The Super Intervention! Physical Activity Nurse Champion. Karen Davies

Transcription

1 The Super Intervention! Physical ctivity Nurse Champion Karen Davies

2 Physical ctivity does not have to be a marathon 2

3 Objectives 1. Become familiar with the some of content within Nurse Champion Sessions - definitions, guidelines and statistics for physical activity and inactivity. 2. To understand the objectives of the nurse champion sessions to increase confidence to incorporate physical activity into clinical practice and to encourage active Healthcare Professionals 3. Understand how to book a session with your local nurse champion 3

4 Physical activity reduces risk of which of the following conditions by at least 20%? Early death Type 2 diabetes Breast cancer Depression lzheimer s disease CHD and stroke Colon cancer Hip fracture Hypertension Functional limitation, elderly 4

5 Physical activity: Our greatest defence Physical ctivity contribution to reduction in risk of mortality and long term conditions Disease Risk reduction Strength of evidence Death 20-35% Strong CHD and Stroke 20-35% Strong Type 2 Diabetes 35-40% Strong Colon Cancer 30-50% Strong Breast Cancer 20% Strong Hip Fracture 36-68% Moderate Depression 20-30% Moderate Hypertension 33% Strong lzheimer s Disease 20-30% Moderate Functional limitation, elderly 30% Strong Prevention of falls 30% Strong Osteoarthritis disability 22-80% Moderate 5

6 Sedentary Oxidative Phosphorylation Reactive Oxidative Species nti-oxidants Mitochondrial DN Mitochondria

7 Physically ctive Oxidative Phosphorylation Reactive Oxidative Species nti-oxidants Mitochondrial DN Mitochondria

8 Is sitting the new smoking? Prolonged sitting disrupts: Skeletal muscle metabolism Lipid metabolism Glucose metabolism Circulation (venous thrombosis risk) Systemic inflammation 8

9 Q1: There are 4 UK Chief Medical Officers guidelines on physical activity for adults? What are they? 9 Department of Health (2011) Start ctive, Stay ctive

10 Physical activity: What counts? Sleep Sedentary Light intensity Moderate intensity Vigorous intensity 10

11 Q1: What are the UK Chief Medical Officers guidelines on physical activity for adults? minutes of moderate intensity activity in durations of at least 10 minutes/week Or 75 minutes of vigorous intensity activity Or a combination of both 2. Muscle-strengthening activity at least 2 days/week 3. Limit time spent sitting for extended periods 4. For older adults (65+) - Balance and coordination activities at least 2 days/week Something is better than nothing. Just 10 minutes at a time provides benefits. It s never too late! 11 Department of Health (2011) Start ctive, Stay ctive

12 How inactive is England? 12 Source: Health Survey for England 2012 (HSE); ctive People Survey 8, pril 2103-pril 2014 (PS); National Travel Survey July 2014 (NTS)

13 Q2: How does the UK compare with the following countries for not being active? US France Netherlands Germany ustralia Finland 13

14 Proportion who are not active International comparison of physical inactivity (at ages 15 and over) Netherlands 18.2% Germany 28.0% France 32.5% Finland 37.8% ustralia 37.9% US 40.5% UK 63.3% 0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0% 70.0% % Inactive Note: Comparator = Not meeting any of the following per week: (a) 5 x 30 mins moderate-intensity activity; (b) 3 x 20 mins vigorous-intensity activity; (c) equivalent combination achieving 600 metabolic equivalent-min. 14

15 Top 5 non-communicable disease risk factors for mortality 15

16 Diabetes - physical activity and cardiovascular mortality 16

17 Q4. Who has the most to gain? (choose 2 answers) 1. Inactive people (less 30 mins) 2. Insufficiently active people (less than 150m) 3. Those already active (above 150 mins) 4. Younger adults (below 65) 5. Older adults (above 65) 17

18 We do less activity as we age % meeting moderate-to-vigorous P recommendations Biggest drop 18

19 How is physical activity protective? Visceral fat Muscle Increasing Physical ctivity helps to: Systemic inflammation nti-inflammatory myokines 19

20 Everybody ctive, Every Day Be a clinical champion! address physicalactivity@phe.gov.uk 20

21 Key Messages The evidence base for the prevention and management of disease by increasing physical activity is growing Physical ctivity Nurse Champions can disseminate the current guidance? The sessions signpost nurses to tools such as the PHE P infographic Your nurse champions are a free resource for delivering nurse education until March 2018 To book contact - physicalactivity@phe.gov.uk Karen Davies The Super Intervention! Nurse Champion for Physical ctivity