Exercise Is Medicine JacksonvillePresented by: Carmen RojasKinesologist, Participating EIMSupporter
What Is Exercise Is Medicine• Exercise Is Medicine™ is a sustainable global initiative to:– Influence national policy to obtain reimbursement for exercisecounseling.– Influence medical health record companies to include exerciseas a HEDIS measure and health care systems to make exercise avital sign.– Effect policy changes that support physical activity counselingand patient referrals (to health fitness professionals) in clinicalsettings.– Produce an expectation among the public that health careproviders should and will ask about and prescribe exercise.– Encourage physicians and other health care providers to bephysically active themselves.
What This Means For Your Practice• The medical practice action steps can besummed up in three basic steps.• Ask• Assess• Assign
What To Ask• Ask every patient, at every visit questionsabout their physical activity.• Sample questions might include– When was the last time you exercised?– How long do you exercise when you do exercise?– What type of exercise do you prefer?– How hard are you exercising?
Assessing Readiness For PhysicalActivity• Based on their diagnosis, current state, andanswers to the previous questions assess thefollowing:– Should this patient be exercising?– Can this patient exercise on their own?– Can this patient exercise under the guidance of anexercise professional?– PAR-Q is a useful tool to determine physicalactivity readiness.
Assign The Patient Some Homework• If the patient is already exercising as theyshould, congratulate and encourage them tocontinue.• If the patient is not currently getting enoughphysical activity, but does not need supervisionuse the “Exercise Prescription” to give themspecific steps.• If the patient needs regular guidance to achievephysical activity goals, refer them to a qualifiedhealth and fitness expert.
Things to Remember When ChoosingA Trainer• Not all personal trainers arecreated equal. To treatspecial populations trainersshould at a minimum:– Have a 4 year degree in anExercise Science or relatedfield in addition to an NCCArecognized Personal Trainingcertification.– Hold a current CPRcertification– If independent, carrysufficient liability insurance• Not all gyms insure thetrainers
Resources• All of the pieces (EIM Prescriptions, ReferralCards, brochures) etc. can be downloadedfrom www.exerciseismedicine.org• The pieces can be custom ordered, printedand bound locally.– (Speak with Carmen Rojas for more information.)
The Research• Quantity and Quality ofExercise for Developing andMaintaining Cardiorespiratory,Musculoskeletal, andNeuromotor Fitness inApparently Healthy Adults:Guidance for PrescribingExercise• Appropriate Physical ActivityIntervention Strategies forWeight Loss and Prevention ofWeight Regain for Adults• Exercise and 24-h GlycemicControl: Equal Effects for AllType 2 Diabetes Patients?• American College of SportsMedicine Roundtable onExercise Guidelines for CancerSurvivors• Acute Effects of Exercise andCalorie Restriction onTriglyceride Metabolism inWomen
Summary• The success of the Exercise Is Medicine globalinitiative depends on the leadership ofphysicians.• The Ask, Asses, Assign process should onlytake a few minutes to complete and can makea significant difference to your patientoutcomes.• Lead by example and encourage yourstaff, and colleagues to regularly exercise.
CARMEN ROJASCARMEN@GETVARSITYFIT.COM(904)772-4709For More Information