The current literature contains multiple examples of exercise interventions to foster health and to prevent/treat many chronic non-communicable diseases; stress and functional syndromes. On the other hand, sedentariness is increasing and to transform a sedentary subject into a regular exerciser is not only very difficult but considered by some unrealistic in current clinical practice. Ideally a physical activity intervention may be considered actually efficacious when it outgrows the research setting and becomes embedded in a system, ensuring maintenance and sustainability of its health benefits. Physicians need specific skills to improve patients’ exercise habits. These range from traditional clinical competencies, to technical competencies to correctly prescribe exercise, to competencies in behavioral medicine to motivate the subject. From a behavioral and medical point of view, an exercise prescription may be considered correct only if the subject actually performs the prescribed exercise and this results in an improvement of physiological mechanisms such as endocrine, immunological and autonomic controls. Here we describe a model of intervention intended to nurture exercise prescription in everyday clinical setting. It aims to a tailored prescription, starts from the subject’s assessment, continues defining clinical goals/possible limitations and ends when the subject is performing exercise obtaining results.

中文翻译：

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促进健康和福祉的运动处方：将障碍转化为机会的行为方法

目前的文献包含多个锻炼干预措施的例子，以促进健康和预防/治疗许多慢性非传染性疾病；压力和功能综合症。另一方面，久坐的人越来越多，将久坐的受试者转变为经常锻炼的人不仅非常困难，而且在当前的临床实践中被一些人认为是不现实的。理想情况下，当身体活动干预超出研究背景并嵌入系统中，确保其健康益处的维持和可持续性时，可以被认为是真正有效的。医生需要特定的技能来改善患者的运动习惯。这些范围从传统的临床能力，到正确制定运动处方的技术能力，到激励受试者的行为医学能力。从行为和医学的角度来看，只有当受试者实际执行规定的运动并且这导致诸如内分泌、免疫和自主控制等生理机制的改善时，运动处方才可以被认为是正确的。在这里，我们描述了一种旨在在日常临床环境中培养运动处方的干预模型。它旨在制定量身定制的处方，从受试者的评估开始，继续定义临床目标/可能的限制，并在受试者进行锻炼并获得结果时结束。