{"id":16,"date":"2016-01-07T10:43:58","date_gmt":"2016-01-07T15:43:58","guid":{"rendered":"https:\/\/impacttrial.nipissingu.ca\/?page_id=16"},"modified":"2016-10-25T08:03:52","modified_gmt":"2016-10-25T12:03:52","slug":"module-1","status":"publish","type":"page","link":"https:\/\/wpms.nipissingu.ca\/impacttrial\/modules\/module-1\/","title":{"rendered":"Module 1"},"content":{"rendered":"<h2>Physical Activity Basics, Benefits and Safety<\/h2>\n<p>If you are like most people you may feel that you do not have a full understanding about physical activity and its benefits. You may also sometimes be unsure about whether or not it is safe for certain patients.<\/p>\n<p>This module will provide you with a basic understanding of physical activity principles, an overview of the documented physical and mental health benefits of physical activity and some guidelines surrounding the safety of physical activity for the patients you care for!<\/p>\n<blockquote class=\"vv_callout\">\n<h2>Fast Fact:<\/h2>\n<h3>What\u2019s the difference between \u201cphysical activity\u201d and \u201cexercise\u201d?<\/h3>\n<ul>\n<li><span style=\"color: #000000;\"><em>Physical activity<\/em> is any movement that involves the contraction of muscles (e.g., gardening, walking, housework, playing sports, running).<\/span><\/li>\n<\/ul>\n<ul>\n<li><span style=\"color: #000000;\"><em>Exercise<\/em> is a <u>type<\/u> of physical activity that is planned and done purposefully for health benefits or to increase fitness.<\/span><\/li>\n<\/ul>\n<\/blockquote>\n<p><strong>\u00a0\u00a0<\/strong><\/p>\n<h2>Physical Activity Basics<\/h2>\n<p>There are three different kinds of physical activity that are recommended for most people in the general population:\u00a0<em>cardiovascular, resistance, and flexibility exercise.<\/em><\/p>\n<p>&nbsp;<\/p>\n<h3>Cardiovascular (Aerobic) Exercise<\/h3>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-309\" src=\"https:\/\/wpms.nipissingu.ca\/impacttrial\/wp-content\/uploads\/sites\/44\/2016\/01\/Running-744x531.jpg\" alt=\"Running\" width=\"744\" height=\"531\" srcset=\"https:\/\/wpms.nipissingu.ca\/impacttrial\/wp-content\/uploads\/sites\/44\/2016\/01\/Running-744x531.jpg 744w, https:\/\/wpms.nipissingu.ca\/impacttrial\/wp-content\/uploads\/sites\/44\/2016\/01\/Running-420x300.jpg 420w, https:\/\/wpms.nipissingu.ca\/impacttrial\/wp-content\/uploads\/sites\/44\/2016\/01\/Running-768x548.jpg 768w, https:\/\/wpms.nipissingu.ca\/impacttrial\/wp-content\/uploads\/sites\/44\/2016\/01\/Running.jpg 960w\" sizes=\"auto, (max-width: 744px) 100vw, 744px\" \/><\/p>\n<p>Cardiovascular exercise is physical activity that uses the large muscles of the\u00a0body in a rhythmic fashion. The outcome of regular\u00a0cardiovascular exercise is increased\u00a0cardiorespiratory fitness (the heart and lungs work\u00a0better). Examples include brisk walking, cycling,\u00a0swimming, cutting the lawn, and playing tennis.<\/p>\n<p>&nbsp;<\/p>\n<h3>Resistance (Strength Training, Weight Training) Exercise<\/h3>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-308 alignleft\" src=\"https:\/\/wpms.nipissingu.ca\/impacttrial\/wp-content\/uploads\/sites\/44\/2016\/01\/Weight-Lifting.jpg\" alt=\"Weight Lifting\" width=\"205\" height=\"307\" srcset=\"https:\/\/wpms.nipissingu.ca\/impacttrial\/wp-content\/uploads\/sites\/44\/2016\/01\/Weight-Lifting.jpg 480w, https:\/\/wpms.nipissingu.ca\/impacttrial\/wp-content\/uploads\/sites\/44\/2016\/01\/Weight-Lifting-420x630.jpg 420w\" sizes=\"auto, (max-width: 205px) 100vw, 205px\" \/><\/p>\n<p>Resistance exercise is physical activity that<br \/>\ninvolves weight or resistance that<br \/>\nmakes muscles work hard and<br \/>\nbecome stronger. Some<br \/>\nexamples include lifting weights,<br \/>\ndoing push-ups, and exercising<br \/>\nwith resistance bands.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h3>Flexibility (Stretching) Exercise<\/h3>\n<p>Flexibility exercise is physical activity that increases the range of\u00a0motion around a joint or set of joints.\u00a0Flexibility exercise reduces risk of injury,\u00a0relieves tension and soreness, and may\u00a0contribute to relaxation. Gentle stretching,\u00a0yoga, and Tai Chi Chuan are examples of\u00a0flexibility exercise.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-310\" src=\"https:\/\/wpms.nipissingu.ca\/impacttrial\/wp-content\/uploads\/sites\/44\/2016\/01\/Yoga-744x497.jpg\" alt=\"Yoga\" width=\"744\" height=\"497\" srcset=\"https:\/\/wpms.nipissingu.ca\/impacttrial\/wp-content\/uploads\/sites\/44\/2016\/01\/Yoga-744x497.jpg 744w, https:\/\/wpms.nipissingu.ca\/impacttrial\/wp-content\/uploads\/sites\/44\/2016\/01\/Yoga-420x280.jpg 420w, https:\/\/wpms.nipissingu.ca\/impacttrial\/wp-content\/uploads\/sites\/44\/2016\/01\/Yoga-768x513.jpg 768w, https:\/\/wpms.nipissingu.ca\/impacttrial\/wp-content\/uploads\/sites\/44\/2016\/01\/Yoga.jpg 960w\" sizes=\"auto, (max-width: 744px) 100vw, 744px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<blockquote class=\"vv_callout\">\n<h2>Physical activity programs can be developed using the <u>FITT principle<\/u> as a framework:<\/h2>\n<ul>\n<li><span style=\"color: #000000;\"><strong><u>F<\/u><\/strong>requency: The number of physical activity sessions in a given period (e.g., in a week). Physical activity sessions can be performed daily or over several different days in a week. A common frequency is 3 to 5 times per week of physical activity.<\/span><\/li>\n<\/ul>\n<ul>\n<li><span style=\"color: #000000;\"><strong><u>I<\/u><\/strong>ntensity: How <u>hard<\/u> an individual is working during physical activity. Moderate and\/or vigorous intensity physical activity is recommended for most individuals for achieving health benefits. Moderate intensity physical activity refers to activities that increase heart rate and involve some sweating yet still allows the exerciser to have a conversation (e.g., brisk walking, moderate cycling; 50-70% of maximum heart rate). Vigorous intensity physical activity refers to activity that involves an even faster heart rate and makes the exerciser feel breathless and able to only say a few words at a time (e.g., running, aerobics; 70-85% of maximum heart rate). Moderate or vigorous intensity physical activity is included in the Canadian Physical Activity Guidelines.<\/span><\/li>\n<\/ul>\n<ul>\n<li><span style=\"color: #000000;\"><strong><u>T<\/u><\/strong>ime: How long each physical activity session lasts. In order to achieve health benefits, sessions should be at least 10 minutes in duration. A common duration (time) for physical activity sessions is 30 to 60 minutes.<\/span><\/li>\n<\/ul>\n<ul>\n<li><span style=\"color: #000000;\"><strong><u>T<\/u><\/strong>ype: Refers to the kind of activity. Any activities that get heart rate up, such as walking, running, aerobics, gardening, and cycling can be included.<\/span><\/li>\n<\/ul>\n<\/blockquote>\n<p>&nbsp;<\/p>\n<h2>Keys to Improving Fitness and Health using the FITT Principle<\/h2>\n<h3>Progression<\/h3>\n<p>A common mistake that people make is that they do the same exercises at the same intensity, frequency, and for the same duration (time) for months on end. Although this is better than being sedentary, this kind of exercise program does not maximize fitness and health benefits because our bodies are good at adapting to the physical challenges they are faced with.<\/p>\n<p>By <em>progressing<\/em> the fitness program, optimal health and fitness can be achieved. The FITT principle factor that is often progressed first is <strong>Time<\/strong> (duration) of individual physical activity sessions.<\/p>\n<p>An example of progression may involve gradually increasing the <strong>Time<\/strong> of physical activity sessions from 30 to 45 minutes. The next step may be increasing the <strong>Frequency<\/strong> of physical activity sessions per week up to 3 to 5 by gradually adding additional days of planned exercise. Finally, once <strong>Time <\/strong>and <strong>Frequency<\/strong> are maximized, <strong>Intensity<\/strong> may be progressed. During this time, rotating <strong>Type<\/strong> of activity will reduce risk of injury and boredom.<\/p>\n<p>&nbsp;<\/p>\n<blockquote class=\"vv_callout\">\n<h2>Important to Consider<\/h2>\n<p><span style=\"color: #000000;\">It is important to remember that when increasing physical activity, it is best to do so gradually. People who are very deconditioned should start off with low <strong>intensity<\/strong> activity, short sessions (<strong>time<\/strong>), low <strong>frequency<\/strong>, and a <strong>type of activity<\/strong> that is comfortable.