Fysisk aktivitet som lægemiddel

Revideret: 26.04.2016

Fysisk træning er i nogle tilfælde lige så effektiv - i særlige situationer mere effektiv - end medicinsk behandling eller adderer til effekten af den medicinske behandling. Fysisk aktivitet som lægemiddel vil kun blive omtalt for de sygdomme, hvor der er betydelig evidens for en gunstig effekt. En detaljeret gennemgang af det evidensbaserede grundlag for fysisk aktivitet og træning ved i alt 32 forskellige diagnoser findes i Sundhedsstyrelsens publikation "Fysisk aktivitet - håndbog om forebyggelse og behandling", 2011, som kan downloades på Fysisk aktivitet. Et nyt review (2935) fra 2015 omfatter evidensen for fysisk træning ved 26 forskellige kroniske sygdomme. 


Motion på Recept
Udtrykket "Motion på Recept" er ikke entydigt defineret, men et begreb, der anvendes i forbindelse med, at fysisk træning bliver tilbudt til patienter med visse kroniske medicinske sygdomme, fx hypertension, metabolisk syndrom, type 2-diabetes og KOL. Den praktiserende læge udsteder en recept til patienten. Der er typisk en vis brugerbetaling. Motion på Recept kan fx være organiseret som superviseret træning i 4 mdr., hvorefter patienten træner videre på egen hånd. 

 

Referencer

311. Lloyd-Williams F, Mair FS, Leitner M. Exercise training and heart failure: a systematic review of current evidence. Br J Gen Pract. 2002; 52(474):47-55, http://www.ncbi.nlm.nih.gov/pubmed/11791816 (3. juni 2016)
313. Ross R, Janssen I. Physical activity, total and regional obesity: dose-response considerations. Med Sci Sports Exerc. 2001; 33(6):521-7, http://www.ncbi.nlm.nih.gov/pubmed/11427779 (3. juni 2016)
314. Anderson JW, Konz EC, Frederich RC et al. Long-term weight-loss maintenance: a meta-analysis of US studies. Am J Clin Nutr. 2001; 74(5):579-84, http://www.ncbi.nlm.nih.gov/pubmed/11684524 (3. juni 2016)
316. Whelton SP, Chin A, Xin X et al. Effect of aerobic exercise on blood pressure: a meta-analysis of randomized, controlled trials. Ann Intern Med. 2002; 136(7):493-503, http://www.ncbi.nlm.nih.gov/pubmed/11926784 (3. juni 2016)
317. Knowler WC, Barrett-Connor E, Fowler SE et al. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med. 2002; 346(6):393-403, http://www.ncbi.nlm.nih.gov/pubmed/11832527 (3. juni 2016)
873. Taylor RS, Brown A, Ebrahim S et al. Exercise-based rehabilitation for patients with coronary heart disease: systematic review and meta-analysis of randomized controlled trials. Am J Med. 2004; 116(10):682-92, http://www.ncbi.nlm.nih.gov/pubmed/15121495 (3. juni 2016)
1754. Working Group on Cardiac Rehabilitation & Exercice Physiology and Working Group on Heart Failure of the European Society of Cardiology. Recommendations for exercise training in chronic heart failure patients. Eur Heart J. 2001; 22(2):125-35, http://www.ncbi.nlm.nih.gov/pubmed/11161914 (3. juni 2016)
1755. Davies EJ, Moxham T, Rees K et al. Exercise training for systolic heart failure: Cochrane systematic review and meta-analysis. Eur J Heart Fail. 2010; 12(7):706-15, http://www.ncbi.nlm.nih.gov/pubmed/20494922 (3. juni 2016)
1756. Kodama S, Tanaka S, Saito K et al. Effect of aerobic exercise training on serum levels of high-density lipoprotein cholesterol: a meta-analysis. Arch Intern Med. 2007; 167(10):999-1008, http://www.ncbi.nlm.nih.gov/pubmed/17533202 (3. juni 2016)
1757. Knopp RH. Drug treatment of lipid disorders. N Engl J Med. 1999; 341(7):498-511, http://www.ncbi.nlm.nih.gov/pubmed/10441607 (3. juni 2016)
1758. Nicklas BJ, Katzel LI, Busby-Whitehead J et al. Increases in high-density lipoprotein cholesterol with endurance exercise training are blunted in obese compared with lean men. Metabolism. 1997; May;46(5):556-61, http://www.ncbi.nlm.nih.gov/pubmed/9160824 (3. juni 2016)
1760. Kraus WE, Houmard JA, Duscha BD et al. Effects of the amount and intensity of exercise on plasma lipoproteins. N Engl J Med. 2002; 347(19):1483-92, http://www.ncbi.nlm.nih.gov/pubmed/12421890 (3. juni 2016)
1761. Thomas DE, Elliott EJ, Naughton GA. Exercise for type 2 diabetes mellitus. Cochrane Database Syst Rev. 2006; 3, http://www.ncbi.nlm.nih.gov/pubmed/16855995 (3. juni 2016)
1762. No authors listed. Effect of intensive blood-glucose control with metformin on complications in overweight patients with type 2 diabetes (UKPDS 34). UK Prospective Diabetes Study (UKPDS) Group. Lancet. 1998; 352(9131):854-65, http://www.ncbi.nlm.nih.gov/pubmed/9742977 (3. juni 2016)
1763. Zhang W, Nuki G, Moskowitz RW et al. OARSI recommendations for the management of hip and knee osteoarthritis: part III: Changes in evidence following systematic cumulative update of research published through January 2009. Osteoarthritis Cartilage. 2010; 18(4):476-99, http://www.ncbi.nlm.nih.gov/pubmed/20170770 (3. juni 2016)
1764. Lange AK, Vanwanseele B, Fiatarone Singh MA. Strength training for treatment of osteoarthritis of the knee: a systematic review. Arthritis Rheum. 2008; 59(10):1488-94, http://www.ncbi.nlm.nih.gov/pubmed/18821647 (3. juni 2016)
1765. Hernandez-Molina G, Reichenbach S, Zhang B et al. Effect of therapeutic exercise for hip osteoarthritis pain: results of a meta-analysis. Arthritis Rheum. 2008; 59(9):1221-8, http://www.ncbi.nlm.nih.gov/pubmed/18759315 (3. juni 2016)
1766. Lacasse Y, Martin S, Lasserson TJ et al. Meta-analysis of respiratory rehabilitation in chronic obstructive pulmonary disease. A Cochrane systematic review. Eura Medicophys. 2007; 43(4):475-85, http://www.ncbi.nlm.nih.gov/pubmed/18084170 (3. juni 2016)
1767. Watson L, Ellis B, Leng GC. Exercise for intermittent claudicatio. Cochrane Database Syst Rev. 2008; 4, http://www.ncbi.nlm.nih.gov/pubmed/18843614 (3. juni 2016)
2935. Pedersen BK, Saltin B. Exercise as medicine - evidence for prescribing exercise as therapy in 26 different chronic diseases. Scand J Med Sci Sports. 2015; 25:1-72, http://www.ncbi.nlm.nih.gov/pubmed/26606383 (30. juni 2016)
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