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Gloomy headlines are familiar; according to the WHO, an estimated 3.2 million deaths globally are caused by inactivity. On the other hand, we as health professionals know the solution—regular physical activity of a moderate intensity can also reduce the risk of type 2 diabetes, cardiovascular diseases, breast and colon cancer as well as improving bone and joint health. But the big challenges is how to implement our knowledge and grow our influence.
There is evidence of many very positive steps in the right direction. The fantastic Daily Mile programme gets our children moving whatever the weather and the excellent Movement for Movement global resources are now being used in medical and allied health educational programme (see page 767). Only this morning, the UK’s most popular radio show had the popular activity proponent Professor Greg Whyte discussing activity strategies for the desk-bound office worker.
The BJSM community has contributed a great deal to knowledge in this area, including an expert statement looking at the sedentary office.1 BJSM has published special issues on physical activity and health and is committed through Senior Associate Editor Emmanuel Stamatakis to keep this focus front of mind. This current issue contributes even more to this knowledge base. Read on!
What’s new in this BASRaT guided issue?
The distinction between physical activity and sedentary behaviour is an important one, and there is debate whether you can outrun the harmful effects of sedentary behaviour. The systematic review by Ryan Falck (see page 800) and colleagues from Canada Research Chair Teresa Liu-Ambrose’s research group contributes to this discussion by concluding that sitting behaviour is associated with infer-ior cognitive performance.
Do you prescribe therapeutic exercise to older adults with hip/knee osteoarthritis and/or low back pain? If yes, then the cutting-edge systematic review and meta-analysis by native Kiwi Philippa Nicolson and Australian colleagues (see page 791) goes some way to addressing the challenge of how to maximise exercise adherence. We all know what our patients need to do but getting them to do it over the long term is the biggest challenge.
Continuing to focus on pain and osteoarthritis, this time in the patellofemoral joint, the systematic review by postdoc Dr Harvi Hart from Professor Kay Crossley’s group at La Trobe University in Australia offers further insight into the relationship between these conditions and BMI. The rigorous review (see page 781) provides a direction for future research and treatment decisions. In a literature review about a different, very active population, Antwerp University’s shoulder physiotherapist, Dr Filip Struyf and colleagues give us an in-depth look at the evidence base around the swimmers’ shoulders, including mechanisms, impairments and how rehabilitation strategies could be developed (See page 775).
Nutrition guidance has been getting ever more confusing for the public, with numerous and frequently conflicting messages coming from different professionals, many with valid objections to the existing guidelines. In her narrative review of four systematic reviews, Dr Zoe Harcombe from Wales, looks critically at the evidence base for the current guidelines and gives guidance for their update (see page 769). This editor’s choice paper is free for the world.
Are all sports and types of exercise equal? In a large population-based cohort study of UK participants (see page 812), an international team found interesting independent associations among six different sports/types of exercise with all-cause and CVD mortality. Was your sport among the winners? This paper also has an infographic (see page 824). BJSM benefits from Dr Yann Le Meur’s infographics (https://ylmsportscience.com/) and the leadership of Dr Andrew Murray (@DocAndrewMurray) in knowledge translation.
BASRaT 2017 National Symposium—17 November Manchester
Join us at the Etihad Stadium in Manchester on Friday 17 November for our 2017 BASRaT National Symposium. Our world-class line-up this year includes stellar keynote speakers, excellent practical workshops and stimulating speakers from a variety of sport disciplines and clinical backgrounds.
Our keynote guests are Vancouver’s Professor Karim Khan, Editor in Chief of the BJSM and Dr Tasha Stanton, a specialist in pain and neuroscience research with the renowned Body in Mind Research Group located in Adelaide, Australia, which is led by Professor Lorimer Moseley.
Our national symposium is renowned for the range and quality of practical workshops. The inspirational Dr Juliet McGrattan, GP and physical activity champion, will share her knowledge on exercise for health and well-being; Keith Cronin will provide you with two new clinical skill sets and Dr Paul Comfort will share cutting-edge strength and conditioning research to practical rehabilitation strategies. Designed to link theory and expert knowledge so they can be applied, we guarantee that you will gain expertise that can be applied to practice immediately.
The conference is aimed at all healthcare practitioners including sports rehabilitators, physiotherapists, sports therapists, osteopaths, chiropractors and doctors. Book now at www.basrat.eventbrite.co.uk
You will find updates on the BASRaT website, on our Twitter page @BASRaTSymposium and our Sport Rehab Facebook page.
BASRaT is the UK regulator for sports rehabilitators and an advocate of the multidisciplinary healthcare team. BASRaT guides sports rehabilitators on all aspects of their role and responsibilities, ensuring public protection, professional competency and continued professional development.
The BASRaT register of sports rehabilitators has been approved as an accredited register by the Professional Standards Authority for Health and Social Care. For more detail please visit us at www.basrat.org
Competing interests None declared.
Provenance and peer review Commissioned; internally peer reviewed.