<\/span><\/p>\n<p><span style=\"color: #000000;\">For example, easy walking for 15 minutes three times per week may be an appropriate starting point for a person who is very deconditioned. People with a higher level of fitness could participate in a program with higher <strong>intensity<\/strong>, <strong>time<\/strong> and <strong>frequency<\/strong>. It is wise to start small and gradually build the components of the FITT principle to avoid injury and demotivation.<\/span><\/p><\/blockquote>\n<p>&nbsp;<\/p>\n<h3><em>\u201cIf physical activity were a pill, it would be the most widely prescribed drug in the world.\u201d<\/em><sup>1,2<\/sup><\/h3>\n<p>Regular physical activity can help patients prevent and manage a wide range of physical and mental health problems, as well as help them manage stress and maintain a good quality of life!<\/p>\n<p>&nbsp;<\/p>\n<table width=\"100%\">\n<tbody>\n<tr>\n<td width=\"50%\">\n<h3>Physical activity can prevent or manage:<\/h3>\n<ul>\n<li>Cardiovascular disease<\/li>\n<li>Type 2 diabetes<\/li>\n<li>Some types of cancer<\/li>\n<li>Osteoporosis<\/li>\n<li>Premature death<\/li>\n<li>Anxiety<\/li>\n<li>Depression<\/li>\n<\/ul>\n<\/td>\n<td width=\"50%\">\n<h3>Physical activity can help\u00a0improve or maintain:<\/h3>\n<ul>\n<li>Physical fitness<\/li>\n<li>Physical strength<\/li>\n<li>Bone mineral density<\/li>\n<li>Psychological well-being<\/li>\n<li>Cognitive functioning<\/li>\n<li>Life satisfaction<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<blockquote class=\"vv_callout\">\n<h2>Fast Fact:<\/h2>\n<h3><span style=\"color: #000000;\"><strong>The History of Physical Activity<\/strong><\/span><\/h3>\n<p><span style=\"color: #000000;\">For the vast majority of human history, people had to be very physically active in order to survive. It is been estimated that our ancestors walked on average 8 to 16 kilometres per day foraging and hunting for food! Lifting, carrying, leaping, stretching and climbing were also activities that were carried out regularly as a part of daily life.<sup>3<\/sup><\/span><\/p>\n<p><span style=\"color: #000000;\">Think about how this lifestyle differs from the modern lifestyle, yet our physiology is very much the same as that of our ancestors!<\/span><\/p><\/blockquote>\n<p>&nbsp;<\/p>\n<h2>Physical Activity and Obesity<\/h2>\n<p>Approximately 20% of Canadians aged 18 years and older are considered obese and an additional 35% can be classified as overweight<sup>4<\/sup>. Among Canadian youth aged 12 to 17 years, 6% are considered obese and an additional 17% are overweight<sup>5<\/sup>.<\/p>\n<p>Obesity and overweight are associated with an increased risk of metabolic syndrome, Type 2 diabetes, hypertension, coronary artery disease, stroke, respiratory problems, cancer, infertility, osteoarthritis, and liver and gall bladder disease<sup>6<\/sup>. It is very important for all people to try and maintain a healthy body weight in order to maximize health!<\/p>\n<p>Being physically active and reducing sedentary time can possibly help with maintenance of a healthy body weight and assist in weight loss for those who are overweight or obese<sup>7<\/sup>.<\/p>\n<h2>Safety of Physical Activity<\/h2>\n<p>You might be wondering if physical activity is safe for patients, especially those who have a chronic disease or are receiving some kind of treatment. There are several steps that are recommended to ensure the safety of the patients that you care for as they become more physically active.<\/p>\n<p>The Canadian Society for Exercise Physiology has developed a one page screener called the \u201cPAR-Q\u201d which can be self-administered and can help patients determine if they should see a doctor before increasing physical activity. If patients honestly answer \u201cNo\u201d to all of the questions on the PAR-Q, they can typically proceed with increasing their physical activity levels with minimum risk. If they answer \u201cYes\u201d to any questions, they should consult with a doctor to determine what types of physical activity are safe.