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Movement for movement: exercise as everybody's business?
  1. Ann B Gates1,
  2. Roger Kerry2,
  3. Fiona Moffatt3,
  4. Ian K Ritchie4,
  5. Adam Meakins5,
  6. Jane S Thornton6,
  7. Simon Rosenbaum7,8,
  8. Alan Taylor9
  1. 1Exercise Works! Limited, Derby, UK
  2. 2University of Nottingham, School of Health Sciences, Nottingham, UK
  3. 3Department of Physiotherapy and Rehabilitation Sciences, University of Nottingham, Nottingham, UK
  4. 4Royal College of Surgeons of Edinburgh, Edinburgh, UK
  5. 5Department of Physiotherapy, Spire Bushey Hospital, Herts, UK
  6. 6Department of Public Health and Family Medicine, University of Western Ontario Schulich School of Medicine and Dentistry, London, Ontario, Canada
  7. 7Department of Exercise Physiology, University of New South Wales, School Medical Sciences, Sydney, New South Wales, Australia
  8. 8Black Dog Institute, Randwick, New South Wales, Australia
  9. 9Division of Physiotherapy and Rehabilitation Sciences, University of Nottingham School of Health Sciences, Nottingham, UK
  1. Correspondence to Ann B Gates, Division of Physiotherapy and Rehabilitation Sciences, University of Nottingham, Clinical Sciences Building, Hucknall Road, Nottingham NG5 1PB, UK; annbgates{at}

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Exercise as medicine, is well established.1 However, the art of knowledge transfer and implementation of exercise/physical activity (PA) remains poorly embedded in society, strategy and clinical practice in all aspects of health.2 The reality of this situation is grim. Insufficient PA is 1 of the 10 leading risk factors for death worldwide, so exercise professionals and PA advocates have much work to do.

The purpose of this editorial is to point towards a strategic plan which responds to the clear limitations of the current multiagency infrastructure for PA. We propose that this strategy should now consider how stakeholders can meet the calls of existing collaborative plans by working specifically as a community of practice3 (figure 1).

Figure 1

A community of practice for exercise and physical activity (PA). Based on Wenger-Trayner and Wenger-Trayner.3

If the projected healthcare burden4 is realised, there will be no shortage of patients, in terms of healthcare ‘business’. Musculoskeletal problems and non-communicable diseases will dominate the landscape of tomorrow's patient care models.5 We will need all expert hands on deck to support …

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