With the aim of training the doctors of Primary Care so that they prescribe to their patients the practice of physical activity as a preventive treatment more in front of numerous diseases and, especially, to avoid the appearance of cardiovascular disorders, the Superior Council of Sports (CSD), with the collaboration of Novartis and the support of the Ministry of Health, has developed a guide that will help these doctors in this mission.

Cardiovascular diseases are the cause of three out of ten deaths that occur in Spain and, in 65% of cases, could be avoided by promoting healthy lifestyle habits such as a balanced diet or sports.

It is necessary to evaluate the physical conditions of the patient first and perform some tests, to determine the group appropriate to their characteristics, and prescribe the most appropriate physical activity

The guide aims to help doctors to recommend exercise practice taking into account the characteristics of the patient. It is, as explained by Dr. Fernando Gutiérrez Ortega, director of the Sports Medicine Center, that the exercise is prescribed as any other treatment, and the doctor is not limited to simply advise your patient to exercise.

This specialist points out that it is necessary to first assess the physical conditions of the patient, and for this, they must check their clinical history and family history, in addition to performing tests that determine cardiovascular health. With all these data, you can now include the patient in the group best suited to their characteristics and already prescribe the most appropriate physical activity for him.

Cardiovascular risk and exercise

The guide divides patients into five groups based on cardiovascular risk, and the recommended exercise may consist of a walking or running time, which can be combined with isometric or isotonic physical fitness exercises.

Each program consists of several phases, and the first would last for 24 weeks. The frequency and duration of the exercises would be gradually extended depending on the improvement experienced by the patient.

Dr. Gutiérrez Ortega warns that physical exercise may also have contraindications, as with drugs, and that it is necessary to have the advice of a medical professional to determine the intensity and frequency with which the patient to perform the activity.

The expert explains that, for example, a patient suffering joint problems or osteoarthritis, it is not advisable to make a run or jump and, where appropriate, swimming is much more appropriate, an activity that is not harmful to the joints. And he adds, that it is also important to dose the sport.


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