![]() ![]() Prescribe physical activity for all the chronic diseases studied and include it in the care pathway.The expert group uses these scientific elements as a basis on which to establish recommendations for research as well as recommendations for health authorities in terms of measures to take. A large part of the review describes for each disease the benefits/risks of physical activity, and its utility in terms of prevention, treatment and additional care. The third challenge is about understanding the mechanisms through which physical activity acts in general, by improving the physical condition, and also specifically according to the diseases concerned. After all, what would be the point of a physical activity program whose efficacy was demonstrated by a clinical trial conducted under ideal conditions, but which turns out to be unsuitable for and ignored by patients? The second involves identifying what determines the adoption of behavior that is active, maintained over the long-term and compatible with patient lifestyles. The first is not so much about knowing whether we should recommend regular adapted physical activity for chronic disease sufferers – there is no longer any doubt on the need for this – but rather determining the most efficient program characteristics according to patient physical aptitudes and psychosocial resources, in order to obtain maximum benefit with minimum risk: when should the program begin, what kind of physical activity should it include, at what intensity, how often, in what environment and with what kind of intervention? The research presented in this review comes with three major challenges. Obesity, a determinant of chronic diseases and morbid phenomenon in itself, was also included, as were certain mental disorders (depression, schizophrenia), musculoskeletal disorders and multimorbidity. The main conditions studied were cardiovascular diseases, cancer, diabetes and chronic respiratory diseases. This review is based on a critical analysis of the international scientific literature made by a multidisciplinary group of thirteen researchers with expertise in various fields relating to chronic diseases, from sports medicine to psychosociology. Inserm was tasked by the French Ministry of Sports with producing a collective expert review in order to take stock of scientific knowledge and to analyze, within the scope of chronic diseases, the impact of physical activity and its place in the care pathway. Given that chronic diseases and their complications contribute very strongly to a state of dependency, preventing their complications and recurrence represents a key challenge for the maintenance of autonomy, notably in older adults. Prevention measures can be implemented prior to development of the diseases and at any time during their progression. In France, current estimations set the direct (75 %) and indirect (25 %) costs of physical inactivity in the region of €1.3 billion. ![]() By improving the prevention and management of chronic diseases, we are therefore taking steps to tackle a major public health emergency.Īccording to the WHO report of 2010, a large percentage of chronic diseases is responsive to prevention if four primary risk factors are addressed: tobacco use, physical inactivity, alcohol consumption and unhealthy diet. These are conditions that lead to functional limitations with impacts on quality of life, with the number of dependent individuals expected to rise from 1.2 million in 2012 to 2.3 million in 2060. With the increase in life expectancy, the number of older adults with chronic diseases is on the up. Currently, one in four French people has a chronic disease, which increases to three in four beyond the age of 65. In France, the proportion of those aged 60 or above is expected to increase from one quarter of the total population in 2015 to one third in 2040. According to the World Health Organization (WHO), they are the world’s leading cause of mortality and in Europe “contribute to around 86 % of deaths (…) and represent an increasing burden on healthcare systems, economic development and wellbeing of a large proportion of the population, particularly those aged 50 or above”. Chronic diseases are long-term and sometimes permanent noncommunicable conditions that change over time. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |