L'activité physique adaptée

Physical activity, a therapeutic treatment in its own right

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The Haute Autorité de Santé has just published a guide and leaflets for doctors who can prescribe physical activity adapted to the patient’s physiology and psychology. She thus remembers all the health benefits of this practice.

Since the Health System Modernization Act of 2016 came into force General practitioners can prescribe physical activity on prescription People suffering from a long-term disease (diabetes, obesity, Alzheimer’s, etc.). The law of March 2, 2022, aimed at democratizing sport in France and developing sports health, reaffirms this possibility and extends it to all doctors. She devotes herself physical activity as therapeutic treatment full.

In this dynamic, the High Authority for Health (HAS) has just published a guide to the advice and medical prescription of physical activity in adults, as well as information sheets for doctors, physiotherapists and teachers on adapted physical activity. These publications aim to do that provide better information and support the medical profession in their care processes.

By physical activity, we don’t just mean sport, as emphasized by Professor Martine Duclos, endocrinologist and physiologist, head of the Department of Sports Medicine at the Clermont-Ferrand University Hospital. “Any body movement generated by the muscles requires a higher expenditure of energy than rest. In other words, are concerned Walking, biking, using the stairs instead of the elevator to get upstairs, or even gardening or cleaning at home.

How do I train while seated at work?

Combating physical inactivity and a sedentary lifestyle is a public health priority. Recent studies have shown that by the age of 7, a child spends 51% of their time sitting. That time is 74% for a 15 year old teenager. Adults are not left out. they happen sit twelve hours a day when they work. Brought to nine when they’re quiet.

Telecommuting didn’t help. ” The chair is our new addiction “, complains Professor François Carré, cardiologist and sports doctor at the University Hospital of Rennes.

Professor Martine Duclos, endocrinologist and physiologist, head of the department of sports medicine at the Clermont-Ferrand University Hospital, therefore advises Get up from your seat every hour and “move for at least one to three minutes “. It can take the stairs to get a drink, like stretching exercises or small movements on the floor. “You clear your head and you’re much more focused afterwards.”

Physical activity facilitates the prevention and treatment of diseases

To date, despite the law requiring it, few prescriptions for physical activity are issued by physicians. If the brakes remain, it is mainly due to ignorance. Still, there is proven evidence of the health benefits of its daily practice. “Things have to change and my sisters and brothers have to change trained in the prescription of physical activity, says Professor François Carré, cardiologist and sports doctor at the Rennes University Hospital. The training of professionals is essential both at university level and throughout professional life. »

In addition, many patients feel apprehensive about engaging in physical activity because of firmly established inactivity in their daily lives, advanced age, or deteriorating or impaired health. Physical activity is a medically and scientifically recognized therapeutic treatment, whether alone or accompanied by other drug or non-drug treatments. ” For example, it reduces the risk of diabetes by 30 to 50% and reduces the possible recurrence of certain types of breast cancer observes Professor Duclos.

Regular physical activity facilitates the prevention and treatment of non-communicable pathologies. She contributes prevent high blood pressure, the risk of depression and cardiovascular disease among other things, to maintain a correct body weight. It affects general well-being, including mental health, and quality of life. It must be regular and continued throughout life.

A physical activity adapted in duration and intensity

The doctor has to Adjusting the prescribed physical activity from its duration to its intensity, taking into account the patient’s physiological and psychological state of health. The taste of the latter must also be taken into account. As stated in the HAS leaflets, the regulation is based on endurance and strength sports such as jogging or dancing for asthma patients.

With regard to Parkinson’s disease, physical endurance activities such as yoga or Nordic walking have positive effects on physical health, balance, walking speed, risk of falling, etc.

Regular, moderate-intensity physical activity is also recommended for patients with schizophrenic disorders. She constitutes a complementary therapy to antipsychotic treatments without side effects. Time spent in sedentary activities should be reduced. On the other hand, the one dedicated and adapted to daily physical activities (housework, walking, etc.) and prescribed by the doctor must be larger.

“We used to say we had to save,” says Professor Martine Duclos. “This applies to pregnant women who have been sedated if they need to continue physical activity if their health allows it. Among other things, this prevents weight gain, reduces working hours during childbirth, the need for a caesarean section …”.

Supervision by a “sports health” professional

Physical activity must be supervised by a professional. This can be done in one of the Sport Santé centers* located throughout France with a physiotherapist or a specialist in sports health education**.

Physical activity prescriptions are not reimbursed by Social Security, although this option is being studied for patients with chronic diseases (cancer, heart disease, diabetes, etc.). But already some complementary medicines offer partial or full support.

The HAS will soon provide users with ‘Patient Sheets’ containing information on the impact of physical activity on sixteen different pathologies and health conditions. A Child Physical Activity Counseling and Prescribing Guide for Physicians will also be published shortly.

*The Sport-Santé houses bring together health and sports professionals. They are aimed at healthy people who want to (re)start physical and sports activity with targeted support, as well as people with chronic diseases who require adapted physical activity on medical prescription.

** That is, a qualified professional STAPS – Adapted Physical Activity and Health, or trains with a device proposed by the Ministry of Sport or a sports association offering “sports-health” training.

  • Photo credit: Getty Images
author of the article

Patricia Guipponi

Generalist journalist specializing in particular in social and health issues.

#Physical #activity #therapeutic #treatment

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