Welcome to May's feature topic page and Q&A Discussion Forum! Find everything we have lined up for this month below including our feature module, the chance to talk to our exercise prescription expert and test your knowledge in our expert's case study.
Exercise in the prevention and management of chronic disease should be a specific focus of all doctors working in the sport and exercise area. This module introduces the concepts of exercise prescription, the benefits of regular exercise and discusses the barriers to people exercising for health.
Each month the SEM Academy team pick a topical subject and source our very best global experts, to provide you with current information and research.
During the month we invite you to use the discussion forum below to enter your questions and interact with your SEM peers.
The content expert will respond right here, on this page, and interact with you through out the month. Discussion only lasts for one month, so start asking!
Dr. Jane Thornton
Dr. Jane Thornton is a Canadian Clinician Scientist specializing in female athlete health and physical activity in the prevention and treatment of chronic disease. She is a Sport Medicine physician, a Member of the Board of Directors of the Canadian Academy of Sport and Exercise Medicine (CASEM) and Editor of the British Journal of Sports Medicine (BJSM). Dr. Thornton represented Canada for over a decade in the sport of rowing, becoming both a World Champion and Olympian.
HOW WILL YOU MANAGE NANCY'S HYPERTENSION?
One of your patients, Nancy, was recently diagnosed with Stage One [mild] hypertension with her blood pressure consistently around 140/90 mmHg. She is 64 years old and was once an avid walker but has been sedentary since her walking partner – her spouse of 30 years – passed away three years ago.
Nancy has a family history of cardiovascular disease and osteoporosis but is otherwise healthy. She does not take any medications and, if given the choice, would prefer not to start an antihypertensive. You decide to explore her thoughts on incorporating more physical activity in her daily routine. She is agreeable, but she is worried about her fall risk as her mother was 65 when she fell and fractured her hip. She admits her physical activity of choice would be to start walking again, if she could find the will to do so. Motivation is hard without her walking partner.
You explain the wide-ranging benefits of physical activity on cardiovascular disease, falls risk, bone health, and particularly on hypertension. You explain to her that regular exercise can reduce requirements for medication and that (brisk) walking is often enough. You address her barriers to become physically active and complete a risk assessment.
Case written by Dr. Jane Thornton