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Sedentary behaviour
Promoting physiotherapy leadership to reduce
sedentary behaviour in clinical populations
SEMINAR-09
Room E, Monday 13 May, 15:45 – 17:15
2
Professor Antonio Cuesta-Vargas
Universidad de Málaga, Spain
@aicuesta
3
Objectives
◉ State of the art sedentary behaviour and physical activity
among key clinical populations
◉ Latest findings from physiotherapy delivered interventions
evaluated in clinical trial
◉ Provide an overview of practical advice and
implementation of interventions in clinical settings by
physiotherapists
4
Structure
◉ 1) Review sedentary behaviour and physical activity
recommendations, key research (10 min)
◉ 2) 4 presentations (15 min. each) on physiotherapist-
led multi-modal interventions
◉ 3) Q & A session with the panel (15 min)
◉ 4) Summary of relevant messages for the delegates to
take away from the session (5 min).
5
6
EVIDENCE, BARRIERS & KEY RESEARCH
Hallal et al, Lancet 2012
Globally, 1 in 3 adults are inactive physically
@aicuesta
Hay et al, Lancet 2017@aicuesta
Ding et al, Lancet 2016
Physical inactivity
has been estimated to have
an annual cost of
$54 billion
attributable to direct health care,
of which 57% is incurred by the
public sector
@aicuesta
Ekelund et al, Lancet 2016
High levels of moderate PA
(60–75 min per day)
seem to eliminate the
increased risk of death
associated with high sitting time
“Sitting is NOT new smoking”
@aicuesta
Ekelund et al, Lancet 2016@aicuesta
Tremblay et al. IJBNPA 2017
Sedentary behaviour is
any waking behaviour characterized by
an energy expenditure≤1.5 METs,
while in a sitting, reclining or lying posture
Sedentary
<1,5 METs
Light PA
1,5-3 METs
ModeratePA
3-6 METS
Vigorous PA
>6 METs
The Energy Expenditure Continuum
@aicuesta
Conceptual model of movement-based
terminology arranged around 24h period,
focused in postures & energy expenditure.
@aicuesta Tremblay et al. IJBNPA 2017
Buck et al, PLOS One 2019
33
Factors
6
Dimensions
@aicuesta
Peake et al Front Physiol 2018
Wearable technologies
Remote monitoring of activities are possible at home and in clinical settings
Only 5% of these technologies have been formally validated
@aicuesta
“
Physiotherapistsare ideally placed to deliver
evidence-informed interventions to break the cycle of
prolonged sitting that could contribute to, or worsen,
musculoskeletal impairments and chronic disease
@aicuesta
Zusman et al, JGPT 2019 Growdon et al, JAMA internal Medicine 2017
Physiotherapy patients
may be at elevated risk of inactivity due challenges associated
with their acute and chronic conditions.
The best available evidence suggests healthcare
professionals err too conservatively on the side of rest
McPhail & Waite, JOMT 2014@aicuesta
Prof. Cuesta-Vargas
PhD Past (Physio)
Dra. Casuso-Holgado
Dr. Galán-Mercant
Dra. Martin-Valero
Dr. Castillo-Lozano
Dra. Cantero-Téllez
Dr. González-Sánchez
Dra. Romero-Godoy
Dra. Osuna-Pérez
Dr. Rodriguez-Exposito
Dr. Belón-Pérez
Dr. Muro-Culebras
Dr. Cano-Herrera
Dra. Conejo-Tirado
Dr. Roldán-Jiménez
PhD Past (Podiatrist)
Dra. Jiménez-Cebrian
Dra. Ortega-Avila
Dr. Paez-Moguer
Dr. Ruiz-Muñoz
PhD past (Occ T)
Dr. Rodriguez-Martínez,
Dr. Martin-Martin
Dr. Pérez-Cruzado
Dr. Merchán-Baeza
Dr. Gutiérrez-Sánchez (Nursing)
International
Prof. Lee, UK
Prof. Adams, UK
A/Prof. Jon Williams, UK
Dra. Kuisma, UK
A/ Prof. Farasyn, Be
Prof. Peter Vaes, Be
Prof. Nijs, Be
Prof. Daly, Be
A/ Prof. Benelli, Italy
Prof. Burkett, Australia
Prof. Kerr, Australia
Prof. McPhail
Dr. Gabel, Australia
Prof. Osborne, USA
Prof Gatchel, USA
Dr. Nebblet, USA
National
Prof. Gine-Garriga, Barcelona
Prof Martinez-Vizcaino, Cuenca
Dr. Luciano, Barcelona
Dr. Grandes, Bilbao
Dr. Arroyo-Morales, UGR
Dr. Ortega, UGR
Local
Prof. Alba
Dr. Mayoral
Dr. Garcia-Romero
Dr. Barón-Lopez
Current PhD Students
Garrido-Cervera
Vera-García
Mateo-Angulo
Barreda-Pitarch
Rodriguez-González
Trinidad-Fernández
Carrasco E
Escríche-Escuder
Giraldo-Ortega
Pérez-Panero
Pareja-Cano
Fuentes-Aboláfio
Barni L
Any questions ?
