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Bridging the Gap & Our Vision

The Gap

Physical inactivity is a key driver of preventable disease. Less than 1 in 4 adults reports meeting the physical activity guidelines, and physical inactivity alone is responsible for $117 billion in annual healthcare cost and 10% of premature mortality. It is estimated that 10-20% of adults, including up to 50% of adults over the age of 80, meet the criteria for sarcopenia, defined as severe muscle weakness, loss of muscle mass, and decline in physical function (including frequent falls and loss of ability to perform basic activities of daily life). Beyond disease prevention, exercise has myriad benefits for people who suffer from chronic disease and disability, with the ability to significantly increase quality and duration of life when prescribed and dosed appropriately. 


Despite the clear links between physical inactivity and poor health, abundant research and advocacy on the benefits of exercise, and decades of change initiatives, little movement has been seen in the physical activity and exercise behaviors of the public. Furthermore, the medical community has been an ineffective agent for catalyzing changes in physical activity and fitness. Most medical systems and providers have not established assessment and referral processes to connect their patients with physical activity/exercise-promoting resources when needed, and evidence on those with existing referral pathways shows minimal adoption and efficacy (WALES). Fitness professionals and exercise programs, who act as the primary guides for patients who do seek guidance on adopting exercise programs, are regularly unprepared to support behavior change and provide medical-grade prescription, particularly for people with medical comorbidities. 


“The Gap”, in short, is a nuanced series of challenges highlighted by the issues above. The public does not move enough. People are dealing with chronic disease at unprecedented levels. Physical fitness is not measured or prioritized. Medical systems & providers do not adequately promote changes in physical activity. The fitness community has not created a clear, effective, and safe set of solutions for people of all activity levels. In this gap, we see our opportunity to begin building a bridge.

The Bridge

The Exercise is Medicine (EIM) initiative, Physical Activity Alliance (PAA), The US Preventive Services Task Force (USPSTF), and others have charted a path towards a different future. This future will require an upending of the medical pathways and processes for promoting exercise, as well as the services and resources that exist for guiding people to adopt physical activity and exercise as lifestyle habits. This is a future that we believe we can contribute to creating. 

Our Vision

To bridge the gap between medicine, rehabilitation, fitness, and the public, through continuing education and collaboration, fostering a unified approach to optimize individual and population health, improve patient outcomes and enhance overall wellness.

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