A syndemics approach to exercise is medicine
Caitlin Vitosky Clarke1,2, Brynn C Adamson2
1University of Illinois at Urbana-Champaign, USA.
Health (London, England : 1997)
|June 4, 2021
Summary
The Exercise is Medicine framework may neglect social factors in health, potentially worsening mental illness and stigma for those with chronic conditions or disabilities.
Area of Science:
- Public Health
- Social Determinants of Health
- Mental Health Research
Background:
- The Exercise is Medicine (EIM) framework promotes exercise for chronic disease and mental illness.
- The Syndemics Framework suggests mental health is linked to social conditions.
Purpose of the Study:
- Critically evaluate the EIM framework's scope regarding social determinants of health.
- Examine how EIM's focus on individual prescriptions may exacerbate stigma for individuals with chronic diseases and mental illness.
Main Methods:
- Analysis of the EIM framework through the lens of the Syndemics Framework.
- Case study examination of exercise interventions for depression and multiple sclerosis (MS).
Main Results:
- The current EIM approach may be too narrow, overlooking crucial social factors influencing health.
- Emphasis on individual exercise may inadvertently increase shame and stigma for individuals with disabilities and chronic conditions.
Conclusions:
- Revising the EIM framework to incorporate social determinants is essential for effective mental health and chronic disease management.
- A more holistic approach is needed to promote exercise without reinforcing negative self-perceptions or societal biases.
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