Daniel Evans

Clinical Exercise Physiologist at Liverpool Heart and Chest Hospital. Cardiac and pulmonary rehab, post-surgical, prehab, Cystic Fibrosis, ACHD, BPD...

[Daniel Evans @DanielE08491925]

The importance of regular activity and exercise for BP reduction emphasised once more 😊💪

[Andrew Flatt @andrew_flatt]

Hypertensives unresponsive to multiple BP medications showed substantial reductions in ambulatory blood pressure after 12 weeks of moderate intensity aerobic exercise (3x/week, 20-40 min, 50-70% VO2max).

They also increased VO2max by 5 ml/kg/min.

https://t.co/a7kTY0BCvU

[NHS Health Careers @HealthCareersUK]

Becoming a clinical exercise physiologist meant Oli could use his knowledge and skills to help patients.

Read his story - https://t.co/thlpQZIt2k

#NHScareers

[Daniel Evans @DanielE08491925]

@STRONGERwithAGE @ClinExPhysUK @ManMetUni @basesuk @gemmadaisy31 Long overdue!

[Daniel Evans @DanielE08491925]

Who would've thought it!? 😄
In all seriousness, we have a huge role to play in getting COPD patients exercising as much as possible as soon as possible. The benefits (of which are huge and extensive) far outweigh the risks by some distance.
#exercisephysiology #copd

[PR Assembly @PR_Assembly]

Association Between Regular Moderate to Vigorous Physical Activity Initiation Following COPD Diagnosis and Mortality - CHEST https://t.co/N9wxuXIpcU

[Dr Paddy Barrett @Paddy_Barrett]

Everyone eats every day.

Only some exercise.

This is why everyone wants to focus on nutrition to modify cardiovascular risk

And is less interested in exercise.

The answer is both.

You can't compensate with one for the other.

[Daniel Evans @DanielE08491925]

@jrjakeman @jacksonfyfe @STRONGERwithAGE My thoughts exactly!

[Daniel Evans @DanielE08491925]

The most concerning legacy from the pandemic would be leaving millions of adults not only with ongoing symptoms and reduced quality of life, but also with physical inactivity – the largest risk factor for future long-term conditions and premature mortality
https://t.co/DPUnpvtTMT

[Rob Cooper @robcoops82]

Interventions in Hypertrophic Obstructive Cardiomyopathy - ScienceDirect https://t.co/ul7FxQHRCN

[Daniel Evans @DanielE08491925]

'Resistance training not only can improve or maintain muscle mass and strength, but also has favourable physiological and clinical effects on cardiovascular disease and risk factors.' 💪🏼❤ #cardiacrehab #exercisephysiology #resistancetraining

[Stuart Phillips (he/him) @mackinprof]

Resistance Exercise Training in Individuals With and Without Cardiovascular Disease: 2023 Update: A Scientific Statement From the AHA https://t.co/E4Ooapi6ja

The AHA gets it! RT is an effective form of exercise to counteract the risk of vascular disease!

[Daniel Evans @DanielE08491925]

Another wholesome Friday afternoon of Cardiac Rehab post-assessments ❤️
Taking people from anxious and deconditioned to well informed, regular exercisers is always a privilege to be part of! #exercisephysiology #cardiacrehab

[Daniel Evans @DanielE08491925]

Exactly this! The benefits hugely outweigh the risks by some distance. We should be making every effort to get our patients moving more and exercising as much as we can without unnecessary or over-cautious barriers 💪🏼😀 #exercisephysiology #exerciseismedicine #exerciseworks

[Stuart Phillips (he/him) @mackinprof]

True! The number of times our applications have returned with concerns over the risks of acute exercise-related events (usually < 1 in 10,000 or lower) is nuts!

The long-term risk reduction trumps those concerns by a WIDE margin!

[Daniel Evans @DanielE08491925]

The experts: Cardiologists on 20 simple, successful steps to a healthy heart.
No surprise what number one is 😁 https://t.co/jcFhaHRPRg

[Daniel Evans @DanielE08491925]

Couldn’t have put it better myself 💪🏽❤️🫁🚴🏻‍♀️🏊🏻‍♀️🏃🏻‍♀️

[Rob Newton @ProfRobNewton]

Clinical exercise in management of chronic disease is essentially manipulating the physiology of the patient through active exercise. Cancer, CVD, MetS, sarcopenia, osteoporosis; even anxiety, depression and Alzheimers - clinical exercise is about manipulating the endocrine, cardiovascular, respiratory, immune, neuromuscular and skeletal systems. The best term to encompass this is "exercise physiology" and AEPs are the most appropriate allied health professionals to assess the physical fitness of patients, prescribe tailored exercise programs and monitor the patient's exercise responses and adaptations.
It is inconceivable that the knowledge and skills required of an AEP could be simply incorporated by another medical/health professional within their scope of practice.

[Daniel Evans @DanielE08491925]

Australia continually leading the way with exercise physiology integration within clinical rehabilitation settings and services 🇦🇺👍🏼 #exercisephysiology #clinicalexercisephysiology #catchupuk

[Hayley Lewthwaite @HLewthwaite]

#WorldCOPDDay is tomorrow Nov 15! Join #BigBatonPass from 8am AEDT. There will be clinician talks, pulmonary rehab tours, exercise classes to join👉 https://t.co/FDTXTzIb8R
Other exercises resources
@ESSA_NEWS👉 https://t.co/lIXSO566Gi
@Lungfoundation👉 https://t.co/StyeGqXAS8

[Daniel Evans @DanielE08491925]

'Only one out of five adolescents and adults met the recommended combined aerobic and MSA guidelines...'
We really aren't doing well with this are we? We need large scale intervention and proactivity or it's not going to improve.

[British Journal of Sports Medicine (BJSM) @BJSM_BMJ]

#OriginalResearch: physical activity guidelines 📈

What is the worldwide prevalence of meeting the WHO exercise guidelines for both aerobic & muscle-strengthening activity?

How do socio-demographic factors play into this?

#OpenAccess

READ HERE ➡️ https://t.co/fzb9qhuUWA

[British Journal of Sports Medicine (BJSM) @BJSM_BMJ]

🚨What are the effects of exercise on depression, anxiety and distress?🤔

#BJSMBlog summarises the #KeyFindings from the recently published paper that demonstrated exercise should become the mainstay of treatment, rather than just an alternative🤯

➡️ https://t.co/ytDjJ2fcct

[NHS Million @NHSMillion]

If everyone who has been grateful for the NHS over the past 75 years followed and retweeted we’d reach a million by midnight.

Please take just two seconds to show you care.

[Daniel Evans @DanielE08491925]

😀❤ #exercisephysiology #exerciseworks #exerciseismedicine

[Dr Petra Jenkins @DrPetraJenkins1]

@HeartCentreAld1 we are fantastically lucky to have our highly specialised exercise physiologist team at LHCH. #exercise #fontan They change lives

[Daniel Evans @DanielE08491925]

@DrPetraJenkins1 @HeartCentreAld1 Thanks Petra! It is our pleasure 😀

[Daniel Evans @DanielE08491925]

Fantastic 😀

[Rob Cooper @robcoops82]

More data to suggest blanket exercise restriction in HCM may not be warranted. Patient selection is important but in this population vigorous exercise did not increase risk of cardiac events. That’s before considering the beneficial effects of exercise! https://t.co/KKzdDFgV2M