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Exercise medicine

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456:. By comparison, 'Exercise Medicine' is a specific subspecialty of 'Sport and Exercise Medicine'. The concept of 'Exercise is Medicine' is that all medical specialists should be prescribing exercise regularly as an adjunct to a standard consultation. The aims of the 'Exercise is Medicine' movement and the specialty of Exercise Medicine are generally synergistic, with both aiming to improve physical activity in the population (for whom a large proportion is inactive). Exercise Medicine specialists also consult a smaller subsection of the population who are temporarily over-active and require a slight reduction in load in order to overcome injury or chronic pain. The concept of 'Exercise is Medicine' is as a 5-minute addition to almost every medical consultation, treating exercise as a 'vital sign', which has the potential of enormous reach. Exercise medicine specialists aim to also cater for some of those patients who don't respond to the first line measure of a brief written exercise prescription by providing longer specialized consultations with a focus solely on exercise. Exercise Is Medicine has been criticized for making exercise come across as exclusively a medical treatment when it should be seen more broadly as a public health strategy and protective risk factor that should be available to everyone. 349:
back pain, but having occupational manual loading increases the risk. The bottom of the U-shaped curve for injury risk and loading is sometimes referred to as the Goldilocks zone (not too little exercise but not too much). There also may be a Goldilocks zone for physical activity and all-cause mortality, but at a very high level and with an eccentric U-shape (that is, low exercise levels are far riskier for all-cause mortality than extremely high exercise levels).
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is 13% for competitive runners, 10% for non-runners, but only 4% for moderate social runners, demonstrating a U-shaped curve between running load and arthritis risk (high and low dose = higher risk; moderate load = lower risk). With respect to back pain, increasing levels of exercise reduce risk of
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Colpani, V; Baena, CP; Jaspers, L; van Dijk, GM; Farajzadegan, Z; Dhana, K; Tielemans, MJ; Voortman, T; Freak-Poli, R; Veloso, GGV; Chowdhury, R; Kavousi, M; Muka, T; Franco, OH (September 2018). "Lifestyle factors, cardiovascular disease and all-cause mortality in middle-aged and elderly women: a
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Exercise prescription is not simply a matter of advising or demanding that a patient increases their exercise levels. It requires significant expertise and experience, with core competencies well described. Sudden increase of exercise levels is likely to lead to painful musculoskeletal symptoms or
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The difference between sport and exercise (and hence the differentiation between Sports medicine and Exercise medicine) is subtle, but important. Basically, sport is exercise with an added element of competition (whether against an opponent or oneself, aiming to maximum performance improvements).
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is a recognized medical specialty or subspecialty in over 50 countries. In some of these countries, the formal name of the specialty is 'Sport and Exercise Medicine', emphasizing the differentiation between sports medicine (performance-orientated) and exercise medicine (health-orientated). These
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There is an enormous amount of evidence proving that exercise (when prescribed as a medical treatment) is effective at preventing and treating most of the major chronic diseases, including cancer, cardiovascular diseases, arthritis, osteoporosis, back pain, diabetes, depression and other mental
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Gwinnutt, JM; Wieczorek, M; Cavalli, G; Balanescu, A; Bischoff-Ferrari, HA; Boonen, A; de Souza, S; de Thurah, A; Dorner, TE; Moe, RH; Putrik, P; Rodríguez-Carrio, J; Silva-Fernández, L; Stamm, T; Walker-Bone, K; Welling, J; Zlatković-Švenda, MI; Guillemin, F; Verstappen, SMM (March 2022).
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Healthcare is responsible for 3-10% of carbon emissions in Western countries. Although most healthcare is considered 'essential', it is important that the necessity of carbon-intensive healthcare options, such as surgery, is critically assessed as there is an international agreement that
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Kyu, Hmwe H.; Bachman, Victoria F.; Alexander, Lily T.; Mumford, John Everett; Afshin, Ashkan; Estep, Kara; Veerman, J. Lennert; Delwiche, Kristen; Iannarone, Marissa L.; Moyer, Madeline L.; Cercy, Kelly; Vos, Theo; Murray, Christopher J. L.; Forouzanfar, Mohammad H. (9 August 2016).
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Sallis, RE; Matuszak, JM; Baggish, AL; Franklin, BA; Chodzko-Zajko, W; Fletcher, BJ; Gregory, A; Joy, E; Matheson, G; McBride, P; Puffer, JC; Trilk, J; Williams, J (May 2016). "Call to Action on Making Physical Activity Assessment and Prescription a Medical Standard of Care".
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Ekelund, U; Tarp, J; Steene-Johannessen, J; Hansen, BH; Jefferis, B; Fagerland, MW; Whincup, P; Diaz, KM; Hooker, SP; Chernofsky, A; Larson, MG; Spartano, N; Vasan, RS; Dohrn, IM; Hagströmer, M; Edwardson, C; Yates, T; Shiroma, E; Anderssen, SA; Lee, IM (21 August 2019).
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of any medical treatment. An increased focus on exercise prescription as an effective alternate to carbon-intensive medical treatments is an important part of healthcare reform, which needs to be 'transformational' to reach goals of net-zero emissions from healthcare.
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There is good evidence that competitive and professional athletes have higher rates of certain conditions than the general population, such as osteoarthritis, but equally strong evidence that the life expectancy of elite athletes is longer than the general population.
2161:"Exercise medicine and physical activity promotion: core curricula for US medical schools, residencies and sports medicine fellowships: developed by the American Medical Society for Sports Medicine and endorsed by the Canadian Academy of Sport and Exercise Medicine" 959:"Effects of physical exercise and body weight on disease-specific outcomes of people with rheumatic and musculoskeletal diseases (RMDs): systematic reviews and meta-analyses informing the 2021 EULAR recommendations for lifestyle improvements in people with RMDs" 1055:
Pocovi, Natasha C; Lin, Chung-Wei Christine; French, Simon D; Graham, Petra L; van Dongen, Johanna M; Latimer, Jane; Merom, Dafna; Tiedemann, Anne; Maher, Christopher G; Clavisi, Ornella; Tong, Shuk Yin Kate; Hancock, Mark J (June 2024).
