India will have first physical activity guidelines for Non-Communicable Disease
By Amit Dwivedi
September 28, 2010
The Author is a freelance journalist and development professional. He can
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National Diabetes Obesity and Cholesterol Foundation (N-DOC)” with support
from Department Of Science & Technology, Ministry Of Science &
Care Foundation had organized a Consensus Conference of physicians,
endocrinologists, metabolic specialists, cardiologists, paediatricians,
sports specialists, nutritionists, public health specialists to deliberate
on data on physical activity in Indians, and to generate appropriate
guidelines for all age groups and for patients suffering from coronary heart
disease, diabetes and hypertension etc.
On this occasion Dr. Anoop Misra, Director and Head, Department of Diabetes
and Metabolic Diseases, Fortis Hospitals, New Delhi, Chairman, National
Diabetes, Obesity and Cholesterol Foundation (N-DOC), said that, in view of
significant escalation of NCDs, there is a need to have appropriate physical
activity among Indian population. However, no recommendations are available
for physical activity for the Indian population. Thus, to draw up consensus
guidelines on physical activity in Indian populations and to generate
awareness about the benefits of physical activity among health professionals
and in general public the guidelines will play a vital role.
Dr. Misra further said that, numerous scientific studies from various parts
of India have reported the rising prevalence of lifestyle-related diseases
such as type 2 diabetes mellitus (T2DM), the metabolic syndrome,
hypertension, heart disease etc., often in association with overweight or
obesity. According to WHO, globally non-communicable diseases (NCDs)
currently represent 43% of the burden of disease and are expected to be
responsible for 60% of the disease burden and 73% of all deaths by 2020.
About two fifth (40.4%) of deaths were attributable to NCDs in 1990 and it
was projected that this will increase to 66% in year 2020.
Prof Andrew Hills, Professor, Energy Metabolism Group, Institute of Health
and Biomedical Innovation Queensland University of Technology, Brisbane,
Australia, said, ‘the health benefits of physical activity are well
established. Positive outcomes of moderate-intensity physical activity
include long-term maintenance of weight loss, increasing high-density
lipoprotein, reducing blood pressure, and decreasing the risk of death from
lifestyle-related diseases. Importantly, the impact of lifestyle-related
diseases could be significantly ameliorated with an increase in the level of
physical activity. This is most noticeable in sedentary individuals who
introduce regular physical activity into their lifestyle.’
The guideline suggested some suggestions for Non-communicable Diseases:
1. All decisions regarding initiating elderly in exercise program should
be taken in consultation with a physician/cardiologist.
2. All patients with cardiovascular disease must undergo a pre-activity
evaluation. Those with established coronary artery disease should undergo a
symptom-limited exercise test before entering in a training program. The
exercise test is required to exclude important symptoms, ischemia (low blood
flow to heart), or arrhythmias (heart rhythm irregularity) that might
require other interventions before exercise training.
3. Most of the patients with hypertension and other modifiable risk
factors for atherosclerosis should get started by doing 30 minutes of a
moderate-intensity level activity on most, preferably all, days of the week.
4. All such persons (particularly those in cardiac rehabilitation
program) should have 5 minutes of warm-up followed by at least 20 minutes of
aerobic exercise training and 5-15 minutes of cool-down.
5. High-intensity exercise, sudden start up of exercise, and exercise in
extreme weather conditions should be avoided.
Posted on: September 28, 2010 12:14 PM IST