MOVE Congress 2019 presentation by Miklós Tóth, President of the Hungarian Society of Sports Science in the track 'Game-changers connecting physical activity and health' on 17 October.

1. MOVE CONGRESS
BUDAPEST
17/10. 2019.
THE ROLE OF PHYSICAL ACTIVITY IN LIFE STYLE
MEDICINE
MIKLÓS TÓTH
A A: A MOZGÁSGYÓGYSZER
KONCEPCIÓ

2. Major diseases
Year Life span Cause of death
1900 45 years Infectious diseases
2019 73 years Metabolic,
cardiovascular,
oncologic, etc
Industrial revolution
Electric light
Antibiotics
e-world?

3. Challenge of evolution
Physical activity is the right answer
?

4. 0
2
4
6
8
10
12
14
16
18
Alacsony fittség Elhízás Dohányzás Magas
vérnyomás
Magas
koleszterinszint
Diabétesz
(%) Risk of death
m f
m: male
F: female
Inactivity Obesity Smoking BP Cholesterin Diabetes

5. Hungarian children

6. Frequency of obesity (%) between 6-19 years old school children in
Hungary (n=23000)
Physical exercise lesson every day in schools from 2011
0
2
4
6
8
10
12
6 7 8 9 10 11 12 13 14 15 16 17 18 19
1980
2009

7. Hungarian university students
Győr, Veszprém

8. Risk score of disease and physical activity in
university students (n=272)

9. Hungarian adults

10. 18000 people/year
We introduced a
physical activity
questionnaire in 2015

11. 0
10
20
30
40
50
60
70
1 2 3 4 5
férfi
nő
férfi
nő
26-35 36-45 46-55 56-65 66-75
Less than 2 hours
sitting
More than 8 hours
sitting
%
Sitting time in age groups (n=450000)
years

12. 0
10
20
30
40
50
60
70
1 2 3 4 526-35 36-45 46-55 56-65 66-75
Average life span in Hungary is 10 years shorter than in Austria
Those reaching the age of 70 in Hungary live as long as Austrians
Turn yourself into an Austrian by being physically active

13. Cardiovascular diseases
Cancer
Osteoporosis
World osteoporosis day 20th October

14. Lancet, 1953: 265 (6795), 1053-1057.

16. G. Noé Judit PhD student
Cardiometabolic patients
30 minutes daily controlled phyisical activity
6 months
(n=262)

17. Parameter % change
Body mass (kg) 8 % ↓
Body mass index (BMI) 8 % ↓
Systoic blood pressure 8 % ↓
Diastolic blood pressure 11% ↓
Heart rate 10% ↓
Time of physical activity 44% ↑
Physical performance 53% ↑
VO2max 20% ↑
MET 35% ↑
Cholesterine 8% ↓
LDL 17% ↓
Glucose 6% ↓
SAME EFFECT: 10 DIFFERENT DRUGS

18. Household physical activity and cancer risk: a
systematic review and dose-response meta-
analysis of epidemiological studies
Shi Y et al: Sci Rep. 2015 Oct
• Total cancer risk decreased by 16% among the
higher physical activity group
• (RR=0,84 CL= 0,76-0,93)
• 30 studies, 40 000 people
• We underestimate the role of physical activity

19. Urging aging husbands to wash
windows at home
Family quarrel or primary
cancer prevention?

20. Peak bone mass is dependent on previous
physical activity 60000 bone fractures in
Hungary/year
2 10 20 23 30 40 50 60 70 80
Férfi
Nő
Menopausa
T: -2,5 Bone fracture treshold
year
Peak bone mass
B
o
n
e
d
e
n
s
i
t
y

21. Male Female
inactive active inactive active
1460
1470
1480
1490
1500
1510
1520
1530
Nem sportoló
fiúk
Sportoló fiúk Nem sportoló
leányok
Sportoló leányok
Bone density in children in every day school phisical
activy program or not in 2016(n= 3500)m/s

22. Steve Redgrave
5 Olympic gold medals
Colitis ulcerosa, insulin dependent diabetes
„No excuse to inactivity”

23. We were created like this

24. Physical activity, no smoking, no alcohol, good
body weight, good mental state, healthy eating,
good personal relationships, social tolerance

25. Life style medicine