Q & A session with the panel
You can find me at
● @aicuesta
● acuesta@uma.es
Thanks!
20
Howto change #SedBeh across Clinical Populations?
Which
outcome
What is
need to change
Who
to target
21
@aicuesta
What is need to change in Physios IN & OUTPATIENTS?
first lastsecond
22
BREAK
PROLONGED
Sitting
Lying
Reclining
>(4h/day)
MOD-VIGOR
THERAPEUTIC
EXERCISES
(60 min/day
>3 Corrected
METs intensity
PLUS
MINUTES/DAY
>1,5 A 3
Corrected
METs intensity
@aicuesta
first last
Which outcome?
POLYPILLS
MULTI-SYSTEMS
@aicuesta
Whoto target?
first lastsecond
24
INFANT &
ADOLESCENT
YOUNG & OLDER
ADULTS ELDERLY
INPATIENTS
OUTPATIENTS
ACROSSALLDISEASES
POLYPILLS
ACROSS LIFESPAN@aicuesta
#iGAME
Multi-dimensional Intervention Support Architecture for
Gamified eHealth and mHealth Products:
H2020 MSCA RISE 2018
Nº 823871
You can find me at
● Twitter @aicuesta
● email; acuesta@uma.es
Thanks!
26
Please Evaluate this session in the App
Conf2GO WCPT2019

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Promoting physiotherapy leadership to reduce sedentary behaviour in clinical populations

  • 1. Sedentary behaviour Promoting physiotherapy leadership to reduce sedentary behaviour in clinical populations SEMINAR-09 Room E, Monday 13 May, 15:45 – 17:15
  • 2. 2 Professor Antonio Cuesta-Vargas Universidad de Málaga, Spain @aicuesta
  • 3. 3
  • 4. Objectives ◉ State of the art sedentary behaviour and physical activity among key clinical populations ◉ Latest findings from physiotherapy delivered interventions evaluated in clinical trial ◉ Provide an overview of practical advice and implementation of interventions in clinical settings by physiotherapists 4
  • 5. Structure ◉ 1) Review sedentary behaviour and physical activity recommendations, key research (10 min) ◉ 2) 4 presentations (15 min. each) on physiotherapist- led multi-modal interventions ◉ 3) Q & A session with the panel (15 min) ◉ 4) Summary of relevant messages for the delegates to take away from the session (5 min). 5
  • 6. 6 EVIDENCE, BARRIERS & KEY RESEARCH
  • 7. Hallal et al, Lancet 2012 Globally, 1 in 3 adults are inactive physically @aicuesta
  • 8. Hay et al, Lancet 2017@aicuesta
  • 9. Ding et al, Lancet 2016 Physical inactivity has been estimated to have an annual cost of $54 billion attributable to direct health care, of which 57% is incurred by the public sector @aicuesta
  • 10. Ekelund et al, Lancet 2016 High levels of moderate PA (60–75 min per day) seem to eliminate the increased risk of death associated with high sitting time “Sitting is NOT new smoking” @aicuesta
  • 11. Ekelund et al, Lancet 2016@aicuesta
  • 12. Tremblay et al. IJBNPA 2017 Sedentary behaviour is any waking behaviour characterized by an energy expenditure≤1.5 METs, while in a sitting, reclining or lying posture Sedentary <1,5 METs Light PA 1,5-3 METs ModeratePA 3-6 METS Vigorous PA >6 METs The Energy Expenditure Continuum @aicuesta
  • 13. Conceptual model of movement-based terminology arranged around 24h period, focused in postures & energy expenditure. @aicuesta Tremblay et al. IJBNPA 2017
