Lessons from Implementing Exercise is Medicine® in Primary Care | Tutorial Lecture
This session will present the lessons learned, opportunities, and challenges in implementing Exercise Is Medicine (EIM) in a primary care setting in a university-based health care system. We will present our research findings on self-reported exercise rates in the primary care population and associated gender and racial disparities. We will also discuss how sedentary behavior relates to chronic medical disease burden and mental health disorders. Lastly, we will share a practical approach on successfully implementing EIM with exercise as a vital sign (EVS) in a busy outpatient primary care practice and how to best integrate the care team from providers, to staff, and community partners.
Presenters: Cindy Lin, FACSM. University of Washington Medical Center, Seattle, WA; Nicole Gentile. University of Washington, Seattle, WA; Justin Kappel. University of Washington, Seattle, WA
EIM: Does Light-Intensity Activity Belong in the Exercise Prescription? | Tutorial Lecture
Recent research has supported the health benefits of light-intensity physical activity (LPA), but its role in the exercise prescription is less clear. The issues of the relative benefits accrued at different intensities of exercise vs volume remains a topic of debate. Furthermore, it is somewhat controversial as to whether LPA belongs in the category of "daily physical activity" or if it can be considered to be intentional exercise, which forms the centerpiece of current exercise prescription guidelines. It is also of interest to understand the role of light-intensity activity in breaking up sedentary time, since current recommendations include breaking up sitting time. This tutorial will review what is known about the health and fitness benefits of LPA and how it may fit into strategies for the comprehensive exercise prescription that includes its role in reducing sedentary time. A particular focus will be on the issues surrounding intensity vs volume and how to maximize the benefits of exercise via the application of individualized exercise prescription, particularly in those with disability, chronic diseases and in older adults.
Presenter: Carol Ewing Garber, FACSM. Teachers College, Columbia University, New York, NY
Exercise is Medicine 2020: What Next to Turn Great Potential into Action? | Tutorial Lecture
Physical activity counseling and referral is an important component of a comprehensive approach to increasing population levels of physical activity. Evidence for efficacy and effectiveness is relatively well established, especially for populations that are older, have existing chronic diseases or risk factors. However, incorporation of physical activity counseling into clinical practice, education and policy has been limited. Exercise is Medicine® (EIM) has been both a signature program of ACSM and one of the few systems-based efforts to make physical activity a standard part of preventive practice in the United States and around the world. While some health care systems and countries are making substantial progress in incorporating physical activity, most are not, and many questions around how to enhance implementation, translation and dissemination of EIM remain. In this session we report on the results of a workshop held by ACSM in cooperation with the University of California San Diego Institute for Public Health to develop a practical research agenda for EIM focused on issues of translation, dissemination, and implementation.
Presenters: Michael Pratt, FACSM, University of California San Diego, La Jolla, CA; NiCole R. Keith, FACSM. Indiana University Purdue University, Indianapolis, Indianapolis, IN