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Alentorn-Geli, E; Samuelsson, K; Musahl, V; Green, CL; Bhandari, M; Karlsson, J (June 2017). "The Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta-analysis".
1255:"Physical activity and risk of breast cancer, colon cancer, diabetes, ischemic heart disease, and ischemic stroke events: systematic review and dose-response meta-analysis for the Global Burden of Disease Study 2013" 1058:"Effectiveness and cost-effectiveness of an individualised, progressive walking and education intervention for the prevention of low back pain recurrence in Australia (WalkBack): a randomised controlled trial" 2570:
Hartvigsen, J; Hancock, MJ; Kongsted, A; Louw, Q; Ferreira, ML; Genevay, S; Hoy, D; Karppinen, J; Pransky, G; Sieper, J; Smeets, RJ; Underwood, M; Lancet Low Back Pain Series Working, Group. (9 June 2018).
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Hall, KS; Hyde, ET; Bassett, DR; Carlson, SA; Carnethon, MR; Ekelund, U; Evenson, KR; Galuska, DA; Kraus, WE; Lee, IM; Matthews, CE; Omura, JD; Paluch, AE; Thomas, WI; Fulton, JE (20 June 2020).
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Kraus, WE; Powell, KE; Haskell, WL; Janz, KF; Campbell, WW; Jakicic, JM; Troiano, RP; Sprow, K; Torres, A; Piercy, KL; 2018 Physical Activity Guidelines Advisory Committee (June 2019).
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levels. Although multiple mechanisms are possible, the relationship between exercise as measured by accelerometer data and cardiovascular mortality is strong (inverse, non-linear).
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Exercise prescription is now a recognized treatment for cancer, as studies have shown that exercise is associated with superior mortality outcomes and lower recurrence rates.
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Gouttebarge, V; Inklaar, H; Backx, F; Kerkhoffs, G (March 2015). "Prevalence of osteoarthritis in former elite athletes: a systematic overview of the recent literature".
2746:"Dose-response associations between accelerometry measured physical activity and sedentary time and all cause mortality: systematic review and harmonised meta-analysis" 2159:
Asif, Irfan; Thornton, Jane S.; Carek, Stephen; Miles, Christopher; Nayak, Melissa; Novak, Melissa; Stovak, Mark; Zaremski, Jason L.; Drezner, Jonathan (1 April 2022).
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There is increasing evidence that many 'traditional' medical interventions are ineffective at best and potentially harmful at worst. Examples of low-value care include
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Exercise both prevents and treats mental illnesses, including depression in particular, with positive effects likely for anxiety, bipolar disorder and suicidality.
3076: 3102: 809:"Reframing How Physical Activity Reduces The Incidence of Clinically-Diagnosed Cancers: Appraising Exercise-Induced Immuno-Modulation As An Integral Mechanism" 1781:
Cormie, P; Zopf, EM; Zhang, X; Schmitz, KH (1 January 2017). "The Impact of Exercise on Cancer Mortality, Recurrence, and Treatment-Related Adverse Effects".
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Cairney, John; McGannon, Kerry R.; Atkinson, Michael (8 August 2018). "Exercise is medicine: critical considerations in the qualitative research landscape".
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Wang, C; Vargas, JT; Stokes, T; Steele, R; Shrier, I (July 2020). "Analyzing Activity and Injury: Lessons Learned from the Acute:Chronic Workload Ratio".
1686: 393: 502: 613:"Clinical exercise provision in the UK: comparison of staff job titles, roles and qualifications across five specialised exercise services" 305: 2928:"Female and male US Olympic athletes live 5 years longer than their general population counterparts: a study of 8124 former US Olympians" 4560: 1141:"Systematic review of the prospective association of daily step counts with risk of mortality, cardiovascular disease, and dysglycemia" 4901: 389: 152: 146: 3900: 3171:"Adverse events associated with medium- and long-term use of opioids for chronic non-cancer pain: an overview of Cochrane Reviews" 1193:; Michaleff, ZA; Fairhall, N; Paul, SS; Tiedemann, A; Whitney, J; Cumming, RG; Herbert, RD; Close, JCT; Lord, SR (December 2017). 4500: 3309: 1008:"Effects of non-supervised exercise interventions on bone mineral density in adult women: a systematic review and meta‑analysis" 412:
surgery and opiate prescription for chronic non-cancer pain. Exercise prescription, with evidence of efficacy for treatment of
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Orchard, JW (September 2017). "Using technology to measure daily and weekly movement patterns in exercise medicine patients".
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Els, C; Jackson, TD; Kunyk, D; Lappi, VG; Sonnenberg, B; Hagtvedt, R; Sharma, S; Kolahdooz, F; Straube, S (30 October 2017).
2287:"The Association Between the Acute:Chronic Workload Ratio and Injury and its Application in Team Sports: A Systematic Review" 2572: 660:
Gamage, Prasanna J; Seker, Saran; Orchard, Jessica; Humphries, David; Fitzgerald, Kylie; Fitzpatrick, Jane (November 2021).
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emissions must be reached to avoid breakdown of the Earth's climate. Exercise as a medical treatment has perhaps the lowest
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Ruiz, JR; Fiuza-Luces, C; Garatachea, N; Lucia, A (November 2014). "Reduced mortality in former elite endurance athletes".
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Golightly, YM; Allen, KD; Ambrose, KR; Stiller, JL; Evenson, KR; Voisin, C; Hootman, JM; Callahan, LF (30 November 2017).
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Lobelo, F; Stoutenberg, M; Hutber, A (December 2014). "The Exercise is Medicine Global Health Initiative: a 2014 update".
