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Let us talk about moving: Reframing the exercise and physical activity discussion


Arena, R and McNeil, A and Street, S and Bond, MA and Laddu, DR and Lavie, CJ and Hills, AP, Let us talk about moving: Reframing the exercise and physical activity discussion, Current Problems in Cardiology, 43, (4) pp. 154-179. ISSN 0146-2806 (2017) [Refereed Article]

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Copyright 2018 Elsevier B.V. or its licensors or contributors.

DOI: doi:10.1016/j.cpcardiol.2017.06.002


Noncommunicable and chronic disease are interchangeable terms. According to the World Health Organization "they are of long duration and generally slow progression. The 4 main types of chronic diseases are cardiovascular diseases (CVD) (i.e., heart attacks and stroke), cancers, chronic respiratory diseases (such as chronic obstructive pulmonary disease and asthma) and diabetes". We have known about the benefits of physical activity (PA) for thousands of years. Perhaps our approach, from public health messaging to the individual clinical encounter, as to how PA and exercise are discussed and prescribed can be improved upon, with the ultimate goal of increasing the likelihood that an individual moves more; ultimately moving more should be the goal. In fact, there is an incongruence between the evidence for the benefits of physical movement and how we message and integrate PA and exercise guidance into healthcare, if it is discussed at all. Specifically, evidence clearly indicates any migration away from the sedentary phenotype toward a movement phenotype is highly beneficial. As we necessarily move to a proactive, preventive healthcare model, we must re-conceptualize how we evaluate and treat conditions that pose the greatest threat, namely chronic disease; there is a robust body of evidence supporting the premise of movement as medicine. The purpose of this perspective paper is to propose an alternate model for promoting, assessing, discussing and prescribing physical movement.

Item Details

Item Type:Refereed Article
Keywords:exercise, physical activity, chronic diseases, preventive health care
Research Division:Health Sciences
Research Group:Sports science and exercise
Research Field:Exercise physiology
Objective Division:Health
Objective Group:Public health (excl. specific population health)
Objective Field:Preventive medicine
UTAS Author:Street, S (Dr Steven Street)
UTAS Author:Hills, AP (Professor Andrew Hills)
ID Code:117746
Year Published:2017
Web of Science® Times Cited:28
Deposited By:Health Sciences
Deposited On:2017-06-27
Last Modified:2018-11-28

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