MB BCh BAO, General Practice Registrar, Newstead Medical, Tas; Academic General Practice Registrar, University of Tasmania, Tas.
BAppSci Hum Mov (Hons), PhD, AES, AEP, ESSAM, GAICD, Senior Lecturer in Clinical Exercise Physiology, School of Health Sciences, University of South Australia, SA; Member of Alliance for Research in Exercise, Nutrition and Activity, Allied Health and Human Performance, University of South Australia, SA; President, Exercise @ Sports Science Australia, Qld.
Aust J Gen Pract. 2020 Aug;49(8):483-487. doi: 10.31128/AJGP-03-20-5294.
Physical inactivity is a major modifiable contributor to the global burden of cardiovascular disease (CVD) morbidity and mortality.
In this article, a clinical case study is used to provide practical approaches for general practitioners and their teams to individualise exercise prescriptions for patients with hypertension who are at risk of CVD. The case presented describes a sedentary, overweight male with newly diagnosed hypertension - a common scenario in general practice.
The many benefits of exercise are supported by an expanding body of research. Blood pressure can be safely and effectively reduced through physical activity, leading to a lower CVD risk. Value-based goal setting and the 'FITT' framework may be used to facilitate sustainable physical activity among patients. The engagement of allied health professionals such as exercise physiologists may also be beneficial.
身体活动不足是导致全球心血管疾病(CVD)发病率和死亡率的主要可改变因素。
本文通过临床病例研究,为全科医生及其团队为有 CVD 风险的高血压患者制定个性化运动处方提供实用方法。所呈现的病例描述了一位新诊断为高血压的久坐、超重男性,这种情况在一般实践中很常见。
越来越多的研究支持运动带来的诸多益处。通过体育活动可以安全有效地降低血压,从而降低 CVD 风险。基于价值的目标设定和“FITT”框架可用于促进患者的可持续体育活动。让运动生理学家等相关健康专业人员参与进来也可能会有帮助。