2838:"Former male elite athletes have a higher prevalence of osteoarthritis and arthroplasty in the hip and knee than expected" 4044: 1636:
Sheng, M; Yang, J; Bao, M; Chen, T; Cai, R; Zhang, N; Chen, H; Liu, M; Wu, X; Zhang, B; Liu, Y; Chao, J (December 2021).
662:"Insights into the complexity of presentation and management of patients: the Sport and Exercise Physician's perspective" 509: 453: 4936: 4278: 1638:"The relationships between step count and all-cause mortality and cardiovascular events: A dose-response meta-analysis" 516: 1057: 280:
There are multiple ways in which exercise can reduce cardiovascular disease and mortality, including through lowering
248:. SEM physician consultations are generally lengthy (over 30 minutes) and 74% involve prescription of exercise, with 240:
is operative procedures, and the signature treatment of most medical (physician) specialties is the prescription of
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Myers, Jonathan; Prakash, Manish; Froelicher, Victor; Do, Dat; Partington, Sara; Atwood, J. Edwin (14 March 2002).
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Christensen, JF; Simonsen, C; Hojman, P (13 December 2018). "Exercise Training in Cancer Control and Treatment".
1395:"Recommended physical activity and all cause and cause specific mortality in US adults: prospective cohort study" 760:"Recommended physical activity and all cause and cause specific mortality in US adults: prospective cohort study" 2059:
Bauer, IE; Gálvez, JF; Hamilton, JE; Balanzá-Martínez, V; Zunta-Soares, GB; Soares, JC; Meyer, TD (March 2016).
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Exercise has been shown to reduce all-cause mortality in a large number of primary studies and meta-analyses.
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Kuntz, JL; Young, DR; Saelens, BE; Frank, LD; Meenan, RT; Dickerson, JF; Keast, EM; Fortmann, SP (June 2021).
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Cooney, GM; Dwan, K; Greig, CA; Lawlor, DA; Rimer, J; Waugh, FR; McMurdo, M; Mead, GE (12 September 2013).
420:, can be used as an alternative to traditional interventions with poor efficacy and greater side effects. 4550: 2655:"The 'Goldilocks Principle': designing physical activity at work to be 'just right' for promoting health" 2061:"Lifestyle interventions targeting dietary habits and exercise in bipolar disorder: A systematic review" 1311: 544: 4530: 3749: 1488:"Consequences of physical inactivity in older adults: A systematic review of reviews and meta-analyses" 3600:"Beyond "Exercise as Medicine" in Physical Therapy: toward the Promotion of Exercise as a Public Good" 1487: 711:"Exercise as medicine - evidence for prescribing exercise as therapy in 26 different chronic diseases" 4959: 611:
Crozier, A; Watson, PM; Graves, LEF; George, K; Naylor, L; Green, DJ; Rosenberg, M; Jones, H (2022).
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Orchard, JW (18 January 2023). "Sport and exercise medicine: leading the race towards net zero".
2523:"Physical activity and chronic back conditions: A population-based pooled study of 60,134 adults" 285: 4323: 4271: 4203: 3077:"Needless procedures: knee arthroscopy is one of the most common but least effective surgeries" 40: 3103:"3 orthopaedic surgeries that might be doing patients (and their pockets) more harm than good" 2286: 4974: 4860: 4833: 4806: 4758: 4712: 4407: 3868: 3138: 3121: 319: 249: 245: 126: 44: 2387:"Wearable Technology and Physical Activity in Chronic Disease: Opportunities and Challenges" 4994: 4954: 4821: 4635: 4630: 4610: 4545: 4397: 4019: 4014: 3943: 3842: 3754: 2926:
Antero, J; Tanaka, H; De Larochelambert, Q; Pohar-Perme, M; Toussaint, JF (February 2021).
1195:"Exercise to prevent falls in older adults: an updated systematic review and meta-analysis" 447: 99: 63: 3259:
Rizan, C; Steinbach, I; Nicholson, R; Lillywhite, R; Reed, M; Bhutta, MF (December 2020).
8: 5074: 5016: 4999: 4658: 4375: 4157: 4134: 4061: 3958: 3786: 3759: 3744: 3711: 3656: 570: 413: 218: 2110:"Physical exercise, mental health problems, and suicide attempts in university students" 1867:"Exercise as a treatment for depression: A meta-analysis adjusting for publication bias" 1865:
Schuch, FB; Vancampfort, D; Richards, J; Rosenbaum, S; Ward, PB; Stubbs, B (June 2016).
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Charlesworth, KE; Jamieson, M (July 2019). "Healthcare in a carbon-constrained world".
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Milner, PI (August 2017). "Keeping joints healthy: The Goldilocks effect of exercise".
2600: 2547: 2522: 2503: 2459: 2411: 2386: 2367: 2324: 2267: 2198: 2136: 2109: 2085: 2060: 2036: 2011: 1987: 1962: 1943: 1894: 1847: 1763: 1715: 1690: 1662: 1637: 1613: 1586: 1562: 1537: 1518: 1468: 1419: 1394: 1370: 1345: 1287: 1234: 1221: 1194: 1190: 1167: 1140: 1116: 1091: 1032: 1007: 983: 958: 884: 860:"Physical Activity, All-Cause and Cardiovascular Mortality, and Cardiovascular Disease" 859: 835: 808: 784: 759: 740: 686: 661: 637: 612: 140: 3236: 3219: 2793:
Orchard, JW (2 April 2018). "How exercise medicine has evolved from sports medicine".
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and one of Australia's 15 recognized medical specialty Colleges, the United Kingdom (
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Davenport, Todd E; Griech, Sean F; Deamer, Kathryn E; Gale, Lewis R (27 June 2022).
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Phillips, SM; Cadmus-Bertram, L; Rosenberg, D; Buman, MP; Lynch, BM (January 2018).
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Ferreira, Giovanni E.; Harris, Ian; Zadro, Joshua; O'Keeffe, Mary (24 March 2022).