<\/p>\n<p><a href=\"http:\/\/www.csep.ca\/view.asp?ccid=517\" target=\"_blank\">Link to PAR-Q<\/a><\/p>\n<h2>Key Points:<\/h2>\n<ul>\n<li>Physical activity can consist of cardiovascular, resistance, and\/ or flexibility exercises.<\/li>\n<\/ul>\n<ul>\n<li>The FITT principle forms the basis of exercise prescription.<\/li>\n<\/ul>\n<ul>\n<li>Progression refers to incrementally increasing components of the FITT principle to maximize health and fitness benefits.<\/li>\n<\/ul>\n<ul>\n<li>Physical activity has a number of physical and mental health benefits.<\/li>\n<\/ul>\n<ul>\n<li>The PAR-Q can be used as a screener to determine which patients need to see a doctor before starting a physical activity program.<\/li>\n<\/ul>\n<p>After reviewing this module you should now have a better understanding of the basic principles of physical activity. You should be more familiar with the documented benefits of physical activity as well as the utility of the PAR-Q as a screener for physical activity readiness. In the next module you will learn about physical activity and sedentary behavior guidelines that will help you make appropriate recommendations for the patients you care for.<\/p>\n<p>Please click on the link below to start the quiz.<\/p>\n<p><a href=\"https:\/\/wpms.nipissingu.ca\/impacttrial\/quiz\/test-survey\/\">Start Module 1 Quizz<\/a><\/p>\n<h2>References<\/h2>\n<ol>\n<li>Warburton DER, Nicol CW, Bredin SSD. Health benefits of physical activity: the evidence. 2006;174, 801-809.<\/li>\n<li>Carek PJ, Laibstain SE, Carek SM. Exercise for the treatment of depression and anxiety. <em>Int J Psychiatry Med<\/em>. 2011;41, 15-28.<\/li>\n<li>O\u2019Keefe JH Jr, Cordain L. Cardiovascular disease resulting from a diet and lifestyle at odds with our Paleolithic genome. How to become a 21<sup>st<\/sup>-century hunter-gatherer. <em>Mayo Clin Proc.<\/em> 2004;79, 101-108.<\/li>\n<li>Statistics Canada. Overweight and obese adults (self-reported), 2014. <a href=\"http:\/\/www.statcan.gc.ca\/pub\/82-625-x\/2015001\/article\/14185-eng.htm\">http:\/\/www.statcan.gc.ca\/pub\/82-625-x\/2015001\/article\/14185-eng.htm<\/a> Retrieved September 1, 2015.<\/li>\n<li>Statistics Canada. Overweight and obese youth (self-reported), 2014. <a href=\"http:\/\/www.statcan.gc.ca\/pub\/82-625-x\/2015001\/article\/14186-eng.htm\">http:\/\/www.statcan.gc.ca\/pub\/82-625-x\/2015001\/article\/14186-eng.htm<\/a> Retrieved September 1, 2015.<\/li>\n<li>Kopelman P. Health risks associated with overweight and obesity<em>. Obes Rev<\/em>. 2007;8(suppl 1), 13-17.<\/li>\n<li>Fox KR, Hillsdon M. Physical activity and obesity. <em>Obes Rev<\/em>. 2007;8(suppl 1), 115-121.<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Physical Activity Basics, Benefits and Safety If you are like most people you may feel that you do not have a full understanding about physical activity and its benefits. You may also sometimes be unsure about whether or not it<\/p>\n","protected":false},"author":461,"featured_media":0,"parent":14,"menu_order":10,"comment_status":"closed","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-16","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/wpms.nipissingu.ca\/impacttrial\/wp-json\/wp\/v2\/pages\/16","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wpms.nipissingu.ca\/impacttrial\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/wpms.nipissingu.ca\/impacttrial\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/wpms.nipissingu.ca\/impacttrial\/wp-json\/wp\/v2\/users\/461"}],"replies":[{"embeddable":true,"href":"https:\/\/wpms.nipissingu.ca\/impacttrial\/wp-json\/wp\/v2\/comments?post=16"}],"version-history":[{"count":42,"href":"https:\/\/wpms.nipissingu.ca\/impacttrial\/wp-json\/wp\/v2\/pages\/16\/revisions"}],"predecessor-version":[{"id":371,"href":"https:\/\/wpms.nipissingu.ca\/impacttrial\/wp-json\/wp\/v2\/pages\/16\/revisions\/371"}],"up":[{"embeddable":true,"href":"https:\/\/wpms.nipissingu.ca\/impacttrial\/wp-json\/wp\/v2\/pages\/14"}],"wp:attachment":[{"href":"https:\/\/wpms.nipissingu.ca\/impacttrial\/wp-json\/wp\/v2\/media?parent=16"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}