THE BEST OF SEASON 1: Exercise is Medicine ”Adding Years to Life and Life to Years”
Jan 2, 2024
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In this episode, Dr. Robert Scales, an expert in exercise science, discusses exercise as medicine and its impact on overall health. Topics include the benefits of exercise on cardiovascular health, motivational interviewing for behavior change, and exercise guidelines for improving heart function.
Exercise is considered a powerful medication that can improve heart function, control blood glucose, and enhance emotional well-being.
Exercise directly benefits heart health and vascular function, leading to increased blood supply, improved blood quality, and lower heart rates.
Deep dives
Exercise as Medicine: The Medicinal Qualities of Exercise
Exercise has been recognized for thousands of years as a means to promote health and well-being. In this podcast episode, Dr. Robert Scales, an exercise physiologist and director of cardiac rehabilitation and wellness at Mayo Clinic, discusses how exercise can be considered a powerful medication. He highlights that exercise can improve heart function, open up blood vessels, lower blood pressure, improve cholesterol levels, control blood glucose, strengthen muscles and bones, and enhance emotional well-being. Dr. Scales emphasizes the importance of physicians in guiding patients to exercise safely, taking into consideration their physical limitations and providing guidelines. The American College of Sports Medicine's campaign, "Exercise is Medicine," supports physicians in promoting exercise as a prescription and provides various options for physicians to talk to patients about exercise during visits. The podcast concludes by highlighting the global spread of the initiative and the positive impact exercise can have on reducing mortality and increasing overall health span.
The Benefits of Exercise: Enhancing Heart and Vascular Function
Exercise is not only a risk factor reducer for heart disease, but it also directly benefits heart health and vascular function. Dr. Scales explains that exercise can improve endothelial function, which helps blood vessels relax and dilate more efficiently. It can also regulate the autonomic nervous system, positively affecting heart rate, heart rate recovery, heart rate variability, and heart rhythm. Longitudinal studies have shown that fit individuals have significantly reduced mortality rates compared to unfit individuals. Exercise causes adaptations within the heart and blood vessels, resulting in increased blood supply, improved blood quality, lower heart rates at rest and during exercise, and increased stroke volume. Dr. Scales emphasizes that even small changes in heart rate after starting an exercise program can indicate improved heart function and overall health.
Guidelines and Adaptations: Making Exercise Accessible for All
To reap the benefits of exercise, guidelines recommend accumulating at least 30 minutes of exercise most days of the week, with moderate to vigorous intensity. Dr. Scales advises starting slowly and gradually building up exercise duration and intensity to allow the body to adapt. He emphasizes that even mild or moderate exercise can have significant benefits, especially for individuals with orthopedic limitations. Low impact activities, such as water-based exercises, can provide a safer environment for those with joint issues. For patients with medical concerns, evaluation and collaboration between physicians and exercise professionals are crucial to ensure safe and effective exercise plans. The importance of cardiac rehabilitation is highlighted as the World Health Organization recognizes it as the best way to recover from a heart condition, providing patients with confidence, support, and monitored exercise routines.
As we bid farewell to the year 2023 and embrace the possibilities for 2024, what better time to refocus on both us and our patient’s well-being? In today's episode, we’re going to revisit an episode from Season One, “Exercise is Medicine: Adding Years to Life and Life to Years”. During the annual intersection of the new year and new exercise routines, this is a very fitting topic!
Let’s take a listen to how exercise can truly play a role in our overall health and well-being from our featured guest speaker, Robert Scales, Ph.D., M.S.
Connect with the Mayo Clinic’s School of Continuous Professional Development online at https://ce.mayo.edu/ or on Twitter @MayoMedEd.
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