  • 14. Buck et al, PLOS One 2019 33 Factors 6 Dimensions @aicuesta
  • 15. Peake et al Front Physiol 2018 Wearable technologies Remote monitoring of activities are possible at home and in clinical settings Only 5% of these technologies have been formally validated @aicuesta
  • 16. “ Physiotherapistsare ideally placed to deliver evidence-informed interventions to break the cycle of prolonged sitting that could contribute to, or worsen, musculoskeletal impairments and chronic disease @aicuesta
  • 17. Zusman et al, JGPT 2019 Growdon et al, JAMA internal Medicine 2017 Physiotherapy patients may be at elevated risk of inactivity due challenges associated with their acute and chronic conditions. The best available evidence suggests healthcare professionals err too conservatively on the side of rest
  • 18. McPhail & Waite, JOMT 2014@aicuesta
  • 19. Prof. Cuesta-Vargas PhD Past (Physio) Dra. Casuso-Holgado Dr. Galán-Mercant Dra. Martin-Valero Dr. Castillo-Lozano Dra. Cantero-Téllez Dr. González-Sánchez Dra. Romero-Godoy Dra. Osuna-Pérez Dr. Rodriguez-Exposito Dr. Belón-Pérez Dr. Muro-Culebras Dr. Cano-Herrera Dra. Conejo-Tirado Dr. Roldán-Jiménez PhD Past (Podiatrist) Dra. Jiménez-Cebrian Dra. Ortega-Avila Dr. Paez-Moguer Dr. Ruiz-Muñoz PhD past (Occ T) Dr. Rodriguez-Martínez, Dr. Martin-Martin Dr. Pérez-Cruzado Dr. Merchán-Baeza Dr. Gutiérrez-Sánchez (Nursing) International Prof. Lee, UK Prof. Adams, UK A/Prof. Jon Williams, UK Dra. Kuisma, UK A/ Prof. Farasyn, Be Prof. Peter Vaes, Be Prof. Nijs, Be Prof. Daly, Be A/ Prof. Benelli, Italy Prof. Burkett, Australia Prof. Kerr, Australia Prof. McPhail Dr. Gabel, Australia Prof. Osborne, USA Prof Gatchel, USA Dr. Nebblet, USA National Prof. Gine-Garriga, Barcelona Prof Martinez-Vizcaino, Cuenca Dr. Luciano, Barcelona Dr. Grandes, Bilbao Dr. Arroyo-Morales, UGR Dr. Ortega, UGR Local Prof. Alba Dr. Mayoral Dr. Garcia-Romero Dr. Barón-Lopez Current PhD Students Garrido-Cervera Vera-García Mateo-Angulo Barreda-Pitarch Rodriguez-González Trinidad-Fernández Carrasco E Escríche-Escuder Giraldo-Ortega Pérez-Panero Pareja-Cano Fuentes-Aboláfio Barni L
  • 20. Any questions ? Q & A session with the panel You can find me at ● @aicuesta ● acuesta@uma.es Thanks! 20
  • 21. Howto change #SedBeh across Clinical Populations? Which outcome What is need to change Who to target 21 @aicuesta
  • 22. What is need to change in Physios IN & OUTPATIENTS? first lastsecond 22 BREAK PROLONGED Sitting Lying Reclining >(4h/day) MOD-VIGOR THERAPEUTIC EXERCISES (60 min/day >3 Corrected METs intensity PLUS MINUTES/DAY >1,5 A 3 Corrected METs intensity @aicuesta
  • 24. Whoto target? first lastsecond 24 INFANT & ADOLESCENT YOUNG & OLDER ADULTS ELDERLY INPATIENTS OUTPATIENTS ACROSSALLDISEASES POLYPILLS ACROSS LIFESPAN@aicuesta
  • 25. #iGAME Multi-dimensional Intervention Support Architecture for Gamified eHealth and mHealth Products: H2020 MSCA RISE 2018 Nº 823871
  • 26. You can find me at ● Twitter @aicuesta ● email; acuesta@uma.es Thanks! 26 Please Evaluate this session in the App Conf2GO WCPT2019