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Recreational exercise such as swimming and surfing has multiple health benefits
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Alzahrani, H; Shirley, D; Cheng, SWM; Mackey, M; Stamatakis, E (July 2019).
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countries include Australia and New Zealand, with the peak body being the
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O'Connor, Denise; Harris, Ian; Buchbinder, Rachelle (13 September 2018).
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Grasdalsmoen, M; Eriksen, HR; Lønning, KJ; Sivertsen, B (16 April 2020).
1751: 925: 909:"Exercise Capacity and Mortality among Men Referred for Exercise Testing" 908: 399: 3042: 2925: 2806: 2160: 4931: 4816: 4783: 4555: 4505: 4490: 4485: 4478: 4463: 4453: 4124: 3701: 3691: 2837: 1485: 1145:
The International Journal of Behavioral Nutrition and Physical Activity
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Stonerock, GL; Hoffman, BM; Smith, PJ; Blumenthal, JA (August 2015).
417: 3383: 3026:"Developing a new specialty - sport and exercise medicine in the UK" 2384: 363: 264: 4510: 4287: 4056: 3883: 3739: 2742: 2107: 2058: 2012:"Exercise as Treatment for Anxiety: Systematic Review and Analysis" 1816:
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Cunningham, C; O' Sullivan, R; Caserotti, P; Tully, MA (May 2020).
430: 210: 202: 169: 111: 3261:"The Carbon Footprint of Surgical Operations: A Systematic Review" 2476: 1864: 452:'Exercise is Medicine' is a trademarked non-profit venture of the 4989: 4449: 4417: 4310: 4119: 3258: 2836:
Tveit, M; Rosengren, BE; Nilsson, JÅ; Karlsson, MK (March 2012).
1815: 955: 237: 28: 2882: 2704:"The Goldilocks Zone for Exercise: Not Too Little, Not Too Much" 1189: 328: 4071: 3100: 2009: 424:
Exercise as a method to reduce carbon emissions from healthcare
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Sanchez-Trigo, H; Rittweger, J; Sañudo, B (26 February 2022).
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and the prevention and treatment of injuries and illness with
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Malik, A; Lenzen, M; McAlister, S; McGain, F (January 2018).
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Evidence for the efficacy of exercise as a medical treatment
244:, the signature treatment of Sport and Exercise Medicine is 4256: 4104: 2701: 2652: 2520: 1684: 1441: 1393:
Zhao, M; Veeranki, SP; Magnussen, CG; Xi, B (1 July 2020).
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Zhao, M; Veeranki, SP; Magnussen, CG; Xi, B (1 July 2020).
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Exercise and mortality from certain diseases, adapted from
3310:"HCWH's new global road map for zero emissions healthcare" 3217: 2977:
International Journal of Sports Physiology and Performance
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Griffin, A; Kenny, IC; Comyns, TM; Lyons, M (March 2020).
1251: 3597: 1737: 610: 3641: 3502:"Physical Activity as a Vital Sign: A Systematic Review" 2573:"What low back pain is and why we need to pay attention" 1495:
Scandinavian Journal of Medicine & Science in Sports
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Scandinavian Journal of Medicine & Science in Sports
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Straker, L; Mathiassen, SE; Holtermann, A (July 2018).
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The Journal of Orthopaedic and Sports Physical Therapy
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Exercise as an alternative treatment to low-value care
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practitioners also can specialize in exercise such as
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Emery, A; Moore, S; Turner, JE; Campbell, JP (2022).
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Australasian College of Sport and Exercise Physicians
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Use of wearable technology to measure exercise loads
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Both underloading and overloading can lead to injury
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Whereas the signature treatment of the specialty of
