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Evaluating and prescribing physical activity and exercise in health centers for individuals with metabolic syndrome: moving from pilot study to broad implementation

dc.contributor.authorTeixeira, José Eduardo
dc.contributor.authorBragada, José A.
dc.contributor.authorBragada, João P.
dc.contributor.authorReis, Luís
dc.contributor.authorMagalhães, Pedro
dc.date.accessioned2023-11-17T11:32:43Z
dc.date.available2023-11-17T11:32:43Z
dc.date.issued2023
dc.description.abstractPhysical activity (PA) and exercise are vital for health promotion (Ács et al., 2020; Blue, 2017). Regular exercise, combined with dietary advice, significantly improved to normal values the metabolic syndrome (MetS) factors (Magalhães et al., 2023; Teixeira et al., 2022). Thus, the health centres should provide PA assessment and prescription, ensuring trained personnel, dedicated space, and regular follow-up for patients (Bragada et al., 2023). Indeed, the exponential increase of MetS conditions such as obesity, dysglycemia, dyslipidemia and hypertension, will impose an medical expenses on healthcare systems with indirect costs in labour productivity and missed work days (Hone et al., 2019; WHO, 2021). This global problem can only be solved with health education and exercise-based primary prevention (Hone et al., 2019). In our pilot study conducted over a 3-month period in collaboration with family physicians, focusing on individuals with MetS, we found that regular PA and exercise, combined with dietary counselling, had a significant impact on improving MetS risk factors, particularly fasting blood glucose, diastolic blood pressure, and systolic blood pressure. Anthropometric variables showed improvements in weight, lean body mass, and body fat mass. In regard to glycated hemoglobin (HbA1c), there was a clinically significant reduction in the majority of participants. Additionally, exercise led to an improvement in heart rate recovery after exercise, reflecting an increase in cardiovascular capacity (Bragada et al., 2023). In this context, it would be highly beneficial if health centres had the necessary resources and qualified personnel to assess and prescribe physical exercise for specific population groups who, based on medical advice, should increase their engagement in exercise and physical activities (Magalhães et al., 2023; Teixeira et al., 2022). The intervention strategies of health centres can take into account the following aspects: (1) set up multidisciplinary task force with a qualified physical exercise professional or exercise physiologist, a nutritionist and a nurse; (2) providing a suitable and dedicated space for conducting physical activity and dietary counselling consultations; (3) acquiring essential basic equipment for assessments; (4) having the family physician refer the patient to the PA consultation during their visit; (5) conducting regular assessments of physical activity levels and clinical analyses; (6) implementing longitudinal follow-up.pt_PT
dc.description.versionN/Apt_PT
dc.identifier.citationTeixeira, José Eduardo; Bragada, José A.; Bragada, João P.; Reis, Luís; Magalhães, Pedro (2023). Evaluating and prescribing physical activity and exercise in health centers for individuals with metabolic syndrome: moving from pilot study to broad implementation. In CIDESD International Congress 2023. Vila Realpt_PT
dc.identifier.urihttp://hdl.handle.net/10198/28899
dc.language.isoengpt_PT
dc.peerreviewednopt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectPhysical activitypt_PT
dc.subjectResearch Subject Categories::INTERDISCIPLINARY RESEARCH AREAS::Sportspt_PT
dc.titleEvaluating and prescribing physical activity and exercise in health centers for individuals with metabolic syndrome: moving from pilot study to broad implementationpt_PT
dc.typeconference object
dspace.entity.typePublication
oaire.citation.conferencePlaceVila Realpt_PT
oaire.citation.titleCIDESD International Congress 2023pt_PT
person.familyNamede Araújo Teixeria
person.familyNameBragada
person.familyNameMagalhães
person.givenNameJosé Eduardo
person.givenNameJosé
person.givenNamePedro
person.identifier2316939
person.identifier.ciencia-idD11C-9591-7A8A
person.identifier.ciencia-idEC18-B34C-A1C8
person.identifier.ciencia-id631D-E634-0FBB
person.identifier.orcid0000-0003-4612-3623
person.identifier.orcid0000-0001-7020-0583
person.identifier.orcid0000-0003-2492-1499
person.identifier.scopus-author-id35224896200
rcaap.rightsopenAccesspt_PT
rcaap.typeconferenceObjectpt_PT
relation.isAuthorOfPublication79042f92-ce53-4b79-a33f-76ac63c55b8d
relation.isAuthorOfPublicationd24f0ee1-6174-4249-8e0a-20629d306235
relation.isAuthorOfPublicationce33c577-a21a-4f32-9443-ea36d0af8d72
relation.isAuthorOfPublication.latestForDiscoveryd24f0ee1-6174-4249-8e0a-20629d306235

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