This article aims to summarize the literature on the role of
physical activity in cancer patients and to propose exercise
programs based on studies and recommendations. Medical
advances with improved early diagnosis and treatment have
increased the number of cancer survivors. At the same time,
the quality of life of these patients must also be improved. In
the different stages of the disease physical activity has an
important role to play with its beneficial effects on fatigue,
physical condition, mood etc. Collaboration between health
system actors and patient education are the key to success in this multi-disciplinary care.
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The prevalence of obesity is increasing world-wide. Obesity is associated with a plethora of metabolic and clinical constraints, which result in a higher risk for the development of cardiovascular complications and metabolic disease, particularly insulin resistance and type 2 diabetes. Obesity is an acknowledged determinant of glycemic control in patients with type 1 diabetes and accounts for the majority of premature death due to cardiovascular events. Physical exercise is generally recommended in patients with diabetes in order to prevent the development of or reduce existing obesity, as adopted by every international treatment guideline so far.
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Despite increasingly advanced diagnostic and therapeutic methods, coronary heart disease and myocardial infarction continue to be by far the leading cause of death worldwide. This makes it all the more important in this context to make full use of known but far from optimally used therapeutic measures. Adequate physical activity in everyday life and additional targeted training lead to an evidence-based improvement in quality of life, a reduction in morbidity and above all to a significant reduction in cardiac and overall mortality.
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Heart failure is a clinical syndrome with different etiologies and phenotypes. For all forms, supervised exercise training and individual physical activity are class IA recommendations in current guidelines. Exercise training can start in the hospital, immediately after stabilization of acute heart failure (phase I). After discharge, it can continue in a stationary or ambulatory prevention and rehabilitation program (phase II). Typical components are endurance, resistance and respiratory training. Health insurances cover costs for three to six months. Patients with implantable cardioverter defibrillators or left ventricular assist devices may train in experienced centers.
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Physical activity provides huge opportunities for the health of nations. Understanding this, the World Health Organization has published a Global Action Plan which aims to provide member states with a framework for action, namely to create active societies, people, environments and systems. The target is set at a 15% reduction in physical inactivity levels by 2030. We explore in this paper some of the challenges and opportunities that come with it, and give the practitioner some real-world opportunities for relevant action at the local level, as well as for their patients, staying true to the Physician’s Pledge (Declaration of Geneva): “I will attend to my own health, well-being, and abilities in order to provide care of the highest standard.”
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Regular exercise reduces the risk of suffering from noncommunicable diseases such as cancer or diabetes. Within the framework of the National Strategy for the Prevention of Non-communicable Diseases, movement as a form of therapy is therefore to be anchored in health care in the future. Sports physicians have an important role as multipliers.
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Gait impairments in simultaneous motor-cognitive tasks have been well documented in neurodegenerative disease populations, including Parkinson’s disease, and Alzheimer’s disease. The consequences of these gait impairments in patient populations include an increased fall risk, sedentariness, functional decreases, decreases in self-efficacy, and overall reduced quality of life. Therefore, improving gait performance in dual-task situations is becoming an important focus of rehabilitation for people with neurological disorders.
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The benefits of physical activity for the healthy development of children and adolescents are now undisputed. Therefore, recommendations for physical activity based on current scientific knowledge are installed. Although there are national differences, the primary goal is to motivate children and adolescents in different settings to be more active and less inactive. The extent to which this is possible or what factors are necessary at a political, scientific and actor-oriented level is critically discussed in this article.
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Introduction: Adequate physical activity is important for a healthy and age-appropriate development in children and adolescents with congenital heart disease (CHD). To enable each child with CHD individual and harmless physical activity an exam by a pediatric cardiologist/sports medicine physician, specific recommendations based on residual findings and structures of care are needed.
Methods: A selective review of the literature in PubMed was performed to retrieve current guidelines and review articles.
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High, goal-orientated movement time is an essential characteristic of good physical education (PE). Due to the low weekly dotation of PE in the Swiss school curriculum, the question arises as to how the available teaching time is used, to what extent do the pupils exert themselves and what the subject actually contributes to the achievement of the recommended activity guidelines? The purpose of this cross-sectional study was to analyse the use of time and to determine the effort and perceived exertion of 5th grades (n = 468) during physical education (PE) lessons of 90 min.
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