Nordic Walking for Health Learn about the health benefits of Nordic Walking Develop ideas on how it could benefit communities and your target populations Dr Catherine Hughes, Director of British Nordic Walking CIC, a pharmaceuticals scientist now prescribing Exercise as a Medicine Kelly Brindley, Forestry Commission community ranger Nordic Walking classes reclaimed colliery sites Jane Booker, Physiotherapist and Nordic Walking instructor Public Health Policy Health & Social Care Act (2012) • Public Health located in Local Authorities from April 2013, working to inform & influence strategic policy & commissioning focussing on Health Improvement with individuals, communities & populations • Fair Society, Healthy Lives The Marmot Review (2010) • Localism: devolved responsibility & influence responding to local needs • Community Development : Social Capital & Asset Building Approach NORDIC WALKING INITIATIVES ARE WELL PLACED WITHIN THESE POLICIES Exercise is Medicine Thanks again for the great introduction you gave me to Nordic Walking during my visit to London this past September to talk on Exercise Is Medicine. I loved it and think it is a great form of exercise that I have been encouraging my patients to try. All the best! Bob Sallis MD ….then Nordic Walking is a breath of fresh air Side effects: a big smile from increased levels of serotonin and some vitamin D What is Nordic Walking? Why is it better than walking? It’s new, something special, gives walk sense of purpose Burns up to 40% more calories Lift & opens chest Strengthen wrists Uses 90% muscles Spinal rotation Keeps hands occupied Gentler on joints Lower perceived effort Heart rate higher Activates core muscles Get rid of frustration Origins of Nordic Walking? Summer training with poles since 1930s Nordic Walking 10 Step methodology used by INWA instructors in 40+ countries Research Evidence Health benefits of nordic walking: a systematic review. Am J Prev Med. 2013 Jan;44(1):76-84. doi: 10.1016/j.amepre.2012.09.043. Tschentscher M, Niederseer D, Niebauer J. SOURCE University Institute of Sports Medicine, Prevention and Rehabilitation, Paracelsus Medical University of Salzburg, Salzburg, Austria. ABSTRACT CONTEXT: Modern lifestyle, with its lack of everyday physical activity and exercise training, predisposes people to chronic diseases such as diabetes mellitus, obesity, hypertension, and coronary artery diseases. Brisk walking as a simple and safe form of exercise is undisputedly an effective measure to counteract sedentary lifestyle risks even in the most unfit and could lead to a reduction of the prevalence of chronic diseases in all populations. The purpose of this review is to systematically summarize, analyze, and interpret the health benefits of Nordic walking (walking with poles), and to compare it to brisk walking and jogging. Copyright © 2013 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved. Research Evidence (2) EVIDENCE ACQUISITION: A systematic and comprehensive literature search was performed between November 2010 and May 2012. Data were analyzed between April 2011 and May 2012. EVIDENCE SYNTHESIS: Sixteen RCTs with a total of 1062 patients and 11 observational studies with 831 patients were identified. The current analysis revealed that with regard to short- and long-term effects on heart rate, oxygen consumption, quality of life, and other measures, Nordic walking is superior to brisk walking without poles and in some endpoints to jogging. CONCLUSIONS: Nordic walking exerts beneficial effects on resting heart rate, blood pressure, exercise capacity, maximal oxygen consumption, and quality of life in patients with various diseases and can thus be recommended to a wide range of people as primary and secondary prevention. Research Evidence Top PH issues & lifestyle conditions • • • COPD Obesity Diabetes Musculo-skeletal Conditions • • • • • Fibromyalgia Neck and shoulder pain Lower back pain Loading on knee joints Hip resurfacing Mental health & well-being • • • • • Depression Functional ability elderly Bipolar Pre/Postnatal Peri-menopausal women Workplace health Other Conditions • • • • • Parkinson's Cardiac rehabilitation Intermittent claudication Breast cancer rehabilitation Cancer patients (HRV, QoL) Who goes Nordic Walking? Who goes Nordic Walking? Projects in the UK Organisation Subject Age Cymru Increasing physical activity for people 50+ in Wales County Durham NHS Trust Increase physical activity in deprived area Falkirk Community Trust Increase activity in the local community Newcastle PCT Obesity tier 2 Forestry Commission Community Outreach in new woodlands St Georges NHS Trust Falls prevention and Osteoporosis Rosliston Forestry Centre Increase numbers of people walking for health Open Door Project Living with severe mental health problems South Derbyshire PCT Obesity tier 3 Private physiotherapists Musculoskeletal, cancer rehabilitation… Let’s go Nordic Walking British Nordic Walking www.britishnordicwalking.org.uk 0845 301 1347 British Nordic Walking CIC 61-63 Eastgate Cowbridge CF71 7XX