2012 pediatric obesity symposium dr. andrew bennett pt slides
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Ph i lPhysiology & (??) Psychology& (??) Psychology
of Exercise
Dr. Andrew Bennett, PT
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• 4• Systolic Hypertension in the Elderly Program Cooperative Research Group, Prevention of stroke by anti‐hypertensive drug treatment in older persons with isolated systolic
hypertension. JAMA. 1991;2653255‐ 3264
• 5• Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure, The Sixth Report of the Joint National Committee on Prevention, Detection,
Evaluation, and Treatment of High Blood Pressure. Arch Intern Med. 1997;1572413‐ 2446
• 6• Breckenridge A. Angiotensin converting enzyme inhibitors and quality of life. Am J Hypertens. 1991;4 ((pt 2)) 79S‐ 82S
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1992;117234‐ 242
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• 16• Miall WE, Oldham PD. Factors influencing arterial blood pressure in the general population. Clin Sci. 1958;17409‐ 444
• 17• deVries HA. Physiological effects of an exercise training regimen upon men aged 52 to 88. J Gerontol. 1980;25325‐ 336
• 18• Jennings G, Nelson L, Nestel P. et al. The effects of changes in physical activity on major cardiovascular risk factors, hemodynamics, sympathetic function, and glucose utilization in
man: a controlled study of four levels of activity. Circulation. 1986;7330‐ 39
ExerciseExercise MedicationMedication
…so why aren’t we using it??…so why aren t we using it??
Mi i i B iMinimize Barriersto
Behavior Change
The 3 Barriers
DOMS Joint/muscle pain Joint/muscle pain Actual exercise is painful! (lungs, lactic acid) C biditi (A th JRA t ) Co-morbidities (Asthma, JRA, etc)
Physical Therapy ReferralPhysical Therapy Referral
PT
3x/week for 1hr=
20 mins/day 6days /week
1 episode = 22 mins
Trading Time for Calories ‐WRONG
45 mins of45 mins of Treadmill, Elliptical orElliptical, or Stairmaster
20 seconds work + 10 seconds rest+ 10 seconds rest (4 mins total)
9X more!!!
3 Types of Exercise and EFFECT3 Types of Exercise and EFFECT
3 Types of Exercise and EFFECT90
45 mins of exercise
70
80
50
60
Resting
"Cardio"
30
40 60‐80%
10
20
0
3 Types of Exercise and EFFECT3 Types of Exercise and EFFECT
Bottom line:
• Not all exercise is created equal• Not all exercise is created equal• Smarter not HarderSmarter not Harder
….or Longer…..or Further
Mom and Dad not off the hook!Mom and Dad not off the hook!
Shaping BehaviorShaping Behavior
Trigger–Trigger–BehaviorBehavior–Reward
right trigger and right reward = behavior becomes automatic!behavior becomes automatic!
Charles DuhiggCharles Duhigg
• http://www.npr.org/2012/03/05/147192599/habhttp://www.npr.org/2012/03/05/147192599/habits‐how‐they‐form‐and‐how‐to‐break‐them
Trigger = bellyBehavior = breakroomReward = NOT SWEETS! But rather blood flow, creative, connectedness!
Parents must help link the trigger to the rewardParents must help link the trigger to the reward
Rewards are highly individualRewards are highly individual
Barriers to behavior must be < reward
Exercise and BehaviorSh i th F t f KidShaping the Future of our Kids.
(210) 646-1779
Andrew Bennett PT DPT
( )
Andrew Bennett, PT, DPTBoard Certified in OrthopaedicsFellowship Trained in Orthopaedic Manual Physical Therapy
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