Alessio Bricca Profile picture
May 24 10 tweets 4 min read Twitter logo Read on Twitter
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… Image
2/10: Building resilience for optimal ageing and the crucial role of physical activity and healthy behaviours. Image
3/10: How does one promote such resilience if it is indeed core to healthy ageing? Image
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)] Image
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. Image
6/10: So, which type, dose and intensity of exercise should be used? Image
7/10: Be aware of possible exercise-drug interactions. Image
8/10: Shortcomings in training and implementation.

An example in the figure 👇 Image
9/10: TAKE HOME MESSAGE

No more excuses...it is not justifiable to NOT prescribe exercise therapy in people with frailty. Image
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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More from @a_bricca

May 23
Will a pill 💊ever be able to mimic the effects of #exercise ?🏃

Short answer: Probably NO

Here's why👇

🧵Thread

Ref: nature.com/articles/s4157… Image
2/8
Exercise is effective in the primary prevention of at least 35 chronic conditions.

onlinelibrary.wiley.com/doi/full/10.11…
3/8
The adaptive response to exercise, which is mediated in part by transcriptional alterations in metabolic and other genes, is an important contributor to these health benefits.

pubmed.ncbi.nlm.nih.gov/25417152/
Read 8 tweets
May 11
The anti-inflammatory effects of #exercise: mechanisms and implications for the prevention and treatment of disease 🧵

nature.com/articles/nri30… Image
2. Physical inactivity is linked to various health problems like #type2diabetes, #heartdisease, #cancer, and more. This is partly because of the accumulation of visceral fat, which triggers #inflammation in the body and promotes the development of these diseases.
3. Exercise has been found to have a protective effect against these chronic inflammation-related diseases, thanks to its anti-inflammatory effect. Regular exercise can reduce visceral fat mass and create an anti-inflammatory environment in the body.
Read 10 tweets

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