2702:O'Keefe, JH; O'Keefe, EL; Lavie, CJ (March 2018). 1584: 552:Qualitative Research in Sport, Exercise and Health 468:Qualitative Research in Sport, Exercise and Health 3120:Harper, S; Riddell, CA; King, NB (1 April 2021). 3119: 1587:"Cardiovascular Effects and Benefits of Exercise" 442:Differentiation from "Exercise Is Medicine" (EIM) 5087: 3220:"The carbon footprint of Australian health care" 1635: 1343: 503:Medicine & Science in Sports & Exercise 396:), Belgium, Brazil, France, India and Ireland. 394:Canadian Academy of Sport and Exercise Medicine 708: 299: 4272: 3657: 1350:Journal of the American College of Cardiology 1911: 1092:"Exercise therapy for chronic low back pain" 306:Neurobiological effects of physical exercise 16:Branch of medicine as it relates to Exercise 3175:The Cochrane Database of Systematic Reviews 3011:"Council of Presidents of Medical Colleges" 1967:The Cochrane Database of Systematic Reviews 1096:The Cochrane Database of Systematic Reviews 864:Medicine and Science in Sports and Exercise 325:even injury (preventing further exercise). 72:Sport and Exercise Medicine (SEM) physician 55:Sport and Exercise Medicine (SEM) physician 4561:Reproductive endocrinology and infertility 4279: 4265: 3664: 3650: 27: 4902:Bachelor of Medicine, Bachelor of Surgery 3574: 3525: 3235: 3194: 3137: 3051: 3041: 2943: 2769: 2719: 2678: 2546: 2410: 2310: 2176: 2135: 2125: 2084: 2035: 1986: 1929: 1833: 1714: 1661: 1612: 1602: 1561: 1418: 1369: 1312:"Is 30 Minutes of Exercise a Day Enough?" 1286: 1220: 1210: 1166: 1156: 1115: 1031: 982: 924: 883: 834: 824: 783: 726: 709:Pedersen, BK; Saltin, B (December 2015). 685: 636: 524:Journal of Exercise Science & Fitness 459: 390:Faculty of Sport and Exercise Medicine UK 153:Bachelor of Medicine, Bachelor of Surgery 147:Bachelor of Medicine, Bachelor of Surgery 3139:10.1146/annurev-publhealth-082619-104231 1542:Methodist DeBakey Cardiovascular Journal 1309: 362: 335: 327: 263: 3555:American Journal of Preventive Medicine 3326: 2842:The American Journal of Sports Medicine 2792: 2433: 2391:American Journal of Preventive Medicine 2341: 2215: 1691:"Exercise as Adjunct Therapy in Cancer" 5088: 3030:Open Access Journal of Sports Medicine 3023: 2617: 2344:Australian Journal of General Practice 1822:Australian Journal of General Practice 1443:systematic review and meta-analysis". 666:BMJ Open Sport & Exercise Medicine 617:BMJ Open Sport & Exercise Medicine 531:BMJ Open Sport & Exercise Medicine 291: 4260: 3645: 1912:Schuch, FB; Stubbs, B (August 2019). 1685:Ashcraft, KA; Warner, AB; Jones, LW; 545:PLOS One sports and exercise medicine 5040: 4801:Physical medicine and rehabilitation 1591:Frontiers in Cardiovascular Medicine 1585:Nystoriak, MA; Bhatnagar, A (2018). 1535: 376:Establishment as a medical specialty 353:Differentiation from Sports medicine 261:illnesses and falls in the elderly. 5050: 2527:Journal of Sport and Health Science 1642:Journal of Sport and Health Science 1310:Reynolds, Gretchen (6 April 2022). 510:Exercise and Sport Sciences Reviews 454:American College of Sports Medicine 276:Exercise and cardiovascular disease 13: 4937:Medical Scientist Training Program 3415:British Journal of Sports Medicine 3329:British Journal of Sports Medicine 2932:British Journal of Sports Medicine 2659:British Journal of Sports Medicine 2436:British Journal of Sports Medicine 2216:Burfoot, Amby (14 November 2001). 2165:British Journal of Sports Medicine 1818:"Exercise medicine in cancer care" 1199:British Journal of Sports Medicine 517:British Journal of Sports Medicine 313: 14: 5112: 252:being the most common treatment. 5069: 5059: 5049: 5039: 5030: 5029: 4240: 4231: 4230: 4218: 2795:The Medical Journal of Australia 2291:Sports Medicine (Auckland, N.Z.) 2244:Sports Medicine (Auckland, N.Z.) 2077:10.1016/j.jpsychires.2015.12.006 1883:10.1016/j.jpsychires.2016.02.023 1445:European Journal of Epidemiology 5070: 4241: 3591: 3542: 3493: 3459:Current Sports Medicine Reports 3449: 3406: 3363: 3320: 3302: 3252: 3211: 3162: 3113: 3094: 3068: 3017: 3003: 2968: 2919: 2876: 2829: 2786: 2736: 2695: 2646: 2611: 2563: 2514: 2470: 2427: 2378: 2335: 2278: 2235: 2209: 2152: 2101: 2065:Journal of Psychiatric Research 2052: 2003: 1954: 1918:Current Sports Medicine Reports 1905: 1871:Journal of Psychiatric Research 1858: 1809: 1774: 1731: 1707:10.1016/j.semradonc.2018.10.001 1678: 1629: 1578: 1529: 1479: 1435: 1386: 1337: 1303: 1245: 1183: 1132: 1083: 1048: 913:New England Journal of Medicine 4927:Doctor of Osteopathic Medicine 4361:Oral and maxillofacial surgery 3187:10.1002/14651858.CD012509.pub2 3126:Annual Review of Public Health 1979:10.1002/14651858.CD004366.pub6 1695:Seminars in Radiation Oncology 1108:10.1002/14651858.CD009790.pub2 