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Posts tagged: physical activity for specific populations

The Importance of Exercise for Kids with Arthritis

Written by The Arthritis Foundation | KIDSGETARTHRITISTOO.ORG

Physical activity can boost your child’s ability to move and enjoy life.

We all know exercise is good for us, but the benefits of physical activity for children with juvenile arthritis and related conditions can even be greater – as can the downsides of not being physically active. That’s why it’s especially crucial for kids with arthritis to keep moving.

Fitness Facts 

By and large, studies show that kidswith arthritis are less fit than their healthy counterparts. Specifically, they have less muscle strength and muscle endurance. They also have less aerobic capacity (needed for prolonged exercise) and anaerobic capacity (needed to perform intense bursts of activity); therefore, they tire faster during physical activity than kids who don’t have arthritis even when their disease is inactive.

On the flip side, studies also demonstrate that these conditions can be improved with exercise training. Aerobic and anaerobic capacity can be boosted, and resistance training can increase muscle strength and endurance.

Yes, They Can 

Perhaps the most important thing to know about exercise for children with arthritis is that when done properly it does no harm. They can and should exercise.

Many studies show that land- and water-based exercise is safe, and that joint pain and swelling don’t get worse after exercise programs.

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If Exercise Is Medicine, Will People Fill Their Prescriptions?

Written by IHRSA

On Monday, July 14th, the Healthcare Leadership Council hosted an excellent briefing on non-adherence to medication, highlighting the fact that 1 out of 3 patients never fill their prescriptions, and nearly 3 out of 4 Americans don’t take their medications as directed.

The panelists discussed innovative strategies for improving adherence, such as targeted and timely communication. Each strategy was based on the reality that a one-size-fits-all approach to communication is both inefficient and ineffective. Clearly, the digital age is creating medical providers with new opportunities for engaging patients and tracking their adherence, but there are no simple solutions for getting folks to take their medicine.

The problem of non-adherence to medication raises an uncomfortable question for physical activity advocates.

If 1/3 of patients are signaling that a visit to the pharmacy is a barrier too high to overcome, and 75% are finding it too difficult to take medication properly, how many patients can we reasonably expect to fill an exercise prescription that typically requires 150 minutes/week of exertion?

Although evidence suggests that patients are more likely to exercise if their doctors prescribe exercise, we suspect very few patients will stick to an exercise program unless medical offices and physical activity providers (e.g. health clubs, personal trainers, community centers) adopt engagement strategies similar to those being implemented by the pharmaceutical industry for medication adherence.

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Use Caution in Young Overhead Athletes with Shoulder Pain

Written by Dr. David Geier, American Orthopaedic Society for Sports Medicine

As participation in youth sports increases and younger children are playing a single sport year round, it is no wonder that more young athletes are being seen in doctors’ offices in this country. For throwing sports like baseball and overhead sports like swimming and tennis, shoulder pain is a common complaint.

Little League Shoulder (LLS) is an overuse injury to the proximal humerus (upper arm) originally described in young baseball players. In a presentation at the American Orthopaedic Society for Sports Medicine’s Annual Meeting*, researchers from Children’s Hospital Boston, Division of Sports Medicine presented the findings from cases of Little League Shoulder seen at their center between 1999 and 2013. They analyzed patients from that 15-year period to better understand the demographics, symptoms, risk factors and treatment outcomes of LLS.

Patient demographics

Of the 95 cases of Little League Shoulder, 93 of the patients (98%) were male, with an average age of 13.1 years. The ages of the patients ranged from 8 to 16 years old.

97% of the LLS patients were baseball players, and 86% of those were pitchers. 3% of the LLS patients were tennis players.

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Global Comparisons of Youth Physical Activity

Written by the National Physical Activity Plan (NPAP) Alliance

Less than a month after the NPAPA and other supporting organizations released the U.S. Report Card on Physical Activity for Children and Youth, international results were presented at the first Global Summit on the Physical Activity of Children in Toronto, Canada (May 21-24).

Hosted by Active Healthy Kids Canada, the summit brought together research teams from 15 countries to compare physical activity report card grades and discuss solutions to childhood inactivity. The results of the global comparison were shared with over 700 international delegates attending the summit and were also published in a Journal of Physical Activity and Health, Supplemental Issue.

Among the six grades assigned to the U.S., key grades and comparisons included:

Based on the report card grades presented above, we want to hear from you!

