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Charter to establish clinical exercise physiology as a recognised allied health profession in the UK: a call to action
Journal article   Open access   Peer reviewed

Charter to establish clinical exercise physiology as a recognised allied health profession in the UK: a call to action

Helen Jones, Keith P George, Andrew Scott, John P Buckley, Paula M Watson, David L Oxborough, Dick H Thijssen, Lee E F Graves, Greg P Whyte, Gordon McGregor, …
BMJ Open Sport & Exercise Medicine, Vol.7(3), pp.1-7
2021
PMCID: PMC8458347
PMID: 34631147
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Charter to establish clinical exercise physiology as a recognised allied health profession in the UK - a call to action327.26 kBDownloadView
Published Version Open Access CC BY V4.0
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https://10.1136/bmjsem-2021-001158View
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Abstract

Exercise physiology Rehabilitation Primary care physical fitness health care policy cancer therapies chronic illnesses
The UK population is growing, ageing and becoming increasingly inactive and unfit. Personalised and targeted exercise interventions are beneficial for ageing and the management of chronic and complex conditions. Increasing the uptake of effective exercise and physical activity (PA) interventions is vital to support a healthier society and decrease healthcare costs. Current strategies for exercise and PA at a population level mostly involve self-directed exercise pathways, delivered largely via the fitness industry. Even for those who opt-in and manage to achieve the current recommendations regarding minimum PA, this generic ‘one-size-fits-all’ approach often fails to demonstrate meaningful physiological and health benefits. Personalised exercise prescription and appropriate exercise testing, monitoring and progression of interventions for individuals with chronic disease should be provided by appropriately trained and recognised exercise healthcare professionals, educated in the cognate disciplines of exercise science (eg, physiology, biomechanics, motor control, psychology). This workforce has operated for >20 years in the Australian public and private healthcare systems. Accredited exercise physiologists (AEPs) are recognised allied health professionals, with demonstrable health and economic benefits. AEPs have knowledge of the risks and benefits of distinct forms of exercise, skills in the personalised prescription and optimal delivery of exercise, and competencies to support sustained PA behavioural change, based on the established scientific evidence. In this charter, we propose a road map for the training, accreditation and promotion of a clinical exercise physiology profession in the UK.

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