three 10-minute
  sessions per day,
• five days per week

From the 2008 Physical Activity Guidelines for
Americans For more information on these
guidelines, visit www.acsm.org/physicalactivity.
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Summary

• Evidence is now overwhelming on the health burden
  of physical inactivity.
• The benefits of exercise in the treatment and
  prevention of chronic disease cannot be denied.
• We cannot continue to ignore this evidence when
  formulating treatment plans for our patients.
• No patient should leave a doctors office without
  an assessment of his/her physical activity and
  proper prescription of an exercise program, or a
  referral to a qualified fitness professional..

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Call to Action

• Initiate a dialogue between every physician and
  every American.
• Promote Exercise is Medicine in organizations,
  workplaces and communities.
• Ensure that exercise is front and center in the
  national discussion on disease prevention, health
  and wellness.
• Large scale exercise initiative led by health
  care provders
• Every patient Every visit Every treatment plan.
• Physical activity should be recorded as a vital
  sign.
• Message should be the same from every provider,
  regardless of specialty.

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GOALS
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Program Goals

• For physical activity to become a Vital Sign,
  with the Physician routinely discussing it with
  each of their patients.
• For the Physician to either prescribe appropriate
  physical activity to each patient or to refer the
  patient to a qualified health and fitness
  professional to get a physical activity
  prescription.
• For the Public to begin to ask for and expect
  Physicians to discuss physical activity during
  each office visit.

• Exercise Is Medicine is a sustainable initiative
  to
• Influence national policy to obtain reimbursement
  for exercise counseling.
• Influence medical health record companies to
  include exercise as a HEDIS
• measure and health care systems to make exercise
  a vital sign.
• Effect policy changes that support physical
  activity counseling and patient
• referrals (to health fitness professionals) in
  clinical settings.
• Produce an expectation among the public that
  health care providers should
• and will ask about and prescribe exercise.
• Encourage physicians and other health care
  providers to be physically active
• themselves.

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SUCCESSES
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Partnerships
Associations
American Academy of Podiatric Sports
Medicine American Academy of Family
Physicians American Academy of Physical Medicine
and Rehabilitation American Alliance of Health,
Physical Education, Recreation, and
Dance American Association for Physical Activity
and Recreation American Association of
Cardiovascular and Pulmonary Rehabilitation Americ
an Chiropractic Association's Council on Sports
Injuries and Physical Fitness American College
of Preventive Medicine American Council on
Exercise American Heart Association American
Kinesiology Association American Kinesiotherapy
Association American Medical Association
American Medical Society for Sports
Medicine American Optometric Association American
Osteopathic Academy of Sports Medicine American
Osteopathic Association American Physical Therapy
Association Association for Applied Sport
Psychology Canadian Academy of Sport
Medicine California Governor's Council on
Physical Fitness and Sports Be Active New York
State Center for Science in the Public
Interest Federazione Medico Sportiva Italiana
(Italian Sports Medicine Federation) IDEA Health
Fitness Association Industrial Athlete of
America Institute of Lifestyle Medicine
International Council on Active
Aging International Health, Racquet and
Sportsclub Association International Sports
Sciences Association Medical Fitness
Association National Association for Health
Fitness National Association for Sport and
Physical Education National Athletic Trainers'
Association National Center for Drug Free Sport,
Inc. National Center on Physical Activity and
Disability National Coalition for Promoting
Physical Activity National Environmental
Education Foundation National Medical
Association National Strength Conditioning
Association Network for a Healthy
California President's Council on Physical
Fitness and Sports Road Runner's Club of
America Shaping America's Health Society for
Public Health Education Sporting Goods
Manufacturers Association USA Triathlon Youth
Fitness Coalition / Project ACES YMCA of the
USA YWCA Worcester Tennis Industry
Association United States Professional Tennis
Association World Association of Persons with
Disabilities
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Partnerships
Organizations
AthleteInMe.com Avamere Health Fitness
Club Bastyr University Body Evolution, Inc.
Charities Challenge ChiLiving, Inc. Diabetes
Training Camp DianeSabba.com eMuscle Essential
Fitness FeelFit Fitness Together Fitness
Together - Barrington, Ill. Fit Well, LLC
Fitwize 4 Kids, Inc. Get Moving Kern Get Fit
Coral Gables Goality Fitness Club Health
Improvement Partnership
Healthways SilverSneakers Fitness Program High
Point Regional Health System HoopSkills Juice
Plus Fitness Challenge JuneFit.com Lighten The
Load Medical Fitness Concierge, LLC. Nia
Technique Palm Springs Yoga Personal Training
Transformations, LLC Pop Warner Little Scholars,
Inc. Stay Fit Seniors Summit Cancer Solutions,
Inc. Survivors' Training University of
Florence Well Connected Planet Westview
Healthplex Sports Club Wildwood Medical Center
Corporate
Coca-Cola Healthy Learning National Basketball
Association
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PROGRAM SPECIFICS
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Toolkits
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Public Toolkit
The Public Toolkit provides you with a simple,
fast and effective tool for using exercise as a
medicine to help prevent or manage many of the
most common chronic health conditions. It will
also help you approach your health care provider
to discuss physical activity as a part of a
disease prevention and management strategy.

