PMID- 27335208 OWN - NLM STAT- MEDLINE DCOM- 20170316 LR - 20220410 IS - 1473-0480 (Electronic) IS - 0306-3674 (Linking) VI - 50 IP - 18 DP - 2016 Sep TI - Physical activity prescription: a critical opportunity to address a modifiable risk factor for the prevention and management of chronic disease: a position statement by the Canadian Academy of Sport and Exercise Medicine. PG - 1109-14 LID - 10.1136/bjsports-2016-096291 [doi] AB - Non-communicable disease is a leading threat to global health. Physical inactivity is a large contributor to this problem; in fact, the WHO ranks it as the fourth leading risk factor for overall morbidity and mortality worldwide. In Canada, at least 4 of 5 adults do not meet the Canadian Physical Activity Guidelines of 150 min of moderate-to-vigorous physical activity per week. Physicians play an important role in the dissemination of physical activity (PA) recommendations to a broad segment of the population, as over 80% of Canadians visit their doctors every year and prefer to get health information directly from them. Unfortunately, most physicians do not regularly assess or prescribe PA as part of routine care, and even when discussed, few provide specific recommendations. PA prescription has the potential to be an important therapeutic agent for all ages in primary, secondary and tertiary prevention of chronic disease. Sport and exercise medicine (SEM) physicians are particularly well suited for this role and should collaborate with their primary care colleagues for optimal patient care. The purpose of this Canadian Academy and Sport and Exercise Medicine position statement is to provide an evidence-based, best practices summary to better equip SEM and primary care physicians to prescribe PA and exercise, specifically for the prevention and management of non-communicable disease. This will be achieved by addressing common questions and perceived barriers in the field.Author note This position statement has been endorsed by the following nine sport medicine societies: Australasian College of Sports and Exercise Physicians (ACSEP), American Medical Society for Sports Medicine (AMSSM), British Association of Sports and Exercise Medicine (BASEM), European College of Sport & Exercise Physicians (ECOSEP), Norsk forening for idrettsmedisin og fysisk aktivite (NIMF), South African Sports Medicine Association (SASMA), Schweizerische Gesellschaft fur Sportmedizin/Swiss Society of Sports Medicine (SGSM/SSSM), Sport Doctors Australia (SDrA), Swedish Society of Exercise and Sports Medicine (SFAIM), and CASEM. CI - Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ FAU - Thornton, Jane S AU - Thornton JS AD - Western University, London, Ontario, Canada. FAU - Fremont, Pierre AU - Fremont P AD - Dip Sport Med (CASEM), Laval University, Ville de Quebec, Quebec, Canada. FAU - Khan, Karim AU - Khan K AD - University of British Columbia, Vancouver, British Columbia, Canada. FAU - Poirier, Paul AU - Poirier P AD - Institut Universitaire de Cardiologie et de Pneumologie de Quebec and Faculty of Pharmacy, Laval University, Quebec, Canada. FAU - Fowles, Jonathon AU - Fowles J AD - Acadia University, Wolfville, Nova Scotia, Canada. FAU - Wells, Greg D AU - Wells GD AD - Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada. FAU - Frankovich, Renata J AU - Frankovich RJ AD - Dip. Sport Med (CASEM), University of Ottawa, Ontario, Canada. LA - eng PT - Journal Article DEP - 20160622 PL - England TA - Br J Sports Med JT - British journal of sports medicine JID - 0432520 SB - IM MH - Canada MH - Chronic Disease/*prevention & control MH - *Disease Management MH - *Exercise MH - Health Promotion/*methods MH - Humans MH - Practice Guidelines as Topic MH - *Practice Patterns, Physicians' MH - Primary Health Care MH - Risk Factors OTO - NOTNLM OT - Exercise OT - Non-communicable disease OT - Physical activity OT - Primary care OT - Sports and exercise medicine EDAT- 2016/06/24 06:00 MHDA- 2017/03/17 06:00 CRDT- 2016/06/24 06:00 PHST- 2016/06/03 00:00 [accepted] PHST- 2016/06/24 06:00 [entrez] PHST- 2016/06/24 06:00 [pubmed] PHST- 2017/03/17 06:00 [medline] AID - bjsports-2016-096291 [pii] AID - 10.1136/bjsports-2016-096291 [doi] PST - ppublish SO - Br J Sports Med. 2016 Sep;50(18):1109-14. doi: 10.1136/bjsports-2016-096291. Epub 2016 Jun 22.