There is overwhelming scientific evidence that exercise has improved many individual’s physical health and health issues, thereby decreasing premature death and chronic illnesses. Exercise is a prescription to treat/ prevent diseases and illnesses such as:
- Metabolic Syndrome
- Cardiovascular Respiratory/ Pulmonary Disease
- Reduce mortality from Breast Cancer
- Peripheral Arterial Disease
Recent National Health Survey found that 39.1% of Singaporeans are physically inactive with 11% of them being either overweight or obese. Conventional medication has its adverse effect on physical health issues that causes musculoskeletal joint pain, peripheral neuropathy and other cardiovascular complications. Lifestyle modification of diet and regular moderate exercises of 150 mins weekly can gradually improve one’s health issues. This can reduce high risk of Metabolic Syndrome (High Blood Pressure, Diabetes type II and Dyslipidaemia).
The Finnish Diabetes Prevention, America Diabetes Prevention and America Centres for Disease Control and Prevention (CDC) studies have shown that regular exercises significantly increases DM Type II Insulin Sensitivity and Glucose Intolerance. Hence, this reduces the high risk complication of heart diseases, strokes, hypertension, kidney failures, Peripheral Neuropathy and Retinopathy.
Exercises or physical activities of moderate intensity of 150 mins weekly has found to improve Systolic and Diastolic BP of 2 to 5 mmHg for most healthy individuals.
In addition, patients with Hypertension will benefit from moderate exercise of 150mins with 75mins of vigorous exercises a week. In cases like these, they can significantly see a reduction of SBP / DBP of 7 to 5mmHg respectively. Hence, this reduces the high risk of Cardiovascular, Pulmonary and Coronary heart disease complications.
Regular exercise in any form of aerobic activities helps to increase the level of HDL, lower LDL as well as lowering the overall Lipid and Triglyceride levels. By reducing the plaque deposit through the form of exercises, this decreases the risk of atherosclerosis, thrombosis and many other complications of coronary heart disease.
Prolonged use of conventional medication for Diabetes type II, Hypertension and other related medicine for cardiovascular heart disease has its toll on Musculoskeletal joint pain such that it impedes the circulatory system, causing early degenerative joints conditions. Patients experiencing physical pain symptoms and are more prone to sports injuries. They generally shy away from any form of physical activities or exercises. As a result, it will be even more challenging for the individual to reinstate their health conditions. Most exercises that are initiated by patients generally do not have any sports injuries prevention measures put in place. Over-loading of exercises without professional supervision can accumulate several Musculoskeletal acute injuries and other physical pain symptoms such as muscle spasm, muscle strain and stress, frozen shoulder, tennis/ golfer elbow, runner’s knee, ankle sprain, Achilles tendinopathy, plantar fasciitis, and even fractures.
In order to prescribe and implement a safe effective exercise program for the right patients with diseases or pain injuries, pre-participation screening and risk classification is essentially the first step. Any physical Musculoskeletal joint pain symptoms that may be the result of medication, may require further evaluation by a medical practitioner. Hence, medical clearance is crucial before commencing exercises with clinical supervision.
Seeking an EIMS certified professional’s advice and prescription would be the safest and fastest pathway to a healthy and injury-free exercise program. Exercise is Medicine is a world health initiative managed by American College of Sports Medicine (ACSM), to focus on improving the public health through exercises prescribed by Certified EIM professional healthcare trainers and physicians. Exercise is Medicine Singapore (EIMS) was launched in 2011 and had committed to integral exercises to treat and prevent diseases through certified EIMS professional exercise prescriptions.
Patients with existing health issues or conditions, have more than 1 high risk sign or symptoms and are prescribed with medication for his/ her health conditions, should seek professional or medical advice for clearance before carrying out any form of physical activities or exercises. It is strongly encouraged that patients should engage trained certified EIMS advice for exercise prescriptions before engaging any form of exercises or physical activities.
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