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exercise is medicine

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Les images saisissantes du footballeur Christian Eriksen ­allongé sur le terrain, victime d’un arrêt cardiaque en plein match de l’Euro en juin 2021, sont encore présentes dans les mémoires. Curieusement, un événement ultérieur a fait couler autant voire plus d’encre. En mars 2022, moins d’un an après son expérience de mort imminente très médiatisée, il est revenu sur le terrain avec un défibrillateur cardiaque implantable.
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Introduction: Assessment of exercise training load (TL) can identify mechanisms of fatigue and injury. At present, techniques to monitor TL in young athletes are lacking. Objectives: To examine the adherence to two monitoring techniques to assess TL among young judokas. Methods: Over a 10 week study period, TL was assessed by completion of a daily training log and by weekly measurement of heart rate variability (HRV). The satisfaction to HRV method was assessed by survey at study completion. Results: Among national caliber judokas (n=10, age 16 ± 2 y, weight 63 ± 5 kg, height 169 ± 8 cm,), training logs were completed at a 98 ± 5% rate, while HRV measurement was successful 57% ± 37%. HRV was comparable to young and athletic population. Difficulties in performing HRV measurements were rated 3.3 ± 1.9 (1: not constraining to 10: extremely constraining). Conclusion: Excellent adhesion for training diary completion was only possible with regular demands from coaches for ratings. Judo seems to enhance cardiac autonomic control in young national level athletes. HRV monitoring compliance was suboptimal among young judokas and opportunities for future improvement are suggested by our data.
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The prevalence of obesity is increasing worldwide, and excess body weight is associated with a substantially increased risk of adverse health conditions. Exercise supports the prevention and management of obesity; however, when used for weight loss, exercise (even at high volumes) is usually relatively ineffective, frequently producing less weight loss than expected based on measured energy expenditure.
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Exercise is medicine. This motto has become widely accepted. However, we are far from implementing it in clinical practice. This concerns both the advice given in the medical doctor and the knowledge of how to properly apply exercise as medicine. Only about 20-30% of medical doctors advise their patients to be physically active during a GP visit.
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