Escolar Documentos
Profissional Documentos
Cultura Documentos
• Brain development
required energy
• Hunter survived
because of endurance
Where has evolution led us?
Where has evolution led us?
• Lessons from the
aboriginal people of
Australia
• Less Hunting/more
gathering due supply
Where are we today?
• What is Best indicator
risk of death in next 10
years?
Where are we today?
• What is Best predictor
of mortality risk in next
10 years?
• Exercise Capacity =
Aerobic capacity
Exercise is the best medicine
Relative Risk of CVD
1
1.0
0.8
Relative Risk Score
0.6 0.68
0.4
0.37 0.33
0.2
0
0 1-59 min 1.0-1.5 h >2h
Time Spent Walking per Week
Mansoon JAMA, 2001, 285:1447
First 15 minutes of Exercise per day
• 3 year increase in Life expectancy
• Side effects
How do we Reduce risk?
• Start at realistic level
• Build up slowly
• Exercise should be FUN
• As a group or on own
• Warm up
• Cool Down
• Stretch
• No intense exercise after
meals
• Medical assessment?
Disease Prevention
• Cardiovascular disease
• Diabetes Mellitus
• Cancers
• Obesity
• Bone Health
• Mood/stress
• Immune function
• Cognitive function
• Mobility / risk falls
Treatment
• Heart or Vascular Disease.
• High Blood Pressure
• Cholesterol
• Obesity
• Diabetes Mellitus
• Cancers
• Osteoarthritis
• Osteoporosis
• Respiratory illness
• Mood
• Cognitive Function
• Neurological Disorders
Exercise; the Cost Benefit ratio
• Effective
• Low Cost
• Effects multiple related problems
• Prevention other disease
• Quality of Life benefit
• Socialisation of isolated
40
37
33
30
27
26 27
Percent
20 21 21 21
18 17
14
10
11
0
1988 2002 1988 2002 1988 2002
18-34 35-54 55+
• Maintenance
Lifestyle
• Diet Quantity
Quality
Timing
• Hydration
• Risks Tobacco
• Leisure drugs
• Healthy BMI
• Positive Mental Attitude
• Rewards in life
7 areas of Investment
• Schools
• Transport
• Urban Design
• Health Care
• Public Education
• Community
• Sports for all
Schools
• Greater opportunity
National Schools
• Ways to keep girls
active through out
secondary
• Insurance issue
• Develop physical
Literacy Curriculum
Transport
• Walking & Public
Transport
• Cycling
• Drive children to school
Urban Design
• New Housing Estates
• Safe Friendly
environment
• Urban Plan; Green areas
Sports Facilities
Cycle tracks
Local facilities
Health Care
• 47% Primary Care
Doctor say they ask
about exercise
• 13% Patients report
getting advice about
exercise
• Irish innovation
National Physical Activity Guidelines
Financial Sleep
Work related Food
Social Social life
Health Rewards
Exercise Exercise
Health and Quality of life