Prescribing exercise in general practice

BMJ 1994; 309 doi: https://doi.org/10.1136/bmj.309.6963.1229b (Published 05 November 1994) Cite this as: BMJ 1994;309:1229

Pragmatic guidelines are needed

  1. W Tapsfield

    EDITOR, - As a general practitioner helping to develop a pilot project for a local exercise prescription programme, I believe that Steve Iliffe and colleagues' editorial omits a question of pressing urgency to the staff participating in our programme - namely, are there patients for whom an exercise programme carries unacceptable risks, and, if there are, how should such patients be identified and managed?1

    As Iliffe and colleagues imply, the patients who stand to gain most from exercise are probably those at highest risk of vascular disease. This group includes those who have established and diagnosed disease, while some patients with multiple risk factors will have undiagnosed disease. As a profession we are already encouraging unsupervised exercise in such patients, and it seems important …

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