{"id":9893,"date":"2021-12-23T09:55:52","date_gmt":"2021-12-23T08:55:52","guid":{"rendered":"https:\/\/www.agingproject.uniupo.it\/in-un-flash\/are-there-any-contraindications-for-physical-activity\/"},"modified":"2022-10-03T11:17:02","modified_gmt":"2022-10-03T09:17:02","slug":"are-there-any-contraindications-for-physical-activity","status":"publish","type":"in-un-flash","link":"https:\/\/www.agingproject.uniupo.it\/en\/in-un-flash\/are-there-any-contraindications-for-physical-activity\/","title":{"rendered":"Are there any contraindications for physical activity?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">One of the <\/span><b>pillars<\/b><span style=\"font-weight: 400;\"> of lifestyle medicine is <\/span><b>physical activity<\/b><span style=\"font-weight: 400;\">. Physical activity refers to both a non-specific movement, performed in everyday life or at work, and a structured and planned exercise program. All people benefit from its <\/span><b>positive effects<\/b><span style=\"font-weight: 400;\">, even those who suffer from one or more <\/span><b>chronic diseases<\/b><span style=\"font-weight: 400;\">, take multiple medications or have restricted movement. That said, what precautions should be taken regarding physical activity?\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">A group of Oxford researchers recently published an interesting position statement in the <\/span><i><span style=\"font-weight: 400;\">British Journal of Sports Medicine<\/span><\/i><span style=\"font-weight: 400;\">, based on the conclusions of their literature review and an extensive survey of doctors and patients.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For people living with chronic conditions, the <\/span><b>benefits of physical activity outweigh the risks<\/b><span style=\"font-weight: 400;\">, even though patients mistakenly perceive these risks as very high. For this reason, healthcare professionals should <\/span><b>customize the starting point of physical activity<\/b><span style=\"font-weight: 400;\">, offer a <\/span><b>gradual progression<\/b><span style=\"font-weight: 400;\"> and comprehensively explain how the patient can <\/span><b>manage<\/b><span style=\"font-weight: 400;\"> their own <\/span><b>feelings, fears and symptoms.<\/b><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">According to the authors, in the absence of worrying signs or symptoms, <\/span><b>prior medical advice is not needed<\/b><span style=\"font-weight: 400;\"> in order to begin a gradual exercise program.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">On the other hand, <\/span><b>a healthcare professional<\/b> <b>should always be consulted<\/b><span style=\"font-weight: 400;\"> if any of the following symptoms are present:<\/span><b><\/b><\/p>\n<ul>\n<li aria-level=\"1\"><b>musculoskeletal pain<\/b><\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><span style=\"font-weight: 400;\">excessive <\/span><b>fatigue<\/b><\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">sudden <\/span><b>shortness of breath<\/b><span style=\"font-weight: 400;\">, <\/span><b>angina<\/b><span style=\"font-weight: 400;\"> or chest pain<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>palpitations<\/b><span style=\"font-weight: 400;\"> or <\/span><b>irregular heartbeat<\/b><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><b>blurred vision, dizziness<\/b><\/li>\n<\/ul>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>dysglycemia<\/b><span style=\"font-weight: 400;\"> in diabetes<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li aria-level=\"1\"><b>cognitive impairment<\/b><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">history of <\/span><b>falls<\/b><span style=\"font-weight: 400;\"> and <\/span><b>frailty<\/b><span style=\"font-weight: 400;\"> in the elderly.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The purpose of the health consultation must be to <\/span><b>evaluate the clinical stability of the disease<\/b><span style=\"font-weight: 400;\"> and <\/span><b>reassure the patient<\/b><span style=\"font-weight: 400;\"> by helping them manage their feelings while respecting their fears. For example, the most feared cardiovascular risk \u2013<\/span><b> sudden death \u2013<\/b><span style=\"font-weight: 400;\"> is <\/span><b>very low<\/b><span style=\"font-weight: 400;\"> in both healthy people as well as in patients. Furthermore, the benefits of physical activity greatly outweigh the risks, <\/span><b>provided that the chronic diseases are stabilized<\/b><span style=\"font-weight: 400;\"> through adequate therapy. For the same reason, even <\/span><b>musculoskeletal pain<\/b><span style=\"font-weight: 400;\"> need not be a barrier as studies show that <\/span><b>well-structured physical activity<\/b><span style=\"font-weight: 400;\">, over time,<\/span><b> reduces the intensity of pain<\/b><span style=\"font-weight: 400;\"> without causing joint damage, even in those affected by osteoarthritis.<\/span><\/p>\n<p><b>Absolute contraindications<\/b><span style=\"font-weight: 400;\"> include: recent <\/span><b>acute cardiovascular events<\/b><span style=\"font-weight: 400;\">, <\/span><b>ischemia-<\/b><span style=\"font-weight: 400;\">related ECG changes, <\/span><b>unstable angina<\/b><span style=\"font-weight: 400;\">, uncontrolled <\/span><b>arrhythmia<\/b><span style=\"font-weight: 400;\">, severe symptomatic <\/span><b>aortic stenosis<\/b><span style=\"font-weight: 400;\">, acute pulmonary <\/span><b>embolism <\/b><span style=\"font-weight: 400;\">or <\/span><b>pulmonary infarction<\/b><span style=\"font-weight: 400;\">, acute <\/span><b>myocarditis <\/b><span style=\"font-weight: 400;\">or<\/span><b> pericarditis<\/b><span style=\"font-weight: 400;\">, dissecting <\/span><b>aneurysm<\/b><span style=\"font-weight: 400;\">, <\/span><b>acute systemic infections<\/b><span style=\"font-weight: 400;\">, <\/span><b>acute arthropathies<\/b><span style=\"font-weight: 400;\"> or <\/span><b>acute<\/b> <b>trauma<\/b><span style=\"font-weight: 400;\">, or <\/span><b>hypoglycemia<\/b><span style=\"font-weight: 400;\"> within the previous 24 hours.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In conclusion, even for people with <\/span><b>chronic diseases<\/b><span style=\"font-weight: 400;\"> who have received <\/span><b>an adequate diagnosis and therapy<\/b><span style=\"font-weight: 400;\">, <\/span><b>physical activity<\/b><span style=\"font-weight: 400;\"> is fundamental for prolonging <\/span><b>healthy life<\/b><span style=\"font-weight: 400;\">. It must be performed <\/span><b>gradually <\/b><span style=\"font-weight: 400;\">and with a <\/span><b>personalized starting level<\/b><span style=\"font-weight: 400;\">. Patients must be well educated on training <\/span><b>progressions<\/b><span style=\"font-weight: 400;\"> and on the adverse <\/span><b>signs<\/b><span style=\"font-weight: 400;\"> and <\/span><b>symptoms <\/b><span style=\"font-weight: 400;\">to respect, while also adequately <\/span><b>confronting<\/b> <b>fears<\/b><span style=\"font-weight: 400;\"> related to <\/span><b>beliefs<\/b><span style=\"font-weight: 400;\"> about the risks of physical activity.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Healthcare professionals should develop more technical and communication skills in this field and use every opportunity to encourage movement for all their patients.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">By <strong>Agatino Sanguedolce<\/strong> and <strong>Carmela Rinaldi\u00a0<\/strong><\/span><\/p>\n","protected":false},"author":18,"featured_media":0,"template":"","class_list":["post-9893","in-un-flash","type-in-un-flash","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v26.6 (Yoast SEO v26.7) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Are there any contraindications for physical activity?<\/title>\n<meta name=\"description\" content=\"Can physical activity have contraindications? 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