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Alessio Bricca

@a_bricca

May 24, 2023 • 10 tweets • 4 min read • Read on X

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Frailty is not a contraindication to prescribe exercise therapy, but rather one of the most important reasons to prescribe it.

🛑A message worth spreading 🛑

🧵Thread

#exercise #PhysicalActivity #geriatricians #olderadults

Ref: sciencedirect.com/science/articl…

2/10: Building resilience for optimal ageing and the crucial role of physical activity and healthy behaviours.

3/10: How does one promote such resilience if it is indeed core to healthy ageing?

4/10: We have no safe and effective drugs for frailty or its many of its other sequelae [sarcopenia, fatigue, gait and balance disorders, falls, anorexia, malnutrition, insomnia, loneliness, or behavioural and psychological symptoms of dementia (BPSD)]

5/10: Often, healthcare professionals, including geriatricians do not refer patients to exercise therapy due to misconceptions about exercise risks despite inactivity poses greater health risks than exercise.

6/10: So, which type, dose and intensity of exercise should be used?

7/10: Be aware of possible exercise-drug interactions.

8/10: Shortcomings in training and implementation.

An example in the figure 👇

9/10: TAKE HOME MESSAGE

No more excuses...it is not justifiable to NOT prescribe exercise therapy in people with frailty.

@a_bricca

10/10: If you found this post useful please share the first one and follow my page @a_bricca for more exercise science disseminated.

Thanks for reading it 🙏

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Alessio Bricca

@a_bricca

Nov 3

1/9 Resistance training with varying numbers of variables (load, sets, weekly frequency) potently increases muscle strength and mass.

However, the optimal approach for strength and hypertrophy is still up for debate.

This is the most up-to-date research on it.

Thread.

2/9 Designing a resistance training plan involves multiple variables. Which combination is best?

That's where the research is still inconclusive. #ExerciseScience #StrengthAndConditioning

3/9 To find that out, this study used a network meta-analysis approach — this statistical approach allows comparisons between multiple resistance training plans, helping to clarify which combinations may work best.

pubmed.ncbi.nlm.nih.gov/37414459/

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There is hope for people with rheumatoid arthritis to improve health with exercise.

This is the exercise program that was tested in this trial.

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1/10 🚴‍♂️ Tailored for Each Individual

The exercise protocol follows the American College of Sports Medicine recommendations, designed to fit each person’s physical capacity & ability.

It includes supervision, motivational support, and regular feedback.

2/10 ⚡️ High-Intensity Interval Training

• Type: Cycle ergometer

• Frequency: 2x/week

• Intensity:
Warm-up: 10 min @ 60–70% HRmax,
Central phase: 4x4 min intervals @ 90–95% HRmax
Active recovery: 3 min @ 70% HRmax
Cool down: 3 min @ 60–70% HRmax

Read 11 tweets

Alessio Bricca

@a_bricca

Jun 21

#1 Walk away from low back pain 🚶‍♂️🚶‍♀️

This is what you should know when recommending walking as a treatment for recurrent episodes of low #backpain

Spoiler: It requires dedication and a structured approach for it to work.

🧵

@exerciseworks @TheLancet #2 Nearly 70% of individuals recovering from a bout of low back pain will face another episode within the next year.

#3 Walking offers a safe form of exercise that fits seamlessly into hectic schedules and is available to nearly everyone, irrespective of financial standing or where we live.

Read 17 tweets

Alessio Bricca

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Physical inactivity is linked to the development of at least 35 chronic conditions.

The impact of movement on your well-being in this 🧵

2/10 Physical activity is defined as any bodily movement produced by skeletal muscles that requires energy expenditure.

3/10 Progression to more severe pathobiology during continuous physical inactivity is slow and long in duration.

Read 10 tweets

Alessio Bricca

@a_bricca

Feb 21

The molecular mechanisms of exercise on tissue regeneration on the musculoskeletal, cardiovascular, and nervous system.

Discover the science behind 🏃‍♂️

🧵

❤️ Heart

Exercise induces physiological hypertrophy of left ventricle and reduction of myocardial infarction area by promoting the proliferation of cardiomyocytes.

💪 Muscle

Exercise induces muscle hypertrophy by promoting the proliferation of the satellite cells in both physiological and pathological conditions.

Angiogenesis and mitochondrial biosynthesis are helpful in delaying muscle fatigue.

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Alessio Bricca

@a_bricca

Jan 10

Physical inactivity is a concern.

Understanding the motivators & barriers for #physicalactivity is crucial for effective lifestyle campaigns.

There is no one-size-fits-all solution but key recommendations include addressing fears, understanding individual preferences and...

🧵

🔍 This thread is based on a systematic review that included 44 articles involving 28,583 subjects.

They identified a total of 61 motivators and 59 barriers for physical activity!

These included...

sciencedirect.com/science/articl…

Barriers and facilitator related to the Intrapersonal domain.

🚧 Health/physical impairment
🚧 Poor balance
🚧 Increased pain when exercising

👍 Physical/health benefits
👍 Better self image
👍 Higher self efficacy