999: 949: 900: 851: 800: 751: 702: 653: 604: 1: 3237:10.1016/S2542-5196(17)30180-8 2589:10.1016/S0140-6736(18)30480-X 2016:Annals of Behavioral Medicine 1070:10.1016/S0140-6736(24)00755-4 597: 480:10.1080/2159676X.2018.1476010 4907:Bachelor of Medical Sciences 4674:Neurosurgical anesthesiology 4286: 3567:10.1016/j.amepre.2021.01.012 3471:10.1249/JSR.0000000000000249 3427:10.1136/bjsports-2013-093080 3341:10.1136/bjsports-2022-106177 3280:10.1097/SLA.0000000000003951 3224:The Lancet. Planetary Health 2945:10.1136/bjsports-2019-101696 2671:10.1136/bjsports-2017-097765 2448:10.1136/bjsports-2016-096736 2403:10.1016/j.amepre.2017.08.015 2178:10.1136/bjsports-2021-104819 1931:10.1249/JSR.0000000000000620 1538:"Exercise and Heart Disease" 1212:10.1136/bjsports-2016-096547 876:10.1249/MSS.0000000000001939 7: 2750:BMJ (Clinical Research Ed.) 1399:BMJ (Clinical Research Ed.) 975:10.1136/rmdopen-2021-002168 764:BMJ (Clinical Research Ed.) 558: 495: 346:hip and knee osteoarthritis 344:The lifetime prevalence of 300:Exercise and mental illness 10: 5117: 3506:Preventing Chronic Disease 2885:Rheumatology International 2632:10.1016/j.tvjl.2017.06.007 2539:10.1016/j.jshs.2019.01.003 2303:10.1007/s40279-019-01218-2 2256:10.1007/s40279-020-01280-1 2127:10.1186/s12888-020-02583-3 1654:10.1016/j.jshs.2021.09.004 1362:10.1016/j.jacc.2014.04.058 1158:10.1186/s12966-020-00978-9 1024:10.1007/s00198-022-06357-3 1012:Osteoporosis International 678:10.1136/bmjsem-2021-001228 629:10.1136/bmjsem-2021-001152 445: 408:and shoulder arthroscopy, 356: 317: 303: 5025: 4947: 4885: 4646: 4574: 4529: 4438: 4309: 4294: 4212: 4166: 4133: 4090: 4002: 3957: 3909: 3856: 3730: 3679: 3671: 2897:10.1007/s00296-014-3093-0 2028:10.1007/s12160-014-9685-9 1963:"Exercise for depression" 1457:10.1007/s10654-018-0374-z 183: 161: 132: 122: 117: 105: 93: 81: 76: 59: 51: 35: 26: 4861:Transplantation medicine 4752:Clinical neurophysiology 4669:Obstetric anesthesiology 4589:Interventional radiology 4349:Digestive system surgery 3814:Bodybuilding supplements 3372:Australian Health Review 3314:Health Care Without Harm 2854:10.1177/0363546511429278 2356:10.31128/AJGP-10-19-5110 1835:10.31128/AJGP-08-19-5027 1740:Comprehensive Physiology 826:10.3389/fonc.2022.788113 4732:Intensive care medicine 4706:Mass gathering medicine 4551:Maternal–fetal medicine 2989:10.1123/ijspp.2013-0492 2492:10.2519/jospt.2017.7137 1604:10.3389/fcvm.2018.00135 1536:Bove, AA (April 2016). 4324:Cardiothoracic surgery 460:Further reading on EIM 368: 341: 333: 269: 219:exercise physiologists 4975:Personalized medicine 4834:Reproductive medicine 4759:Occupational medicine 4713:Evolutionary medicine 2218:"The 10-Percent Rule" 1795:10.1093/epirev/mxx007 1783:Epidemiologic Reviews 1554:10.14797/mdcj-12-2-74 813:Frontiers in Oncology 366: 339: 331: 320:Exercise prescription 267: 250:exercise prescription 246:exercise prescription 127:Exercise prescription 4995:Traditional medicine 4955:Alternative medicine 4822:Addiction psychiatry 4636:Transfusion medicine 4631:Medical microbiology 4546:Gynecologic oncology 4398:Reproductive surgery 3518:10.5888/pcd14.170030 2583:(10137): 2356–2367. 1752:10.1002/cphy.c180016 926:10.1056/NEJMoa011858 448:Exercise is Medicine 64:Glossary of medicine 5101:Medical specialties 5017:History of medicine 5000:Veterinary medicine 4807:Preventive medicine 4659:Adolescent medicine 4501:Infectious diseases 3616:10.1093/ptj/pzac087 3043:10.2147/oajsm.s7627 2807:10.5694/mja17.00764 571:Exercise physiology 414:knee osteoarthritis 292:Exercise and cancer 73: 23: 4965:Molecular oncology 4922:Doctor of Medicine 4912:Master of Medicine 4829:Radiation oncology 4701:Emergency medicine 4654:Addiction medicine 4621:Clinical chemistry 4616:Clinical pathology 4408:Transplant surgery 4366:Orthopedic surgery 4344:Colorectal surgery 3831:Physical education 3024:Cullen, M (2010). 2620:Veterinary Journal 1316:The New York Times 369: 342: 334: 270: 141:Doctor of Medicine 134:Education required 71: 21: 5083: 5082: 4917:Master of Surgery 4881: 4880: 4866:Tropical medicine 4812:Prison healthcare 4727:Hospital medicine 4691:Disaster medicine 4681:Aviation medicine 4496:Hospital medicine 4403:Surgical oncology 4388:Pediatric surgery 4382: 4329:Endocrine surgery 4254: 4253: 4225:Sports portal 3836:Physical activity 3782:Athletic training 3765:Strength training 3717:Semi-professional 3268:Annals of Surgery 2762:10.1136/bmj.l4570 2708:Missouri Medicine 2442:(18): 1317–1318. 