• Toolkit Highlights
• Meeting the Guidelines and Starting an Exercise
  Program
• My Exercise Plan
• Questions and Answers
• Exercise is Medicine Month
• Note to Health Care Providers

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Meeting the Guidelines and Starting an Exercise
Program
Follow these guidelines to meet the basic
physical activity recommendations after
consulting your health care professional. From
the 2008 Federal Physical Activity Guidelines for
Americans. For more information on these
guidelines, visit www.acsm.org/physicalactivity.
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My Exercise Plan

• The first step in meeting any recommendation for
  how much exercise to do is to simply get started
  with an activity that will work for you. These
  tools will help you in assessing your health,
  figuring out your barriers to exercise and
  working through some of the challenges to
  sticking with a program.
• Pre-Exercise Health Assessment
• Barriers to Exercise Assessment
• Exercise Time Finder
• Cost/Benefit Analyzer
• and more!

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Note to Health Care Providers
Share this resource with your health care
provider during your next annual checkup or
scheduled visit.
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Physicians Toolkit How Exercise is Medicine
can help your health care provider work with you
The Physicians Toolkit provides physicians and
other health care providers with a simple, fast,
and effective tool for using physical activity,
in the right dosage, as a highly effective
prescription for the prevention, treatment, and
management of diseases.

• Toolkit Highlights
• Exercise Prescription and Referral Process
  document
• Exercise Readiness and Prescription Pad
• Starting an Exercise Program patient handout
• Your Prescription for Health series
• Physician office flyer

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Exercise Readiness Prescription

• Determine patients current level of activity and
  willingness to exercise.
• Determine if patient is fit to exercise
  independently and what type of fitness
  professional would be best for referral.
• Depending on patients stage of change, take
  appropriate action by referring patient to
  educational material, writing exercise
  prescription, and/or referring patient to fitness
  professional.
• Refer patient to www.ExerciseIsMedicine.org for
  videos, fliers and resources.

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Fitness Professionals Toolkit How Exercise is
Medicine can help your fitness professional work
with you and your health care provider
The Fitness Professionals Toolkit provides
health and fitness professionals with a guide for
how to work effectively with physicians and other
health care providers to use exercise and
physical activity, in the correct dosage, as a
highly effective patient care prescription.

• Toolkit Highlights
• How to Work with Health Care Providers document
• Introductory letter to Health Care provider
• Health and Medical Questionnaire
• Fitness Assessment
• Informed Consent

• Cancellation Policy
• Starting an Exercise Program handout
• Your Prescription for Health series

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Your Prescription for Health series

• Provides information and advice on exercising
  safely with health conditions.
• Physicians and fitness professionals can
  recommend these to their patients/clients during
  visits.
• Available for download online.

Exercising Following Coronary Artery Bypass
Surgery Exercising Following a Heart
Attack Exercising Following a Stroke Exercising
while Losing Weight Exercising with
Alzheimer's Exercising with Anxiety and
Depression Exercising with Atrial
Fibrillation Exercising with Cancer Exercising
with Low Back Pain Exercising with Peripheral
Arterial Disease Exercising with Visual
Impairment
http//www.exerciseismedicine.org/YourPrescription
.htm
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Public Service Announcements
The American College of Sports Medicine (ACSM)
has partnered with the United States' Office of
the Surgeon General to create public service
announcements (PSAs) promoting Exercise is
Medicine. The PSAs feature the acting surgeon
general, Rear Admiral Steven K. Galson, M.D.,
M.P.H., and a message encouraging physical
activity.
http//www.exerciseismedicine.org/PSA.htm
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Additional Resources
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FUTURE OF EIM
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Future Goals of Exercise is Medicine

• Physicians health care providers
• Partnership with a company that has a tool to
  aid physicians in diagnosing lack of activity as
  primary cause of patient being overweight.
• Development of a software tool that writes
  exercise prescriptions and provides database of
  local fitness /sports professionals for referring
  patients to.
• Establish partnerships with all major primary
  care physician and allied healthcare professional
  associations.
• Sign up as many healthcare providers as possible
  as part of Exercise is Medicine.

• Fitness professionals
• Development of a software tool that facilitates
  fitness professional working with local
  physicians and allied healthcare providers.
• Sign up as many fitness professionals as
  possible as part of Exercise is Medicine.
• Introduce health club accreditation.
• Sign up as many health clubs as possible

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Future Goals of Exercise is Medicine

• Public
• Increase public awareness of Exercise is
  Medicine to the level at which the public is
  expecting to talk to their primary healthcare
  provider about exercise.
• Sign up as many companies as possible to promote
  Exercise is Medicine to their employees.
• Sign up as many schools as possible to promote
  Exercise is Medicine to their students.

• Support
• Obtain enough supporting organizations to (i)
  achieve legislative policy goals and (ii)
  achieve public (awareness) goals.
• Recruit major sports organizations to sign on as
  a referring organization for healthcare
  provider/fitness professionals.
• Seek corporate, federal, philanthropic partners
  for sustainability for Exercise is Medicine.

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TAKE ACTION
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Become Involved with Exercise is Medicine
1. Log on to www.ExerciseIsMedicine.org.
2. Click Join Us.
3. Click Physicians, Health Fitness
Professionals or Public to download a toolkit.
4. Start today!
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Exercise is Medicine Month
Help Exercise is Medicine celebrate physical
activity during May for Exercise is Medicine
Month! A comprehensive Actions and Promotions
toolkit with resources and information is
available for download. To promote Exercise is
Medicine Month and the wide array of benefits
physical activity has to offer, contact your
local officials. Tell them about the importance
of getting the public active, and encourage them
to sign a mayoral proclamation or governors
proclamation for Exercise is Medicine Month.
Visit Exercise is Medicine Month online at
www.exerciseismedicinemonth.org!