Interestingly
enough, we are starting to see a shift in the
recommendations doctors’ prescribing practices.
Many doctors are now realizing the importance of
regular sustained exercise on overall health and
well-being.
In my
reading, I came across an interesting
partnership between physicians and hiking
enthusiasts. This new program involves several
dozen doctors writing detailed, albeit symbolic,
prescriptions for getting fit and then giving
patients trail maps to accomplish it.
"The idea
is to make a more specific explanation," said
Dr. Charles Brackett, director of the program at
Dartmouth-Hitchcock Medical Center in Lebanon, N.H.
"You can
say, 'Walk this trail near your house twice a
day,' as opposed to, 'You're supposed to
exercise more.'"
These
people have something right! Personalized
exercise (and diets) are key. In weight-obsessed
America — where two-thirds of adults are
overweight or obese — follow-through on fitness
and nutrition can be as much a problem as not
knowing what to do. At Caring Medical, we will
help you devise a nutrition and exercise plan
that keep you active for life!
Studies
show that the more specific a doctor's advice,
the more likely a patient is to heed it. While
these “hiking prescriptions” aren't technically
real, the hope is that the format makes the
advice hard to ignore.
This
article went on to tell us about a patient named
Gloria Beattie, a 72-year-old woman for whom
Brackett prescribed fitness in December. Winter
weather so far has kept her off the hiking
trails, but the prescription motivated her to
get on her treadmill.
Before
that, the overweight woman got little exercise,
adding to her existing health problems. Since
starting her exercise program, she has already
lost 12 pounds and is eager for spring so she
can head outdoors.
She
reported in the article, "If no one says
anything, you just keep letting it go. But if
they talk to you and explain why you need it ...
you finally come to the realization that
exercise is really the thing that you need."
“Using the
power of the prescription pad to encourage
physical fitness isn't new, but in general
medicine it is rare. Though so-called exercise
prescriptions are widely used by doctors at
obesity clinics, the practice hasn't caught on
with general practitioners.
In fact,
few primary care doctors talk about fitness and
weight loss at all with patients, even obese
ones,” said Dr. JoAnn Manson, chief of
preventive medicine at Brigham and Women's
Hospital in Boston.
We are
amazed at the number of clients who come to
Caring Medical having never been urged by their
doctors to participate in exercise and weight
control plans. Sometimes, our patients will tell
us that they wouldn’t trust those doctors
anyway, because oftentimes they themselves are
unfit and unhealthy – smokers, obese,
non-exercisers – just like them!
I really
liked what this article had to say about
prescription medications. "If a prescription for
medication could reduce the risk of heart
disease, stroke, Type 2 diabetes and
osteoporosis by 40 percent, everyone would be
clamoring for it. Well, a prescription for brisk
walking has the potential to do just that."
Yet, more
than half of American adults continue in their
inactivity, and a quarter do no physical
activity at all, according to the Centers for
Disease Control and Prevention.
Few doctors
have embraced this approach for the same reason
so many of their patients aren't out doing laps:
lack of time. Many of the primary care doctors
do not have the time to address these things
because they are just trying to keep their heads
above water dealing with “sick care.” In other
words, they are avoiding talking about the very
topic that will help keep their patients
healthy! Our fitness coach told me one day
“It’s not about finding the time to exercise,
it’s about making the time!”
Dr. Hauser
and I have hired an athletic coach to help us
determine how to train and stay fit. We do this
because we want to be accountable to someone. We
do this because it motivates us to keep doing
our exercises. He gives us specific things to do
every day. This is what people need. It has
become a part of our lives, just like eating and
sleeping. The staff at Caring Medical are all
committed to staying healthy. Many of us
participate in various sports such as cycling,
running, swimming, aerobics, yoga,
weight-lifting, stretching, and gym workouts.
Dr. Cedric
Bryant, chief exercise physiologist for the
American Council on Exercise, said programs like
this are badly needed because efforts to get
Americans to treat exercise as recreation rather
than a lifestyle generally have failed.
A doctor’s
prescription for an exercise plan can make a
tremendous difference in people’s lives. If you
would like to find out what you should be doing
to make yourself healthier, fitter, and
stronger, give us a call today! We want to help
you stay active for life!
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