HAS wants to make prescribing daily physical activity easier

As of March 2, a law opens the prescription of Adapted Physical Activity (APA) to all physicians and expands its scope. To contribute to its growth as a non-drug therapy, the High Authority for Health (HAS) is releasing a new prescribing and counseling guide and help sheets for prescribing physical activity, broken down by pathology.

HAS points out that physical activity is important at every stage of life a health score the benefits of which are numerous and widespread. In the case of chronic diseases (cardiovascular and respiratory diseases, diabetes, obesity, arthrosis, etc.), physical activity is a full therapy – alone or in combination with other drug or non-drug treatments. It must be adapted to the patient’s physiological and psychological state of health and monitored by specially trained professionals. More broadly, the benefits of physical activity on health status, physical condition, maintaining autonomy in the elderly, and quality of life in populations of all ages have been demonstrated.

It is with this evidence that HAS has been committed to helping healthcare professionals prescribe what constitutes a standalone treatment for many years. In 2011, she prepared a report on the evolution of prescribing validated non-drug therapies that already include physical activity. In 2018 and 2019 she published a first Guide to the Promotion, Counseling and Physician Prescribing of Physical and Sport Activity for Health in Adults and a Set of Guidelines for Prescribing Physical Activity for 10 Pathologies and Health Conditions. The creation of 500 sports health centers throughout the territory in the long term will allow structuring the health course around the prescription of physical activity. And more recently, the passage of the law of March 2, 2022 democratizing sport in France represents a new step forward for the development of physical activity as a therapy in its own right.

Tools to support doctors and better inform users

To convince and help doctors prescribe physical activity, HAS a guide to counseling and prescribing methods according to the patient’s state of health, physical condition, and motivation to change habits .

This new guide to adult physical activity counseling and prescribing covers all phases of identifying the inactive patient at risk for physical activity, on prescription (regular physical activity, APA programs, etc.), providing and monitoring physical activity Activity and includes people with disabilities.
A Adapted Physical Activity Summary Sheet also incorporates data from the Guide on procedures for prescribing, renewing, and ending an Adapted Physical Activity Program.
Tools provided by the HAS also include a knowledge guide to physical activity and sedentary lifestyles, Collection of knowledge on the subject for the doctor and other professionals, five new sheets, reference guides for recipe for obliterating arteriopathy of the lower extremities, asthma, type 1 diabetes, Parkinson’s disease and schizophrenic diseases as well as an update for the chronic coronary syndrome and summary sheets with the main points of the 6 new sheets and the 10 already published reference documents (overweight and obesity, type -2-Diabetes, chronic obstructive pulmonary disease, arterial hypertension, stroke, breast, colon and prostate cancer, chronic heart failure, depression, pregnancy and childbirth, elderly).
Information sheets for patients on the benefits of physical activity according to their pathologies and state of health will also be published shortly.

A commitment that HAS intends to pursue

This mobilization for the benefits of physical activity continues through the forthcoming publication of a counseling and medical prescribing guide to physical activity for health purposes in children, as well as new sheets dedicated to other pathologies: inflammatory arthritis, back pain, fibromyalgia, sclerosis in plaques, and overweight and obesity in children.

By making all these comprehensive, reasoned and sourced tools available to physicians, physical therapists and teachers of appropriate physical activity, HAS continues its contribution to combating sedentary lifestyles and sedentary lifestyles, a public health priority. The promotion of physical activity and its raising to the level of a reflex also involves a broader medical prescription to encourage all French people to adopt a less sedentary lifestyle and exercise throughout their lives. concludes Prof. Dominique Le Guludec, President of HAS College.


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