Published online Jul 18, 2019. doi: 10.5312/wjo.v10.i7.262
Peer-review started: February 27, 2019
First decision: April 12, 2019
Revised: May 8, 2019
Accepted: June 28, 2019
Article in press: June 29,2019
Published online: July 18, 2019
Processing time: 142 Days and 18 Hours
Inactivity contributes to chronic diseases, including diabetes, hypertension, cardiovascular disorders, and obesity. Sedentary habits can shorten life expectancy. Exercise has been widely proposed as a valuable approach to prevention. Regular physical activity, as part of one’s daily routine, may help to manage pathological conditions. This editorial especially addresses osteoarthritis (OA), a degenerative disease of the articular cartilage, which is one of the most common causes of disability worldwide. Standard treatments for this illness include surgical procedures and pharmacological management; behavioural approaches are also strongly recommended. Physical exercise represents a practical strategy to preserve function, decrease pain and fatigue, and increase muscle strength and flexibility. We suggest that physical activity be considered as an established form of treatment, which means including exercise in standard therapeutic guidelines. A growing number of patients suffer from preventable chronic conditions that impose a heavy social and economic burden on the healthcare system. Preventive exercise training should be prescribed in the same way as pharmaceuticals.
Core tip: A sedentary lifestyle is one of the leading causes of morbidity and mortality, whereas physical activity is preventive and effective in the management of chronic diseases. Osteoarthritis is one of the conditions that considerably benefits from exercise. General practitioners need to learn to prescribe physical training in the same way as they prescribe medication, using specific protocols for specific patients.