1 minute conversation

1

Ask

if they know that moving more can help with healthy ageing and improve their future health and wellbeing.

The benefits of regular physical activity have been widely published. For adults, achieving 150 minutes a week of at least moderate intensity physical activity helps prevent and manage over 20 chronic conditions including coronary heart disease, stroke, type 2 diabetes, cancer, obesity, mental health problems and musculoskeletal conditions.

The risk of death from physical activity is extremely low. Large epidemiological cohorts report a death rate of approximately 1 death per 23 million hours of physical activity for men and 1 death per 36.5 million hours for women.

References

Albert CM, Mittleman MA, Chae CU, Lee IM, Hennekens CH, Manson JE. Triggering of sudden death from cardiac causes by vigorous exertion. N Engl J Med. 2000;343(19):1355-1361.

NICE. Physical activity: brief advice for adults in primary care primary care. Natl Inst Heal care Excell Public Heal Guidel 44 2013;PH44.nice.org.uk/guidance/ph44

Whang W, Manson JE, Hu FB, et al. Physical exertion, exercise, and sudden cardiac death in women. JAMA. 2006;295(12):1399-1403.

2

Explain

that building small amounts of activity into their daily routine is enough

Adding regular activities, like brisk walking, into their daily routine means that individuals can achieve enough activity to benefit their health. Being physically active does not mean going to the gym, doing sport or wearing sports clothes.

The Chief Medical Officers also recommend twice weekly strength and balance activities, which are particularly important for young adults and older adults. Practical activities like using the stairs and carrying shopping help to build strength.

Activities are often easiest to do if they can be local, cheap, enjoyable, involve friends and family and do not need any special equipment.

Reference

NICE. Behaviour change: individual approaches | Guidance and guidelines | NICE. Natl Inst Heal Care Excell 2014;PH 49.https://www.nice.org.uk/guidance/ph49

3

Invite

them to return to discuss their thoughts about being more active with you or a colleague and offer the patient information

Offer them a “Patient information” printout on the benefits of physical activity for primary prevention.

 

Link to Primary Prevention Patient Information Handout

Did you know?

Your advice makes a difference

There is strong evidence for the effectiveness and cost effectiveness of counselling and brief advice on physical activity in healthcare.

References:

NICE. Physical activity: brief advice for adults in primary care primary care. Natl Inst Heal care Excell Public Heal Guidel 44 2013;PH44.nice.org.uk/guidance/ph44

NICE. Behaviour change: individual approaches | Guidance and guidelines | NICE. Natl Inst Heal Care Excell 2014;PH 49.https://www.nice.org.uk/guidance/ph49 (accessed 15 Feb 2018).

GC V, Wilson ECF, Suhrcke M, et al. Are brief interventions to increase physical activity cost-effective? A systematic review. Br J Sports Med 2016;50:408–17. doi:10.1136/bjsports-2015-094655

Ewald B, Stacey F, Johnson N, et al. Physical activity coaching by Australian Exercise Physiologists is cost effective for patients referred from general practice. Aust N Z J Public Health 2018;42:12–5. doi:10.1111/1753-6405.12733

Every conversation you have with people about physical activity is important in supporting behavioural change over the life course

Start small and build up gradually for a safe approach to starting activity

Habitually sedentary individuals may have unknown cardiovascular disease so should increase physical activity very gradually – suddenly doing vigorous intensity activity may increase risk of myocardial infarction in this inactive group by 100-fold

Those with active symptoms such as chest pain, acute breathlessness, palpitations signs of heart failure may have serious underlying pathology and should be referred for specialist investigation

References:
Thompson PD, Arena R, Riebe D, Pescatello LS, Medicine ACoS. ACSM’s new preparticipation health screening recommendations from ACSM’s guidelines for exercise testing and prescription, ninth edition. Curr Sports Med Rep. 2013;12(4):215-217.