2023-08-02 13:20:00
ALD, obesity, chronic diseases… Who can benefit from the APA scheme?
Besides people in long-term illnesses (ALD)l’adapted physical activity (APA) on prescription is available to people with chronic diseases or with risk factors, such as obesity or high blood pressure, or Autonomy loss. Decided in March 2022, “this enlargement could benefit around 20 million French people”, explains Dr Alexandre Feltz, general practitioner. The decrees setting the list of situations giving rise to the right to a sports prescription on prescription were published on March 31 (source 1).
Prescription: who can prescribe adapted physical activity since 2022? What should it mention?
Since March 2022, the prescription de sport is therefore no longer reserved solely for attending physicians, but extended to any doctor involved in your care. “If he does not offer it to you spontaneously, talk to him about it”, advises Professor François Carré, cardiologist, sports doctor at the Rennes University Hospital.
L’arrangement must first have a statement such as: “I prescribe physical activity adapted to your state of health”, accompanied by any physical limitations. For the rest, the prescription can be more or less detailed. You can find there:
- and recommended number of weekly sessions“in general, 2 to 3 sessions of 30 to 60 minutes per week”, specifies Professor Carré;
- intensity recommended, mild to moderate; THE types of exercises indicated. “APA always combines endurance (cardio) and muscle strengthening, to which you can decide to add balance exercises or flexibility,” adds François Carré;
- the prescription period is a key statement: “at least 3 months”;
- if possible, the contact details of a coordination structure for the “sport health” system near your home.
Where to do sports on prescription? How to find a center?
If your doctor has not told you where to exercise on prescription, you can find this information on the website of your Regional Health Agency (ARS), in a tab most often named “sport health”. The contact details of the Sport-Santé centers in your region are mentioned there. Some ARS bring together all of this information in dedicated online directories. Request an appointment for a personal interview with a APA professional under the prescription sports device”.
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Which sport is reimbursed by Social Security?
« Virtually all sports disciplines can be adapted on condition of change the intensity, rules or material. Tennis, basketball, football, golf, judo, rugby… In France, 52 sports federations offer “health sports”! “says Dr. Feltz.
Prescription sports sessions, how do they work?
Sessions are conducted with a APA teacher or one sports educator trained in APA. If your state of health requires it, the doctor can ask that your sessions (only the first ones, or all of them) be supervised by a massage therapist trained in APA.
On the day of the first appointment, bring your doctor’s prescription and allow one hour on site. The purpose of this interview: Evaluate your physical condition with tests flexibility, mobility, endurance, resistance, muscular strength… Identify your motivations and desires in order to offer you an adapted and secure movement program”, recounts Alexandre Feltz. Activities in the swimming pool, cycling and Nordic walking are among the most popular sports disciplines.
What health benefits?
The High Authority for Health (HAS) recognizes physical activity as a “non-drug therapy”. In 2019, an Inserm expert report in which Pr Carré took part concluded that not prescribing a physical activity adapted to a stable chronic patient was a loss of chance for his health. “In all chronic diseases, APA is part of the treatment. In early type 2 diabetes, hypertension or mild to moderate depression, it is also the first-line treatmentbefore medication,” says François Carré.
Is sport really medicine?
APA reimbursement: what coverage for health insurance and mutual insurance companies?
Some cities, regional health agencies (ARS), primary fundsHealth Insurance offer supported of this device. Ask your ARS, Maison Sport-Santé or your municipality. In addition to social security, more and more mutual also offer financing, in the form of an annual “cheque”.
Soon national funding? “The National Health Insurance Fund (CNAM) is considering the possible possibility of coverage for a part,” says Professor Carré.
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