Optimisation of physical activity to fight the Metabolic Syndrome

1. Optimisation of physical activity to fight the Metabolic Syndrome Sergio Guillén pHealth 2007 Conference Porto Carras, Greece, June 20-22, 2007

2. Outline

3. Outline

4. Major Risk Factors to Health(Atributable mortality) Developing Countries EU US WEALTH POVERTY Source: WHO World Health Report 2002 Report “Reducing Risks, Promoting Healthy Life”

5. Metabolic Syndrome Nutrition & PhysicalActivityFactors GeneticFactors

6. Metabolic Syndrome 80% of coronary heart disease cases, 90% of type 2 diabetes cases and one third of cancers can theoretically be avoided if citizens followed current guidelines on diet, alcohol, physical activity and smoking Source: WHO World Health Report 2002 Report “Reducing Risks, Promoting Healthy Life”

7. Management of MS

8. Outline

9. Physical Activity

10. Physical Exercise Shopping unconscious (regarding PA) Indirect motivation (I want to go shopping) No expected physical benefits (I enjoy shopping Personal satisfaction (self determination) Jogging Medium-high level of conscious Direct motivation needed (voluntary determination) Expected physical benefit (health benefits) Normally boring (needs extra motivation)

11. Physical Exercise principles

12. Cardiovascular adaptation Ventricular compliance Internal ventricular dimensions Plasma volume Total blood volume Venous return End diastolic volume Stroke volume Red blood cell mass Myocardial contractility Ejection fraction Maximum cardiac output Increased effectiveness of CA distribution Optimisation of peripheral flow Increased blood flow to active muscle ARTERIAL TREE HEART PERIPHERAL CIRCULATION MUSCLES

13. Cardiovascular fitness

14. Risk of Physical Exercise Cardiovascular risk Skeleton muscle damages Oxidative stress

15. OXIDANTES OXIDANTS ANTIOXIDANTES ANTIOXIDANTS Oxidative Stress During exhausting exercise … Moderate exercise High intensity exercise Oxidative Stress Superoxide (O2-) Antioxidants Free Radicals Hidroxile(HO) HidrogenPeroxide(H2O2)

16. Outline

17. How to achieve optimal physical activity? MONITORING PERSONALIZATION MOTIVATION

18. Activity Coach implementation

19. Activity Coach: Personalization

20. Activity Coach: Personalization Personalised unique realization

21. Activity Coach: Monitoring TOOLS

22. Activity Coach: Monitoring

23. Activity Coach: Monitoring Fitness status assessment Specificsessionprogramedtoevaluateuserfitness status objectively. Basedonmeasuring HRRA afterintensity incremental test

24. Activity Coach: Motivation Personalised guidance

26. Sessionresults

27. Trends & patternsReminders and alerts Rewards & gifts

28. Activity Coach: Integration

29. Outline

30. Conclusions I enjoyed a lot working in this project … People is aware of the relevance of PE in the protection of their health. We have to provide tools and they will find their way Active Coach concept is first of a new generation of personalised tools for the effective practice of the physical activity: health prevention, entertainment, motivation, continuity of care

31. Thank you! Sergio Guillén pHealth 2007 Conference Porto Carras, Greece, June 20-22, 2007