2023-12-24 00:16:00
The great national cause for 2024, according to the President of the Republic, Emmanuel Macron? The promotion of physical and sporting activity. Obviously, the year of the Paris 2024 Olympic and Paralympic Games is essential. But the Olympics have a bit of a back story. If they serve as a point of anchorage due to current events, they find good ambassadors in the results of numerous very serious clinical studies, which do not change: patients are better when they play sports. As a result, Health Sports stakeholders, many in Reunion, hope that the PLFSS, under debate in Parliament, will consider social security coverage for ALD patients. The fact is that the burden of chronic diseases increases year after year until they represent 61% of health spending in France (or 86 billion euros). In many conferences and other speeches, doctors are sounding the alarm, not hesitating to speak of a “health tsunami” by 2030 due to the lack of physical activity and a sedentary lifestyle. “In its 2022 report, the World Health Organization (WHO) estimates that nearly 500 million new cases of preventable chronic diseases will appear in the world between 2020 and 2030. In France, the forecast is 150,000 to 200,000 cases in more per year between 2020 and 2025. if the lack of physical activity continues, which will necessarily pose problems for the medical care of these people!”, underlines Dr Bruno Lemarchand, rehabilitation doctor and sports doctor at the University Hospital. south. According to the report (available online, Editor’s note), almost half of these new cases (47%) will result from hypertension and 43% from depression. The greatest economic cost is expected to be in high-income countries, which will bear 70% of health spending dedicated to treating diseases resulting from physical inactivity.
has moved La Runion
According to the national observatory of physical activity and sedentary lifestyle (Onaps), 47% of women and 29% of men are physically inactive in France. In Reunion, a regional study published by the Region and the University opens the horizon a little: walking and running are activities practiced at least once a year by 81% of people over 15 years of age residing in the area. ‘THE. Yes, well… not enough to reassure public health observers, we must admit. Especially since the study also indicates that the more the household is affected by insecurity – and therefore often suffers from an unbalanced diet – the less the practice of physical activity is observed.
As for declared practitioners, 73% of them practice intensively, which would represent 393,173 individuals. Only 6% (or 31,731 people) regularly practice one (or more) non-intensive physical activities.
Reunion residents who report regular physical activity are rather addicted: 73% practice more than once a week, 10% once a week and 17% less than once a week. Among regular practitioners, 51% are women. As for occasional athletes, only 7% (or 35,650) say they practice physical activity during their vacation. Encouraging figures but which should not make us lose sight of the fact that young and old alike spend at least three to four hours a day in front of screens. And many hours sitting at a desk. Which is bad for your state of health.
Real health benefits
What motivates these active Reunionese athletes is essentially health (76%), well-being (73%) and physical maintenance (60%). Rather well received, because numerous scientific studies, published in reference journals, such as The Lancet, attest to the undeniable effects of sport on the prevention of diseases but also in improving the condition of patients and reducing the risk mortality (see infographic). “The main symptom after cancer is fatigue. But moving significantly reduces fatigue,” explains Dr Bruno Lemarchand, rehabilitation doctor and sports doctor at CHU Sud. Who draws faster than his shadow a meta-analysis (pooling numerous scientific studies, sorting the best to come up with averages, Editor’s note) of 71 clinical studies carried out in 2015 to give us telling figures: one hour of walking, it’s three times less risk of cancer, one hour of jogging, six times less risk, one hour of intensive sport, ten times less. Three hours of walking per week reduces the risk of cancer by 20%. Are you eyeing your sneakers? You are right! Especially since the figures on reported cancers are just as telling: five hours of intensive sport or ten hours of moderate sport per week is a risk of mortality from cancer halved. In other words 50% less risk. This cannot be refused… For breast cancer, three sessions of sport mean 30% less risk of mortality.
Depending on whether you sit for four hours or ten hours a day, your mortality risk can be halved by choosing the first option. Thus, another meta-analysis, this one from 2021, tracks the number of steps to assess the reduction in the risk of mortality: 5000 steps/day is 50% less risk of disease, 7,500 steps, it’s 50% less risk of mortality, 10,000 steps is 75% less risk. Isn’t life beautiful? Especially since Dr. Lemarchand doesn’t give up: “it works for everyone! ”. And even better if physical activity is added two hours of weight training per week. Certainly, sport does not replace the treatments prescribed by the Faculty in the event of pathology. But physical activity accompanies them and reinforces the results.
Significant savings
What can encourage Health Insurance to cover adapted physical activity for people suffering from a chronic illness? We are not there yet, but the government is indeed interested in ways of better prevention through sport. Knowing that the benefits on the deficit of Health Insurance could be significant. Just a stroke prevented by a healthy lifestyle whose physical activity makes it possible to avoid an expense of 203,528 euros until the end of the life of the person who suffered it. Parkinson’s disease costs social security 190,315 euros until the death of the affected patient. Diabetes? 184,156 euros/person. Alzheimer’s: 135,524 euros. And tutti quanti… But the benefits of better physical activity do not only concern Health Insurance. Thus, according to a projection carried out by Anses and Sant Publique France, a sedentary person aged 40 to 75 becoming active according to the WHO recommendations (read elsewhere) would save 23,277 euros per year (including 81% in health expenses). health, 12% for non-disability, 2% for non-loss of productivity, and 5% for mortality)!
The saving is obviously less spectacular among sedentary people aged 20 to 39: 843 euros per year. And the gain in quality of life for the people concerned and their loved ones would be maximum. So, shall we get started?
95%
This is the rate of people in France affected by a deterioration in health due to lack of physical activity or excessive sitting time.
> “Strength training reinforces the benefits of cardio”
Dr Bruno Lemarchand, sports doctor
Two one-hour strength training sessions per week can reduce the risk of disease by 15%. Half an hour to an hour per day of strength training reduces the risk of mortality from all causes by 20%. The cardio/weight training combination gives better results on the risk of mortality, and also on diabetes: in 80% of cases, prediabetics do not become diabetic. Regarding respiratory diseases, regular and sustained aerobic practice can reduce the risk of respiratory pathologies, such as Covid-19, by 60%.
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