Exercise Is Medicine Course & Credential PDF

PHYSICAL THERAPISTS = Exercise Specialists EXERCISE IS MEDICINE Dr. Lucie Pelland PT 6606 (Clinical Therapeutic Exercises) Spring 2025  Physical Therapists: Exercise and Physical Activity Experts Across the Life Span APTA = physical therapists optimize movement to improve the human experience...

PHYSICAL THERAPISTS = Exercise Specialists EXERCISE IS MEDICINE Dr. Lucie Pelland PT 6606 (Clinical Therapeutic Exercises) Spring 2025  Physical Therapists: Exercise and Physical Activity Experts Across the Life Span APTA = physical therapists optimize movement to improve the human experience PTs have the expertise and the opportunity to play a unique role for prevention, wellness, fitness, health promotion, and management of disease and disability at the individual and population levels. The professional (and expert) roles of PTs include: o Helping individuals and populations improve overall health and avoid preventable health conditions through prevention and promotion of wellness, fitness, and health o Working with individuals to manage disease and disability o Advocating for better overall health outcomes of individuals and populations  Exercise is Medicine ® Co-launched by the American College of Sports Medicine and American Medical Association in 2007 Vision: Make physical activity assessment and promotion a standard in clinical care, connecting health care with evidence-based physical activity resources for people everywhere of all abilities.  Exercise and PA Assessment & Prescription as a STANDARD OF CARE. Partnership between healthcare systems & communities No patient should leave the clinic without: An assessment of their physical activity (PA) level Brief advice/PA prescription and/or referral to qualified programs or professionals for further support Communities should: Provide accessible PA interventions for referred patients. Provide safe, inviting, well-maintained spaces for recreational activities and active transportation  US 2021: Leading Causes of Death The 10 leading causes of death in 2021 were: 1. Heart Disease 2. Cancer (Malignant neoplasms) 3. COVID-19 4. Accidents (unintentional injuries 5. Stroke (Cerebrovascular diseases) 6. Chronic lower respiratory diseases 7. Alzheimer’s disease 8. Diabetes 9. Chronic liver disease and cirrhosis 10. Nephritis, nephrotic syndrome and nephrosis (kidney disease) RED = Physical INACTIVITY-related diseases !!! CDC 2021 CHILDHOOD OBESITY Prevalence = Between 2017 and 2020, 19.7% of children and adolescents in the US were obese, which is about 14.7 million children. Age groups = Obesity rates vary by age group, with 12.7% of children aged 2–5, 20.7% of children aged 6–11, and 22.2% of adolescents aged 12–19 being obese. Health risks = Obesity can lead to chronic health problems like heart disease, high blood pressure, cancer, and asthma. Contributors to Overall Health Status 20 Exercis % e 50 Smokin % 20 g % Diet 10 % Source: Kaiser Family Foundation, 2015 (CDC) Only 4% of the nation’s total health care bill is spent on promoting healthy behaviors. Why? Financial return on lifestyle interventions is long-term (3 to 10 years) Evidence remains limited for healthcare-based lifestyle interventions Disease management (rather than prevention) is still prioritized in healthcare Comparison of effectiveness of exercise vs drug therapy Meta-analysis of 16 studies (4 exercise, 12 drug) NO DIFFERENCE in terms of mortality benefits or in: o secondary prevention of coronary heart disease, o rehabilitation after stroke, o treatment of heart failure, and o prevention of diabetes For stroke rehabilitation, exercise intervention was more effective than drug therapies. Naci H, Ioannidis JP. Br J Sports Med. 2015 Nov; 49(21):1414-22. Their Conclusion Exercise interventions SHOULD be considered as a viable alternative to, or alongside, drug therapy PHYSICAL ACTIVITY needs to become the prescribed “PILL” of the future! Naci H, Ioannidis JP. Br J Sports Med. 2015 Nov;49(21):1414-22.  Recommendation for patients with cardiovascular disease risk factors With a grade of B, the Affordable Care Act requires that commercial health insurance plans provide benefits for, and require no cost sharing for, these preventive services. Released: November 24, 2020 USPSTF: United States Preventive Services Task Force What Are We Aiming For?  