The ACES Framework of Physical Activity Prescription.
Why Care About Physical Activity?
physical inactivity is a
leading cause of death worldwide
globally 1 in 4 adults is not active enough

85% of Canadians are classified as inactive/sedentary (20.1 million).

Inactive individuals with low cardiorespiratory fitness have a higher risk of death than individuals who smoke or have diabetes, hypertension and high cholesterol.

In Canada almost 7 billion dollars in health care costs are spent annually as a result of inactivity.

Since the American College of Sports Medicine launched its "Exercise is Medicine (EIM)" campaign in 2007 the idea of asking patients about physical activity has become widely accepted. However many Doctors still don't make it a priority. Some say they don't have the time, other the training or resources. Many aren't convinced it will work.
regular physical activity reduces:
Incidence of Type 2 Diabetes by 25-58%
Incidence of hypertension by 33-60%
If Doctors ask and educate patients about physical activity, patient outcomes improve. People move more. Physical inactivity is estimated to cost the Canadian Health Care system almost 7 billion dollars annually in direct and indirect medical costs. For individuals, being physically fit reduces all cause morality and improves daily function. People's quality of life also increases.
regular physical activity reduces:
Incidence of cardiovascular disease by 33-50%
Risk of stroke by 31-45%
Our open access site aims to reduce possible barriers for Doctor's wanting to discuss physical activity with their patients. It can be accessed anywhere via a computer or smartphone connected to the Internet. It's not specific to an EMR or Patient Portal. There are no password. No ads.
regular physical activity reduces:
Mortality and risk of recurrent breast cancer by 50%
Incidence of colon cancer by 30-60%
We've created the tools to start a patient-centered conversation about physical activity that can take 2 minutes or 15 minutes. We've made our handouts flexible and generic. They can also be used by allied health or mental health professionals.
regular physical activity reduces:
Depression as effectively as medication of cognitive behavioural therapy
Incidence of developing dementia by 40%
We encourage clinicians to print off the resources, laminate them and individualize them with an erasable marker. Consider having the patient take a picture after your discussion is complete.
Use these tools to start an initiative in your clinic.
ask every patient every time about physical activity
When Doctors discuss physical activity with their patients:
Fitness improves — Higher quality of live is reported — More likely to adhere to an exercise program
Public Health Agency of Canada. How healthy are Canadians? a trend analysis of the health of Canadians from a healthy living and chronic disease perspective.
Blair SN. Physical Fitness and All-Cause Mortality, JAMA 1989; 262: 2395.
Janssen I. Health care costs and physical inactivity in Canadian adults. Appl Physiol Nutr Metab2012; 37; 803-806.
Warburton DE, Charlseworth S, Ivey A, Nettlefold L., Bredin SS. A systematic review of the evidence for Canada's Physical Activity Guidelines for Adults. Int J Behav Nutr Phys Act2010; 7; 39.
Sallis R. Franklin B, Joy L, Ros R, Sabgir D, Stone J, Strategies for promoting physical activity in clinical...

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The project is funded by St. Paul's Foundation with support of the UBC Faculty of Medicine.

The site is designed by, implemented by BAJ Media and utilizes FPDF and libchart libraries.

The ACES Framework of Physical Activity Prescription
Ask every patient every time about physical activity