title: 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.
abstract: 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 für Sportmedizin/Swiss Society of Sports Medicine (SGSM/SSSM), Sport Doctors Australia (SDrA), Swedish Society of Exercise and Sports Medicine (SFAIM), and CASEM.
authors.affiliation: Western University, London, Ontario, Canada.
authors.forename: Jane S
authors.initials: JS
authors.lastname: Thornton
authors.affiliation: Dip Sport Med (CASEM), Laval University, Ville de Québec, Quebec, Canada.
authors.forename: Pierre
authors.initials: P
authors.lastname: Frémont
authors.affiliation: University of British Columbia, Vancouver, British Columbia, Canada.
authors.forename: Karim
authors.initials: K
authors.lastname: Khan
authors.affiliation: Institut Universitaire de Cardiologie et de Pneumologie de Québec and Faculty of Pharmacy, Laval University, Québec, Canada.
authors.forename: Paul
authors.initials: P
authors.lastname: Poirier
authors.affiliation: Acadia University, Wolfville, Nova Scotia, Canada.
authors.forename: Jonathon
authors.initials: J
authors.lastname: Fowles
authors.affiliation: Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
authors.forename: Greg D
authors.initials: GD
authors.lastname: Wells
authors.affiliation: Dip. Sport Med (CASEM), University of Ottawa, Ontario, Canada.
authors.forename: Renata J
authors.initials: RJ
authors.lastname: Frankovich
mesh_terms: D002170:Canada; D002908:Chronic Disease / Q000517:prevention & control*; D019468:Disease Management; D015444:Exercise; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D011320:Primary Health Care; D012307:Risk Factors
keywords: Exercise; Non-communicable disease; Physical activity; Primary care; Sports and exercise medicine