Physical activity (150-300 mins/week at moderate-intensity) Reduces risk of developing a new chronic health condition and progression of existing conditions (type 2 diabetes, hypertension, heart disease, stroke, 2018 Physical Activity Guidelines osteoarthritis) Advisory Committee Scientific Report Reduces risk of 7 types of cancer, lowers cancer mortality Reduces risk of dementia Reduces risk of depression and anxiety, lessens symptoms Prevents weight gain and improves weight maintenance Even if no weight loss, reduces CHD & diabetes Reduces risk of fall and fall-related injuries in older  Regular physical activity Improves sleep quality: reducing the length of time it takes to go to sleep reducing awake time during night increasing time in deep sleep reducing daytime sleepiness Improves quality of life and physical function. 2018 Physical Activity Guidelines “Physically active individuals Advisory Committee Scientific Report sleep better, feel better and function better.” How do we integrate physical activity into health care? SBIRT Screening e. Be activ 30 mins wk 5 days/ Brief Intervention Referral Physical Activity Vital Sign (PAVS) Routine part of the health history Benefits of the Physical Activity Vital Sign (PAVS) – Kaiser Permanente Physicians were more likely to document exercise in progress notes where PAVS was implemented o 12% increase of documentation of PA habits o Patients 14% more likely to report having discussed exercise w/ their PCP o 14% increase in providing exercise referrals to patients The use of the PAVS was associated with: o Small, but significant, weight loss in patients that are overweight or obese o Greater reduction in HbA1c levels in patients with diabetes Grant et al. J Gen Intern Med. 2014; 29(2). Physical Activity Spectrum Activities of Active Lifestyle Exercise Daily Living Transportatio Activities (planned) n Walking/rolling Walk the dog Aerobic activity Taking stairs Walk/bike to Rake leaves Strengthening Parking farther work or errands Go dancing Combo or sports The EIM Prescription Form Patient receives the PA guidelines & individualized recommendations Developing Effective Partnerships Convenient, evidence-informed PA resources for patients and at-risk populations Programs Places Coaching Self-Directed Silver Sneakers, AF Medical fitness, EIM Credential, Apps, digital activity Aquatic Ex, etc. YMCA, parks, etc ACSM fitness pros trackers  EIM Goal Formal community partnerships - build a bridge of trust to qualified and accessible PA resources. Health systems and population health programs provide financial incentives for lifestyle interventions. Collect participation & outcomes data. Employers and health plans save money by improving the health of POLICY EFFORTS ACSM Task Force Physical Activity - building a pathway for Alliance – building the clinical exercise structure (HL7) for physical physiologists to become activity integration in health care coding and qualified healthcare communication standards. professionals (QHP) – eligible for reimbursement. Exercise is Medicine® Course & Credential NEW 15-hour interactive online course can be taken by anyone! (required for EIM Credential) ACSM’s EIM Credential recognizes and educates exercise professionals to work safely and effectively with patients/clients with common chronic medical conditions. EIM Online Course (15 CECs) The EIM online course modules include: Working as an extended member of the health care team. Guiding w/patients with common chronic diseases and older adults Promoting sustained behavior change - adoption and maintenance of physical activity (collaboration w/ Wellcoaches) Facilitating small group medical fitness interventions and using technology. How can YOU get involved? www.exerciseismedicine.org 1. Sign up for the EIM e-newsletter (top right of EIM landing page). 2. Take the EIM Online Course. Apply for EIM Credential if meet requirements. 3. Become a champion in your health care system and utilize the HCP Action Guide 4. Form a leadership team at your campus to register as an EIM On Campus program. 5. Find out if there is an EIM National Center in your country and join their team. 6. Sign up for the EIM Research Learning Collaborative listserv. 7. Participate in an EIM subcommittee. (see EIM website for more info) 8. Give EIM presentations using the EIM Foundational Slide deck Put your passion into action!