First National Preventive Health Research Programme  YELP Holistic First Business Plan    YELP Holistic First Business Plan Defined Terms   SWOT Analysis   Executive Summary   Deliverables And Costs   Snapshot Page To 10 Benchmark Techniques   Defined Terms for Five YELP Business Plans

Second National Preventive Health Research Programme      Bohemian Teenagers Arts Assistance Programme

First BTAAP Business Plan      Bohemian Teenagers Show Choir Programme        Defined Terms BTSCP

Second BTAAP Business Plan    Bohemian Teenagers Symphony Orchestras Programme    Defined Terms - Bohemian Teenager Symphony Orchestra Programme

Third BTAAP Business Plan    Bohemian Teenager Ballet & Modern Dance Programme        Defined Terms BTB&MDCP

11.(a)    Department of Health & Ageing website could include a URL to a YELP Website which -

 

 (I)        provides useful, appealing information about 15 Recreational Exercise Activities; and

 (II)       contact details of Recreational Exercise Consultants who possess Eleven Sports Administration Attributes and have achieved Accreditation Benchmarks to -

            *          Supervise Interested Adults commence one of 9 Rigorous Recreational Exercise Activities; or

            *          Refer other Interested Adults to the organiser of one of 6 Moderate Recreational Exercise Activities

Presently National Health and Medical Research Council website or NSW Health Department website do not seem to provide useful practical information as to how Australians can implement some of its simplest recommendations re regular Exercise. 

For example, the 119 page report "National Evidence Based Guidelines for the Management of Type 2 Diabetes Mellitus - Part 2 - Primary Prevention of Type 2 Diabetes" sites various research supporting the merit of regular exercise with some studies highlighting the effect of vigorous sports activity:

(a)        Finland "Diabetes Prevention Study" (Tuomilehto et al, 2001) showed that individual diet and exercise intervention could reduce the risk of diabetes by 58% (p<0.001) in a high risk population. The incidence of diabetes in the exercise intervention group was significantly lower than a separate control group (11% vs 23%).  The intervention group lost 4.7% of their body weight significantly more than the 0.9% lost by the control group.  Diabetes did not develop in any of the groups who achieved 4 or 5 goals, however significantly more people were able to achieve these goals in the intervention group (49 in the intervention group vs 15 in the control group, p< 0.001 for each of the goals).

(b)        The USA "Diabetes Prevention Program" conducted over 3 years in a group of people with 'Impaired Glucose Tolerance'.  The intensive lifestyle intervention included instructed on a low fat diet, exercising for 150 minutes per week and behaviour modification skills.  The results show on average that this group had a 7% weight loss in the first year and sustained a 5% loss for the study’s duration and maintained 30 minutes of exercise per day.  A 58% reduction in the risk of developing Type 2 Diabetes was found compared to the control group who received only basic diet and exercise advice.

(c)        Wei et al, 1999, examined the relationship between measured cardiovascular fitness and diabetes risk in 8,633 American men, where cardiovascular fitness was estimated by a maximal exercise test on a treadmill.  After a follow-up of 6 years, it was found that men who were least fit at baseline (20% of the cohort) had a 3.7 times increased risk of Type 2 Diabetes (CI 2.4-5.8) compared with those with greatest cardiovascular fitness at baseline (40% of the cohort).

(d)        Helmrich et al., 1991 contends that vigorous sports activity (expending at least 42 KJ/min) appears protective against Type 2 Diabetes.  Due to the greater glucose disposal that results from the use of large muscle groups, activities such as walking, swimming, or cycling appear to be preferable to exercises isolating small muscle groups such as archery, shooting, some callisthenics or some forms of weight lifting.  Compliance with an exercise program is also important. Therefore flexible programs, based on accumulated lifestyle oriented activities, may be more conducive to improvements in long term exercise adherence and to improvements in metabolic health than a structured program (Jakicic et al, 1995).

"National Evidence Based Guidelines for the Management of Type 2 Diabetes Mellitus - Part 2 - Primary Prevention of Type 2 Diabetes" points out that adults who have achieved weight loss require long-term programs involving diet, exercise and "social support" to prevent weight regain.  This lengthy report considers that the effectiveness of specific long term programs "requires further evaluation".   The Business Plan Developer would welcome assisting Australian Centre for Diabetes Strategies, Prince of Wales Hospital, Sydney and  the Diabetes Australia Guideline Development Consortium to carry out the "requires further evaluation".

However, notwithstanding the explicit title of "National Evidence Based Guidelines for the Management of Type 2 Diabetes Mellitus - Part 2 - Primary Prevention of Type 2 Diabetes", the 119 page report fails to -

(i)         highlight the fundamental driver that Recreational Exercise Activities in a LDREG under the Optimum, Uniform Delivery Model within a LCCBSG can be lots of fun which stimulate adults to want to get involved and continue; and

(ii)        provide contact details of organisers of such enjoyable club/group exercise activities who possess the enthusiasm, proven commitment and dedication to assist enquiring adults into such regular team exercise, generally at no cost to participants - sports organisers who have a track record of 'Walking the Talk'. 

In summary, there are a lot of encouragement to include regular exercise.  However, very little explicit detail of who can assist you through all the steps to successfully and safely commence a REA within a LCCBSG.