I Rock Therefore I Am. 20 Legendary Quotes from Prince
Part Of The MOVEment 2 workshop slides: Activators
1. Part of the Movement 2
Activators Workshop
Joanne Taylor & Eloise Glithero – Active Cheshire
Dr. Chris Lowry – GP & Activator
3. The Challenge
80% of GPs are unfamiliar
with national physical
activity guidelines Lack of appointment time
means health practitioners
struggle to understand
individual inactivity and
barriers to physical activity
Mixed messages,
recommendations, and
advice on physical activity
causes confusion. We are most influenced by
people like us. Role models
who we see on a day-to-day
basis are family, colleagues,
community champions.
10. The Challenges
1. Our clients are obese.
2. Our clients are inactive.
3. This is making them (more) ill.
11. The Challenges
1. Our clients are obese.
2. Our clients are inactive.
3. This is making them (more) ill.
4. We aren’t brilliant at addressing either problem.
15. “There is clear scientific evidence proving the benefit of regular physical activityon both
the primary and secondary prevention of diabetes, hypertension, cancer (particularly
breast and colon cancer), depression, osteoporosis and dementia.
Furthermore, regular physical activityhas been shown to be essential in achieving and
maintaining weight control.
Finally, there is a clear correlation between physical activityand all-causemortality”
PhysicalActivity andHealth: AReport of the Surgeon General.
Center forChronic Disease Prevention andHealth Promotion, 1996.
16. Physical inactivity: the biggest publichealth
problem of the 21st century.
British Journal ofSportsMedicine, Volume 43, Issue 1
18. “72% ofGPs donotspeak aboutthe benefits of
physical activity with patients”
Clinical champion GPs getphysical
BMA Practice Blog April2016
19. Only17% of overweight and 42% of obese respondents
recalled ever having received HP advice to lose weight.
HP advice was associated withattemptingto lose weight
(OR=3.53, 95% CI 2.44 to 5.10).
Theimpact of a health professional recommendation on
weight loss attempts in overweight and obeseBritish
adults.
BMJ Open 2013
.
21. Physician weight loss adviceandpatient weight loss behavior
change: aliterature review and meta-analysis of survey data
International Journal of Obesity (2013) 37
“PCP advice on weightloss appears to have a significantimpact on
patientattemptsto change behaviours related to their weight.(OR
3.98)
Providers should address weightloss withtheir
overweight and obesepatients.”
23. “In comparisons between metformin monotherapy and placebo,
metformin reduced mean HbA1c level by 12”.
How Much Does Metformin Lower
HbA1c Level?
Diabetes Care 2012 Feb.
Physical Activity AdviceOnly or Structured
Exercise Training andAssociation With
HbA1c Levelsin Type 2 Diabetes
JAMA 2011 ;305(17)
24. “In comparisons between metformin monotherapy and placebo,
metformin reduced mean HbA1c level by 12”.
“Structured exercise duration of more than 150 minutes per
week was associated with a reduction in HbA1c of 9.7”.
How Much Does Metformin Lower
HbA1c Level?
Diabetes Care 2012 Feb.
Physical Activity AdviceOnly or Structured
Exercise Training andAssociation With
HbA1c Levelsin Type 2 Diabetes
JAMA 2011 ;305(17)
25. Weight loss of 15kg led to40% of study participants
maintaininga non diabeticHbA1c for the entire 6
months followupperiod.
“T2DM is a potentially reversible
condition.”
Very-Low-Calorie Diet and6 Months of Weight
Stabilityin Type2 Diabetes: Pathophysiologic
Changes in Responders and Nonresponders
Diabetes Care 2016 Mar
29. A brief Intervention
1. Understand the client
2. Understand the science
3. Understand the options
30. A brief Intervention
1. Understand the client
2. Understand the science
3. Understand the options
4. Make every contact count.
31. • Understand their motivations and barriers- softer GP skills are definitely
usefulhere
• Motivational interviewing orelements of it can be helpfulin behaviour
change.
• Languagechoices
• Exampleofpatientmisconceptions.
UNDERSTAND the CLIENT
32. • Calories is the most important
• Activity levels needed – 30 mins, 5 timesa week, but generally… just
MOVE MORE.
• Most diet styles willwork, because most lead to calorie restriction
UNDERSTAND the Science
33. • www.nhs.uk/livewell
• Dietician
• GP for Medication
• Weight Watchers & SlimmingWorld
• LiveWire
• WarringtonWellbeing
UNDERSTAND The Options
34. A brief Intervention
1. Understand the client
2. Understand the science
3. Understand the options
4. Make every contact count.
36. Group Discussions
Activators – Educating and empowering community leaders,
allied health professionals and front line community workers
to promote active lifestyles consistently through ONE YOU
• Ambitions of the Pillar
• What can we do/need to be done to achieve?