New Zealand’s Situation A community-based extension of healthcare for at-risk population groups that provides a cost-effective approach while providing a high level of care and support.

Health Stats Health Stats Adult morbid obesity rates are increasing: - 33% one in three adults (aged 15 years and over) were obese -A further 35% of adults were overweight but not obese - 47% of Māori adults were obese - 66% of Pacific adults were obese Physical inactivity rates are increasing : - One in seven adults (14%) is physically inactive.

Child morbid obesity rates are increasing: The child obesity rate increased from 8% in 2006/07 to 11% in 2014/ % of children (aged 2–14 years) are obese - 22% were children were overweight but not obese - 15% of Māori children were obese - 30% of Pacific children were obese -Children living in the most deprived areas were x5 as likely to be obese Health Stats Health Stats

OECD Obesity Rates 3 rd Worst

Ethnic distribution of Obesity

Waikato Demographic Size 4th in size out of the 16 regions in New Zealand. Population of 382,716 Ethnic population Māori population ranks 2nd out of the 16 regions in NZ 21% Māori compared with 14.6 percent for all of NZ 7% Pacific island Aged population Higher than NZ average

Solution Establish the relevant qualification framework. Build a work force equipped with the skills to work with the health issues Align Wintec with the National and International organisations working with similar issues.

Clinical Exercise Physiologist A Clinical Exercise Physiologist can be defined as: “A qualified allied health professional, who specialises in clinical exercise interventions for persons at high-risk of developing, or with existing chronic and complex medical conditions and injuries. These interventions are provided by exercise delivery including health and physical activity education, advice and support and lifestyle modification with a strong focus on achieving behavioural change. Clinical Exercise Physiologists are the most qualified health professional to prescribe exercise for people with chronic disease” (Exercise & Sport Science Australia, 2015). Definition from Exercise & Sport Science Australia (ESSA,

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Exercise is Medicine ® : A Global Health Initiative

Global Recognised Profession Joining globally recognised health professionals: America. American College of Sport Medicine. ACSM. ‘ Accredited Clinical Exercise Physiologist’ South Africa. Biokinetic Association South Africa. BASA. ‘Biokinetist’ United Kingdom. British Academy of Sport and Exercise Science. BASES. ‘ Exercise Physiologist’ Canada. Canadian Society for Exercise Physiology. CSEP. ‘ Clinical Exercise Physiologist’ Australia. Exercise & Sport Science Australia. ESSA. ‘Accredited Exercise Physiologist’ New Zealand. Clinical Exercise Physiology New Zealand. CEPNZ. ‘ Clinical Exercise Physiologists.

Exercise is Medicine (EIM) Global Health Initiative Presence Key No EIM presence EIM presence EIM Regional Centers Canada USA Mexico Costa Rica Brazil Ecuador Colombia Venezuela Paraguay UK Portugal Spain Norway Sweden Germany China Russia Turkey Kenya South Africa Australia Indonesia Malaysia Philippines Thailand Ghana Argentina Chile Uruguay Switzerland Czech Republic Slovakia Singapore Kuwait UAE Lebanon Israel Aruba Hungary Qatar Jordan Puerto Rico Hong Kong Nicaragua

What if there was one prescription that could prevent and treat dozens of diseases, such as diabetes, hypertension and obesity… Would you prescribe it to your patients? Certainly! - Robert E. Sallis, M.D., FACSM, EIM Global Center Chairman

“In view of the prevalence, global reach and health effect of physical inactivity, the issue should be appropriately described as pandemic, with far-reaching health, economic, environmental and social consequences.” July 2012

Global Epidemic of Inactivity WHO. Global health risks: mortality and burden of disease attributable to selected major risks

The 15 leading causes of death in 2013 were: 1. Heart Disease 2. Malignant neoplasms (cancer) 3. Chronic lower respiratory diseases 4. Cerebrovascular diseases (stroke) 5. Accidents (unintentional injuries) 6. Alzheimer’s disease 7. Diabetes 8. Nephritis, nephrotic syndrome and nephrosis (kidney disease) 9. Influenza and pneumonia 10. Intentional self-harm (suicide) 11. Septicemia 12. Chronic liver disease and cirrhosis 13. Essential hypertension and hypertensive renal disease 14. Parkinson’s disease 15. Pneumonitis due to solids and liquids Leading Causes of Death in the U.S.

40,842 men & 12,943 women from the Aerobic Cooper Longitudinal Study Effect of CRF on Mortality Attributable Fractions (%) for All-Cause Deaths Blair SN. Br J Sports Med 2009; 43:1-2.

Exercise is a Medicine ® PHYSICIANS SHOULD PRESCRIBE IT, PATIENTS SHOULD TAKE IT! If we could capture the proven health benefits of exercise in a pill, physicians would prescribe it to every patient and health care systems would find a way to make sure every patient had access to this “wonder drug”. Are we reaching a point where NOT prescribing physical activity should be consider patient neglect?

BioKinetic Clinic

Biokinetic Success Stories

Future State Wintec’s aspirational goal “Build a workforce of allied health professional equipped with the skills to improve the health and wellbeing of the Waikato regions populations through exercise” Professional recognition and Allied Health alignment. Establish Exercise is Medicine within New Zealand's health system Beyond NZ?

The EIM Solution