1507:10.1111/sms.13616 1411:10.1136/bmj.m2031 1271:10.1136/bmj.i3857 1205:(24): 1750–1758. 776:10.1136/bmj.m2031 728:10.1111/sms.12581 721:(Suppl 3): 1–72. 538:Exercise Medicine 227:athletic trainers 199:Exercise medicine 196: 195: 69: 68: 22:Exercise medicine 5108: 5073: 5072: 5063: 5053: 5052: 5043: 5042: 5033: 5032: 4737:Medical genetics 4722:General practice 4599:Nuclear medicine 4474:Gastroenterology 4430:Vascular surgery 4380: 4307: 4306: 4281: 4274: 4267: 4258: 4257: 4244: 4243: 4234: 4233: 4223: 4222: 4221: 3967:General managers 3869:Governing bodies 3666: 3659: 3652: 3643: 3642: 3636: 3635: 3604:Physical Therapy 3595: 3589: 3588: 3578: 3546: 3540: 3539: 3529: 3497: 3491: 3490: 3453: 3447: 3446: 3410: 3404: 3403: 3367: 3361: 3360: 3324: 3318: 3317: 3316:. 14 April 2021. 3306: 3300: 3299: 3265: 3256: 3250: 3249: 3239: 3215: 3209: 3208: 3198: 3181:(10): CD012509. 3166: 3160: 3159: 3141: 3117: 3111: 3110: 3107:The Conversation 3098: 3092: 3091: 3089: 3087: 3081:The Conversation 3072: 3066: 3065: 3055: 3045: 3021: 3015: 3014: 3007: 3001: 3000: 2972: 2966: 2965: 2947: 2923: 2917: 2916: 2880: 2874: 2873: 2833: 2827: 2826: 2790: 2784: 2783: 2773: 2740: 2734: 2733: 2723: 2699: 2693: 2692: 2682: 2650: 2644: 2643: 2615: 2609: 2608: 2567: 2561: 2560: 2550: 2518: 2512: 2511: 2474: 2468: 2467: 2431: 2425: 2424: 2414: 2382: 2376: 2375: 2339: 2333: 2332: 2314: 2282: 2276: 2275: 2250:(7): 1243–1254. 2239: 2233: 2232: 2230: 2228: 2213: 2207: 2206: 2180: 2156: 2150: 2149: 2139: 2129: 2105: 2099: 2098: 2088: 2056: 2050: 2049: 2039: 2007: 2001: 2000: 1990: 1958: 1952: 1951: 1933: 1909: 1903: 1902: 1862: 1856: 1855: 1837: 1813: 1807: 1806: 1778: 1772: 1771: 1735: 1729: 1728: 1718: 1689:(January 2019). 1682: 1676: 1675: 1665: 1633: 1627: 1626: 1616: 1606: 1582: 1576: 1575: 1565: 1533: 1527: 1526: 1492: 1483: 1477: 1476: 1439: 1433: 1432: 1422: 1390: 1384: 1383: 1373: 1341: 1335: 1334: 1332: 1330: 1307: 1301: 1300: 1290: 1249: 1243: 1242: 1224: 1214: 1187: 1181: 1180: 1170: 1160: 1136: 1130: 1129: 1119: 1102:(10): CD009790. 1087: 1081: 1080: 1078: 1076: 1052: 1046: 1045: 1035: 1018:(7): 1415–1427. 1003: 997: 996: 986: 953: 947: 946: 928: 904: 898: 897: 887: 870:(6): 1270–1281. 855: 849: 848: 838: 828: 804: 798: 797: 787: 755: 749: 748: 730: 706: 700: 699: 689: 657: 651: 650: 640: 608: 581:Physical therapy 576:Physical fitness 491: 435:carbon footprint 223:physiotherapists 207:physical fitness 205:that deals with 107:Activity sectors 74: 70: 31: 24: 20: 5116: 5115: 5111: 5110: 5109: 5107: 5106: 5105: 5096:Sports medicine 5086: 5085: 5084: 5079: 5021: 5010:Chief physician 4943: 4888: 4877: 4871:Travel medicine 4856:Sports medicine 4839:Sexual medicine 4779:Palliative care 4774:Pain management 4718:Family medicine 4696:Diving medicine 4642: 4570: 4532: 4525: 4441: 4434: 4393:Plastic surgery 4339:General surgery 4319:Cardiac surgery 4300: 4298: 4290: 4285: 4255: 4250: 4219: 4217: 4208: 4167:Sport by region 4162: 4129: 4100:Artificial turf 4086: 4057:Olympic culture 3998: 3953: 3905: 3852: 3726: 3697:Military sports 3675: 3670: 3640: 3639: 3596: 3592: 3547: 3543: 3498: 3494: 3454: 3450: 3421:(22): 1627–33. 3411: 3407: 3384:10.1071/AH17184 3368: 3364: 3325: 3321: 3308: 3307: 3303: 3263: 3257: 3253: 3216: 3212: 3167: 3163: 3118: 3114: 3099: 3095: 3085: 3083: 3073: 3069: 3022: 3018: 3009: 3008: 3004: 2973: 2969: 2924: 2920: 2881: 2877: 2834: 2830: 2791: 2787: 2741: 2737: 2700: 2696: 2665:(13): 818–819. 2651: 2647: 2616: 2612: 2568: 2564: 2519: 2515: 2475: 2471: 2432: 2428: 2383: 2379: 2340: 2336: 2283: 2279: 2240: 2236: 2226: 2224: 2214: 2210: 2157: 2153: 2106: 2102: 2057: 2053: 2008: 2004: 1973:(9): CD004366. 1959: 1955: 1910: 1906: 1863: 1859: 1814: 1810: 1779: 1775: 1736: 1732: 1683: 1679: 1634: 1630: 1583: 1579: 1534: 1530: 1490: 1484: 1480: 1440: 1436: 1391: 1387: 1342: 1338: 1328: 1326: 1308: 1304: 1250: 1246: 1188: 1184: 1137: 1133: 1088: 1084: 1074: 1072: 1053: 1049: 1004: 1000: 954: 950: 919:(11): 793–801. 