Bulletin de la Société royale de médecine publique du Royaume de Belgique.

Voortgezet als: Bulletin de la Société royale de médecine publique et de topographie médicale de Belgiqu

Rapport de la Société royale de médecine sur le mémoire de M. de Saint-Victor, relatif au desséchement des marais de Bourgoin ([Reprod.]) / [signé : Saillant, Coquereau]

Collection : Les archives de la Révolution française ; 10.2.4

Tablettes mensuelles de la Société royale de médecine publique et de topographie médicale de Belgique ...

Mode of access: Internet

Prescribing physical exercise for optimal health

Background : The importance of physical activity (PA) as a warrant for optimal health has become more and more clear in the past 20 years, with the development of exercise medicine in the context of numerous diseases. In parallel, our societies have become more and more sedentary, and sedentary behaviour has been identified as the first cause for a number of non-transmittable diseases, including type 2 diabetes and breast and colon cancer. The World Health Organisation (WHO) has updated its recommendations on PA in 2020. Purpose : What are the updated WHO recommendations on PA, what is the relationship between sedentary behaviour and PA and what is the role of the Physical Medicine and Rehabilitation (PMR) Doctor in this matter? Results and conclusions : the WHO recommends 150-300 minutes of moderate PA per week, in addition to strength training including all big muscle groups at least twice a week (30 minutes) on non-consecutive days for all adults. Children should be aiming for an average of 60 minutes of moderate physical activity per day. Sedentary behaviour should be limited, by fractioning inactive time. In order to counteract the effects of the equivalent of 8 hours of sitting per day, at least 60-75 minutes of moderate PA a day should be performed. The role of the PMR doctor is to evaluate levels of PA, help the person set goals relevant to them, prescribe a program allowing to achieve the goals, be an active interlocutor for the physiotherapist/coach or the person if a self-performed program is preferred, re-assess the person throughout the process, and start again until the goals are met. Given the numerous barriers that exist in the context of behavioural changes, the use of motivational interviewing and encouraging the person to see their already positive behaviours may be useful