Presentation by Karim Khan, MD of University of British Columbia. Presented at the EveryBody Walk! Week Walking Summit at the Kaiser Permanente Center for Total Health. For more information, visit http://centerfortotalhealth.org/2011/today-walking-summit-live-blogged-from-center-for-total-health/
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Walking and Health
1. 2nd World CongressExercise is Medicine Karim Khan, MD, PhD Centre for Hip Health and Mobility Professor, Department of Family Practice, University of British Columbia andMobility
2. 1. Show of hands - who has already accumulated the US guideline dose of physical activity today?
3. 2. Who is firmly committed to meeting the guideline dose of physical activity today?
4. 3. If you had to choose between medication OR physical activityfor lifetime prevention of chronic conditions.
6. Top 3 reasons whyexercise/physical activity is more powerful than drugs for prevention…
7. #3 Cancer reduction Moderate physical activity* reduces colorectal cancer by 50% (Boursi, 2007) *combined with balanced diet, avoidance of smoking & excess alcohol…
8. # 2 reason whyexercise is more powerful than medicine…
19. Why not? Brush teeth 3-4 times weekly... Showering ‘most days of the week’
20. Practical approaches Goal (motivation and then concrete SMART goal) Build in to daily routine – not an additional task; schedule it Walking is likely to be a key part of it – commuting (car is the enemy-hour in car increases risk of obesity by 20%) Pedometers work
21. Practical approaches Social elements might fit in – making goal public (fits with Ciadlini) Community – new england paper on the contagious nature of networks Public transport Walking meetings at work and socially – ‘lets go for a walk’ as much as ‘let’s go for coffee [and cinammon bun etc]
22. Personal story...accumulating 60 minutes of PA daily 1. GOAL SETTING and RECORDING 2009 – missed 11 days 2010 – missed 5 days 2011 – missed 4 days Scheduled it, went public about it, commute to work, have walking meetings, look for walking social activities, friends have similar approach
26. Thank you!! Karim Khan, MD, PhD Centre for Hip Health and Mobility Professor, Department of Family Practice, Faculty of Medicine, University of British Columbia andMobility
Notes de l'éditeur
Smokadiabesity – Smoking – half as many – kills 8%Diabetes – quarter as many – kills 4%Obesity – eighth as many – kills 2%Low fitness is the primary risk factor for 16-17%Applies to men and women -
Exercise as a vital sign – ask about itUse Bess Marcus as an approach to readiness for change etc – customisedCounselling method of choiceWritten prescription – think of three categories – health, disease plus stable, frail. Each has a different setting [referral]Local resources – in person and on the web (everybody walk) – practical steps – how and when. Followup – part of the counselling method of choice (6As)Political action -