905: 901: 856: 852: 805: 801: 756: 752: 707: 703: 658: 654: 609: 605: 600: 595: 591:Sports training 561: 498: 462: 450: 444: 426: 402: 381:Sports medicine 378: 361: 359:Sports medicine 355: 322: 316: 314:Exercise dosing 308: 302: 294: 286:LDL cholesterol 278: 258: 242:pharmaceuticals 201:is a branch of 190:sports medicine 186: 166: 164: 135: 108: 96: 95:Occupation type 41:Musculoskeletal 17: 12: 11: 5: 5114: 5104: 5103: 5098: 5081: 5080: 5078: 5077: 5067: 5057: 5047: 5037: 5026: 5023: 5022: 5020: 5019: 5014: 5013: 5012: 5002: 4997: 4992: 4987: 4982: 4977: 4972: 4967: 4962: 4957: 4951: 4949: 4948:Related topics 4945: 4944: 4942: 4941: 4940: 4939: 4929: 4924: 4919: 4914: 4909: 4904: 4899: 4897:Medical school 4893: 4891: 4883: 4882: 4879: 4878: 4876: 4875: 4874: 4873: 4863: 4858: 4853: 4851:Sleep medicine 4848: 4847: 4846: 4836: 4831: 4826: 4825: 4824: 4814: 4809: 4804: 4798: 4793: 4792: 4791: 4781: 4776: 4771: 4766: 4761: 4756: 4755: 4754: 4744: 4739: 4734: 4729: 4724: 4715: 4710: 4709: 4708: 4698: 4693: 4688: 4683: 4678: 4677: 4676: 4671: 4664:Anesthesiology 4661: 4656: 4650: 4648: 4644: 4643: 4641: 4640: 4639: 4638: 4633: 4628: 4623: 4618: 4613: 4603: 4602: 4601: 4596: 4594:Neuroradiology 4591: 4580: 4578: 4572: 4571: 4569: 4568: 4563: 4558: 4553: 4548: 4543: 4537: 4535: 4531:Obstetrics and 4527: 4526: 4524: 4523: 4518: 4513: 4508: 4503: 4498: 4493: 4488: 4483: 4482: 4481: 4471: 4466: 4461: 4456: 4446: 4444: 4436: 4435: 4433: 4432: 4427: 4426: 4425: 4415: 4413:Trauma surgery 4410: 4405: 4400: 4395: 4390: 4385: 4384: 4383: 4376:Otolaryngology 4373: 4368: 4363: 4358: 4353: 4352: 4351: 4346: 4336: 4331: 4326: 4321: 4315: 4313: 4304: 4302:subspecialties 4292: 4291: 4284: 4283: 4276: 4269: 4261: 4252: 4251: 4249: 4248: 4238: 4228: 4213: 4210: 4209: 4207: 4206: 4201: 4196: 4191: 4186: 4181: 4176: 4170: 4168: 4164: 4163: 4161: 4160: 4155: 4153:National sport 4150: 4145: 4139: 4137: 4131: 4130: 4128: 4127: 4122: 4117: 4112: 4107: 4102: 4096: 4094: 4088: 4087: 4085: 4084: 4079: 4074: 4072:Sports mascots 4069: 4064: 4059: 4054: 4049: 4048: 4047: 4037: 4032: 4027: 4022: 4017: 4012: 4006: 4004: 4000: 3999: 3997: 3996: 3991: 3990: 3989: 3984: 3979: 3969: 3963: 3961: 3955: 3954: 3952: 3951: 3946: 3941: 3936: 3931: 3926: 3921: 3915: 3913: 3907: 3906: 3904: 3903: 3898: 3893: 3888: 3887: 3886: 3881: 3871: 3866: 3860: 3858: 3854: 3853: 3851: 3850: 3845: 3840: 3839: 3838: 3833: 3823: 3822: 3821: 3816: 3806: 3805: 3804: 3799: 3794: 3789: 3784: 3774: 3769: 3768: 3767: 3762: 3757: 3752: 3747: 3736: 3734: 3728: 3727: 3725: 3724: 3719: 3714: 3709: 3704: 3699: 3694: 3689: 3683: 3681: 3677: 3676: 3669: 3668: 3661: 3654: 3646: 3638: 3637: 3610:(9): pzac087. 3590: 3561:(6): 866–872. 3541: 3492: 3448: 3405: 3378:(3): 241–245. 3362: 3335:(7): 386–387. 3319: 3301: 3274:(6): 986–995. 3251: 3230:(1): e27–e35. 3210: 3161: 3112: 3093: 3067: 3016: 3002: 2967: 2938:(4): 206–212. 2918: 2875: 2828: 2801:(6): 244–245. 2785: 2735: 2694: 2645: 2610: 2562: 2533:(4): 386–393. 2513: 2486:(6): 373–390. 2469: 2426: 2397:(1): 144–150. 2377: 2350:(4): 182–186. 2334: 2297:(3): 561–580. 2277: 2234: 2222:Runner's World 2208: 2171:(7): 369–375. 2151: 2114:BMC Psychiatry 2100: 2051: 2002: 1953: 1924:(8): 299–304. 1904: 1857: 1828:(4): 169–174. 1808: 1773: 1746:(1): 165–205. 1730: 1677: 1648:(6): 620–628. 1628: 1577: 1528: 1501:(5): 816–827. 1478: 1451:(9): 831–845. 1434: 1385: 1336: 1302: 1244: 1191:Sherrington, C 1182: 1131: 1082: 1047: 998: 969:(1): e002168. 948: 899: 850: 799: 750: 701: 672:(4): e001228. 652: 623:(1): e001152. 602: 601: 599: 596: 594: 593: 588: 586:Sports science 583: 578: 573: 568: 562: 560: 557: 556: 555: 548: 541: 534: 527: 520: 513: 506: 497: 494: 493: 492: 474:(4): 391–399. 461: 458: 446:Main article: 443: 440: 425: 422: 401: 398: 377: 374: 357:Main article: 354: 351: 318:Main article: 315: 312: 304:Main article: 301: 298: 293: 290: 282:blood pressure 277: 274: 257: 254: 194: 193: 187: 184: 181: 180: 167: 162: 159: 158: 157: 156: 150: 144: 136: 133: 130: 129: 124: 120: 119: 115: 114: 109: 106: 103: 102: 97: 94: 91: 90: 89: 88: 83: 79: 78: 67: 66: 61: 57: 56: 53: 49: 48: 45:cardiovascular 37: 33: 32: 15: 9: 6: 4: 3: 2: 5113: 5102: 5099: 5097: 5094: 5093: 5091: 5076: 5068: 5066: 5062: 5058: 5056: 5048: 5046: 5038: 5036: 5028: 5027: 5024: 5018: 5015: 5011: 5008: 5007: 5006: 5003: 5001: 4998: 4996: 4993: 4991: 4988: 4986: 4983: 4981: 4980:Public health 4978: 4976: 4973: 4971: 4968: 4966: 4963: 4961: 4960:Allied health 4958: 4956: 4953: 4952: 4950: 4946: 4938: 4935: 4934: 4933: 4930: 4928: 4925: 4923: 4920: 4918: 4915: 4913: 4910: 4908: 4905: 4903: 4900: 4898: 4895: 4894: 4892: 4890: 4884: 4872: 4869: 4868: 4867: 4864: 4862: 4859: 4857: 4854: 4852: 4849: 4845: 4842: 4841: 4840: 4837: 4835: 4832: 4830: 4827: 4823: 4820: 4819: 4818: 4815: 4813: 4810: 4808: 4805: 4802: 4799: 4797: 4794: 4790: 4787: 4786: 4785: 4782: 4780: 4777: 4775: 4772: 4770: 4769:Oral medicine 4767: 4765: 4764:Ophthalmology 4762: 4760: 4757: 4753: 4750: 4749: 4748: 4745: 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