1. Exercise is Medicine ® Australia

2. A global initiative Managed in Australia by Exercise & Sports Science Australia (ESSA). (ESSA) Encouraging health care providers to review and assess every patient’s physical activity levels Counselling patients on exercise Providing patients with an exercise prescription or referral AEP What is Exercise is Medicine

3. Data from Australian Bureau of Statistics, World Health Organisation and Medibank Private

4. Exercise is Medicine is not a 12 week challenge, or a weight loss program. Regardless of the condition of an individual, we advocate for appropriate physical activity that is sustained for the long term.

5. 23 and a half hours http://www.youtube.com/watch?v= aUaInS6HIGo

6. For more visit exerciseismedicine.org.au

8. Inactivity: Effect of low cardio respiratory fitness (CRF) on mortality. Br J Sports Med. 2009; 43:1-2.

9. It’s not all about weight loss Physical activity is very beneficial to an individual’s health, whether or not they lose weight. Blair S. (2009). 'Physical inactivity: the biggest public health problem of the 21 st century', British Journal of Sports Medicine, 43:1-2.

10. Moderate vs. Vigorous Moderate activity e.g. brisk walking (like you’re late for the bus), steady cycling. You can talk but can’t sing Vigorous activity makes you ‘huff and puff’ e.g. running, fast cycling. You can’t carry on a conversation during vigorous activity

11. Moderate intensity cardio 30 -60 minutes a day, 5 days a week Strength training 8 to 10 exercises, 8 to 12 reps of each exercise 2 days a week AND Balance exercises minimum 3 days a week Vigorous intensity cardio 20-40 minutes a day, 3 days a week OR PLUS Exercise is Medicine® Australia support the utilisation of the Australian Physical Activity and Sedentary Behaviour Guidelines 2014.

12. Accredited Exercise Physiologists are… Allied health professionals, providing exercise and lifestyle therapies for the prevention and management of chronic disease, injury and disability. essa.org.au

13. Typical AEP treatment model Support for better self-management 2-5 consultations over initial 12 weeks Multi-disciplinary approach (GP, dietician etc) Week 1Initial Consultation & Assessment 2Program follow-up 3 7/8Program Review & upgrade 11/12Program Review & upgrade

14. Case Study - Robert 66 year old male Diagnosed with Parkinson's disease with right side tremor in 2006. Coronary angiography and two stents in 2009, Spinal cord injury (L1) and left knee replacement following a horse riding accident in 1998. Robert’s GP identifies that he is at a high risk of a fall so refers him to an Accredited Exercise Physiologist (AEP) to improve his balance and flexibility.

15. Case Study - Robert Initial measurements showed that Robert could: Cycle on a stationary bike for 8 minutes Pedal at 60RPM max Perform a sit to stand exercise from a fit ball with assistance from a pole for stability

16. Case Study - Robert At the end of the 12 week intervention, measurements showed the following improvements Increase from 8 minute cycle to 25 minute cycle Increase from pedaling at 60RPM to 100RPM max Performs sit to stand without assistance from arms and from low chair Waist decreased by at least 4cm Flexibility increased by at least 5cm on both legs

17. Start the conversation Are you aware of the general benefits of exercise? Do you know how exercise can specifically impact on your medical condition / health? What do you think will happen if you maintain your current lifestyle? Plant the seed! Don’t feel like you need to have an outcome in the 1 st consultation

18. Common misconceptions “Need to use a gym to get fit” “Too old to begin structured physical activity” “Need to use sophisticated equipment to perform strength training”

19. Provide options Physical activity advice (factsheets)factsheets AND Specific exercise prescription OR Referral if required (EIM prescription form)EIM prescription form Your details here

20. The only address you need when prescribing exercise exerciseismedicine.org.au

21. Ready? exerciseismedicine.org.au | facebook.com/EIMAustralia info@exerciseismedicine.org.au | (07) 3862 4122