Charter to establish clinical exercise physiology as a recognised allied health profession in the UK: a call to action.
Charter to establish clinical exercise physiology as a recognised allied health profession in the UK: a call to action.
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DOI：
10.1136/bmjsem-2021-001158
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发表时间：
2021
影响因子：
4.8
通讯作者：
Green DJ
中科院分区：
文献类型：
--
作者：
Jones H;George KP;Scott A;Buckley JP;Watson PM;Oxborough DL;Thijssen DH;Graves LEF;Whyte GP;McGregor G;Naylor LH;Rosenberg M;Askew CD;Green DJ
英国人口正在增长、老龄化，并变得越来越不活跃和不健康。个性化和有针对性的运动干预有利于老龄化和慢性复杂疾病的管理。增加有效的运动和体力活动(PA)干预对于支持更健康的社会和降低医疗成本至关重要。目前在人群层面上的锻炼和PA战略大多涉及自我指导的锻炼路径，主要通过健身行业提供。即使对于那些选择加入并设法达到目前关于最低PA的建议的人来说，这种通用的“一刀切”的方法往往无法证明有意义的生理和健康益处。针对慢性病患者的个性化运动处方和适当的运动测试、监测和干预措施的进展应由受过适当培训和认可的运动保健专业人员提供，这些专业人员受过运动科学相关学科的教育(例如，生理学、生物力学、运动控制、心理学)。这些员工已经在澳大利亚的公共和私人医疗系统工作了20年。认可的运动生理学家(AEP)是公认的专职健康专业人员，具有明显的健康和经济利益。根据既定的科学证据，AEP拥有不同形式运动的风险和好处的知识、个性化处方和最佳运动交付的技能，以及支持PA持续行为改变的能力。在这一章中，我们为英国临床运动生理学专业的培训、认证和推广提出了路线图。
The UK population is growing, ageing and becoming increasingly inactive and unfit. Personalised and targeted exercise interventions are beneficial for ageing and the management of chronic and complex conditions. Increasing the uptake of effective exercise and physical activity (PA) interventions is vital to support a healthier society and decrease healthcare costs. Current strategies for exercise and PA at a population level mostly involve self-directed exercise pathways, delivered largely via the fitness industry. Even for those who opt-in and manage to achieve the current recommendations regarding minimum PA, this generic ‘one-size-fits-all’ approach often fails to demonstrate meaningful physiological and health benefits. Personalised exercise prescription and appropriate exercise testing, monitoring and progression of interventions for individuals with chronic disease should be provided by appropriately trained and recognised exercise healthcare professionals, educated in the cognate disciplines of exercise science (eg, physiology, biomechanics, motor control, psychology). This workforce has operated for >20 years in the Australian public and private healthcare systems. Accredited exercise physiologists (AEPs) are recognised allied health professionals, with demonstrable health and economic benefits. AEPs have knowledge of the risks and benefits of distinct forms of exercise, skills in the personalised prescription and optimal delivery of exercise, and competencies to support sustained PA behavioural change, based on the established scientific evidence. In this charter, we propose a road map for the training, accreditation and promotion of a clinical exercise physiology profession in the UK.