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Optimisation of physical activity to fight the Metabolic Syndrome Sergio Guillén  pHealth 2007 Conference Porto Carras, Greece, June 20-22, 2007
Outline
Outline
Major Risk Factors to Health(Atributable mortality) Developing Countries EU US WEALTH                                              	POVERTY Source: WHO World Health Report 2002 Report “Reducing Risks, Promoting Healthy Life”
Metabolic Syndrome Nutrition & PhysicalActivityFactors GeneticFactors
Metabolic Syndrome 80% of coronary heart disease cases, 90% of type 2 diabetes cases and one third of cancers can theoretically be avoided if citizens followed current guidelines on diet, alcohol, physical activity and smoking Source: WHO World Health Report 2002 Report “Reducing Risks, Promoting Healthy Life”
Management of MS
Outline
Physical Activity
Physical Exercise Shopping unconscious (regarding PA) Indirect motivation (I want to go shopping) No expected physical benefits (I enjoy shopping Personal satisfaction (self determination) Jogging Medium-high level of conscious Direct motivation needed (voluntary determination) Expected physical benefit (health benefits) Normally boring (needs extra motivation)
Physical Exercise principles
Cardiovascular adaptation Ventricular compliance Internal ventricular dimensions Plasma volume Total blood volume Venous return End diastolic volume Stroke volume Red blood cell mass Myocardial contractility Ejection fraction Maximum cardiac output Increased effectiveness of CA distribution Optimisation of peripheral flow Increased blood flow to active muscle ARTERIAL TREE HEART PERIPHERAL CIRCULATION MUSCLES
Cardiovascular fitness
Risk of Physical Exercise Cardiovascular risk Skeleton muscle damages Oxidative stress
OXIDANTES OXIDANTS ANTIOXIDANTES ANTIOXIDANTS Oxidative Stress During exhausting exercise … Moderate exercise High intensity exercise Oxidative Stress Superoxide (O2-) Antioxidants   Free Radicals  Hidroxile(HO) HidrogenPeroxide(H2O2)
Outline
How to achieve optimal physical activity? MONITORING PERSONALIZATION MOTIVATION
Activity Coach implementation
Activity Coach: Personalization
Activity Coach: Personalization Personalised unique realization
Activity Coach: Monitoring TOOLS
Activity Coach: Monitoring
Activity Coach: Monitoring Fitness status assessment Specificsessionprogramedtoevaluateuserfitness status objectively. Basedonmeasuring HRRA afterintensity incremental test
Activity Coach: Motivation Personalised guidance
Activity Coach: Motivation Duringdailylife User portal ,[object Object]
Sessionresults
Trends & patternsReminders and alerts Rewards & gifts
Activity Coach: Integration
Outline

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