What are your initial reactions to the U.S. grades?

Compared to other countries, how would you rate the activity levels of U.S. kids?

What areas should the U.S. focus on to increase American kids’ active levels?

What are your suggestions for improving our children’s opportunities for physical activity, especially in areas where the U.S. did not score well (e.g. active transportation)?

The NPAPA has identified several strategies and tactics in the National Physical Activity Plan to improve physical activity among U.S. children. If successfully implemented, these strategies and tactics can positively impact youth activity levels and increase U.S. Report Card grades.

Commentary from Cornell McClellan: Masters athletes face unique physiological and nutritional challenges

Read the entire June 2014 issue of Elevate Health, from the President’s Council on Fitness, Sports & Nutrition (PCFSN).

Pledge to Talk about Physical Activity

Written by the National Center on Health, Physical Activity and Disability (NCHPAD)

In case you missed it, last month CDC released its Vital Signs report on Adults with Disabilities: Physical activity is for everybody.  The report focused on physical activity levels among working age adults 18 to 64 and the impact of receiving a health professional’s recommendation for physical activity.  Key messages included:

  • Working age adults with disabilities are three times more likely to have heart disease, stroke, diabetes or cancer than adults without disabilities.
  • Nearly half of adults with disabilities get no aerobic physical activity, an important protective health behavior to help avoid these chronic diseases.
  • Inactive adults with disabilities were 50 percent more likely to report at least one chronic disease than were active adults with disabilities.
  • Adults with disabilities were 82 percent more likely to be physically active if their doctor recommended it.

Looking at these key messages, there is a clear relationship between people with disabilities being more likely to visit a health professional due to increasing prevalence of chronic disease and secondary conditions.  This relationship creates an opportunity for doctors and other health professionals to play a key role in promoting physical activity among their adult patients with disabilities by simply talking about it.  CDC lists 5 steps that doctors and other health professionals can use to increase physical activity among adults with disabilities:

  1. Remember that Physical Activity Guidelines are for Everybody
  2. Ask about Physical Activity
  3. Discuss Barriers to Physical Activity
  4. Recommend Physical Activity Options
  5. Refer Patients to Resources and Programs

Here at the National Center on Health, Physical Activity and Disability we have created an action campaign surrounding the role that doctors and other health professionals can play in the form of a pledge.  The pledge for healthcare providers includes pledging to talk about physical activity to patients, especially those with disabilities; prescribing physical activity; and using NCHPAD’s Physician’s Toolkit to connect patients with resources and opportunities to be physically active.  Within the Physician’s Toolkit individuals will also find DocTalk Videos, which include short video messages of doctors talking to other doctors about the importance of prescribing physical activity.  We encourage broad dissemination of these resources and others provided by CDC to support this Vital Signs report. CDC has developed a dedicated resource page for doctors and other health professionals with information to help them recommend physical activity to their adult patients with disabilities, www.cdc.gov/disabilities/PA

Not a doctor or health professional?  No problem!  Physical activity is for everybody –and everybody can help.  Communities, health professionals and adults with disabilities can come together and help increase physical activity among the 21 million working age adults with disabilities in the U.S.  Learn more about what can be done in this factsheet and find your role of action!

Staying Fit with a Disability

This Physical Fitness & Sports Month we’re reminded, through a recent CDC Morbidity & Mortality Weekly Report, to recognize the importance of physical activity among adults with disabilities. More than 21 million U.S. adults 18-64 years old have a disability. Did you know that these adults are three times more likely than adults without disabilities to have heart disease, stroke, diabetes, or cancer? Regular aerobic activity increases heart and lung function, improves daily living activities and independence, decreases chances of developing chronic diseases, and improves mental health.

Let’s make fitness attainable for everyone in our communities. Here’s how we can start:

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“Physical Activity is for Everyone,” CDC Vital Signs™. National Center on Birth Defects and Developmental Disabilities, Division of Human Development and Disability. CDC. May 2014

Do you or a loved one have a disability? Are you looking for ways to stay fit? Here are some quick tips:

  • Talk to a doctor before you begin.
  • Aim for 2 hours and 30 minutes a week of moderate aerobic activities.
  • Do strengthening activities 2 days a week.
  • Find support and stick with it.

Read more tips on healthfinder.gov, and share them with your loved ones!