Lo "sport-salute": considerazioni sul caso francese, tra educazione terapeutica e preAscrizione medica

Journal title SALUTE E SOCIETÀ
Author/s Alessandro Porrovecchio, Michael Racodon
Publishing Year 2019 Issue 2019/2
Language Italian Pages 16 P. 129-144 File size 203 KB
DOI 10.3280/SES2019-002011
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The regular practice of physical activity is a recognized form of prevention against some long-lasting diseases, as well as a valid support to accompany rehabilitation processes and a recog-nized tool of health education. For example, physical activity is often the core basis of the "therapeutic patient education", regulated in France since 2009 by a specific law. A different matter, the practice of physical activity on medical prescription, institutionalized from Decem-ber 2016, is proposed as an important process of de-medicalization of long-lasting patholo-gies, bringing significant social and cultural innovation in health care and in terms of public health. Through this article, about a year from its institutionalization, we intend to take stock of the functioning of this device, with respect to the therapeutic patient education and the idea of "sport-health", highlighting its limits and potential.

Keywords: Sport; physical activity; prescription; prevention; France; health education.

  1. Comité national olympique et sportif français (2017). Médico-sport Santé. Le dictionnaire à visée médicale des disciplines sportives. Paris: CNOSF.
  2. AA. VV. (2016). Numero monografico «Activité physique et santé». Santé Publique, HS (S1).
  3. ANSES (2016). Actualisation des repères du PNNS. Révisions des repères relatifs à l’activité physique et à la sédentarité. -- Testo disponibile al sito: https://www.anses.fr/fr/system/files/NUT2012SA0155Ra.pdf (18/08/2018).
  4. Attalin V., Romain AJ., Avignon A. (2012). Physical activity prescription for obesity management in primary care: attitudes and practices of GPs in a southern French City. Diabetes Metab, 38(3): 243-249.
  5. Balicco A., Oleko A., Szego E., Boschat L., Deschamps V., Saoudi A., Zeghnoun A., Fillol C. (2017). Protocole Esteban: une Étude transversale de santé sur l’environnement, la biosurveillance, l’activité physique et la nutrition (2014-2016). Toxicologie Analytique et Clinique, 29(4): 517-537.
  6. Barth N., Perrin C. (2015). Type 2 diabetes and commitment of seniors to adapted physical activity within the French system of therapeutic education. In: Tulle E., Phoenix C., a cura di, Physical activity and sport in later life. Basingstoke: Palgrave.
  7. Barth N., Hupin D., Roche F., Celarier T., Bongue B. (2018). La prescription de l’activité physique adaptée chez le sujet âgé: de l’intention à la réalité. NPG Neurologie - Psychiatrie - Gériatrie, 18(105): 155-161.
  8. Belhaddad B. (2018). Intervento presso il Parlamento francese «Mission ‘flash’ relative à la prescription d’activités physiques à des fins thérapeutiques», 31/02/2018, -- testo disponibile al sito: http://www2.assemblee-nationale.fr/content/download/63488/641692/version/1/file/Communication_missionflash-prescriptionactivit%C3%A9sphysiques_18_01_31.pdf (18/08/2018).
  9. Burke L.E., Dunbar-Jacob J.M., Hill M,N. (1997). Compliance with cardiovascular disease prevention strategies: a review of the research. Ann Behav Med, 19(3): 239-63. DOI: 10.1007/BF0289228
  10. Conrad P. (2007). The medicalization of society. On the transformation of human condition in treatable disorders. Baltimore: The Johns Hopkins University Press.
  11. Farooq M.A., Parkinson K.N., Adamson A.J., Pearce M.S., Reilly J.K., Hughes A.R., Janssen X., Basterfield L., Reilly J.J. (2017). Timing of the decline in physical activity in childhood and adolescence: Gateshead Millennium Cohort Study. Br J Sports Med.
  12. Gagnayre R., Marchand C., Pinosa C., Brun M.F., Billot D., Iguemane, J. (2006). Approche conceptuelle d’un dispositif d’évaluation pédagogique du patient. Pédagogie médicale, 7(1): 31-42.
  13. Gasparini W., Knobé S. (2015). Sport sur ordonnance: l’expérience strasbourgeoise sous l’œil des sociologues. Informations sociales, 1(187): 47-53.
  14. HAS (2011). Rapport d’orientation. Développement de la prescription de thérapeutiques non médicamenteuses validées. -- Testo disponibile al sito: https://www.has-sante.fr/portail/upload/docs/application/pdf/2011-06/developpement_de_la_prescription_de_therapeutiques_non_medicamenteuses_rapport.pdf (18/08/2018).
  15. Haskell W.L., Lee I.M., Pate R.R., Powell K.E., Blair S.N., Franklin B.A., Macera C.A., Heath G.W., Thompson P.D., Bauman, A. (2007). Physical activity and public health: Updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation, 116(9): 1081-1093.
  16. Institut français d’opinion publique (2015). Les médecins généralistes et la prescription d’activités physiques. Étude réalisée auprès de médecins généralistes libéraux. -- Testo disponibile al sito: http://www.ifop.fr/media/poll/3187-1-studyfile.pdf (18/08/2018).
  17. d’Ivernois J.F., Gagnayre R. (2011). Compétences d’adaptation à la maladie du patient: une proposition. Education thérapeutique du patient-Therapeutic patient education, 3(2): S201-S205.
  18. Jackevicius C.A., Mamdani M., Tu J.V. (2002). Adherence with statin therapy in elderly patients with and without acute coronary syndromes. JAMA, 288:462-467.
  19. Jarno P., Riou F., Pascal J., Lerat C., Quelier C., Chaperon J. (2000). Analyse critique de la détermination des priorités de santé en France. Santé publique, 12(4): 529-544.
  20. Koplan J.P., Fleming D.W. (2000). Current and Future Public Health Challenges. JAMA, 284(13): 1696-1698.
  21. Marsault C. (2016). «Sport sur ordonnance», une mise à distance de la médecine: le dispositif strasbourgeois vu par ses éducateurs. Santé Publique, HS(S1): 163-167.
  22. Marsault C. (2017). Le sport-santé, un objet médical, social ou sportif ? Le dispositif strasbourgeois «sport-santé sur ordonnance» comme objet politique transversal. Sciences sociales et sport, 10(1): 21-49.
  23. Ngo M.A., Lemahieu L., Bergeron V. (2018). Analyse juridique du décret «sport sur ordonnance»: enjeux et perspectives. Science & Sports, 33: S12-S13.
  24. Palfrey C. (2018). The future of health promotion. Bristol: Policy Press.
  25. Révillot M. (2016). Manuel de Education thérapeutique des patients – Modèles, méthodes, pratiques. Paris: Dunod.
  26. Ricciardi R. (2005). Sedentarism: a concept analysis. Nursing Forum, 40(3): 79-87.
  27. Richards J., Hilldson M., Thorogood M., Foster C. (2013). Face to face interventions for promoting physical activity. Cochrane Database Syst Rev, 9:CD01039.
  28. Tabuteau D. (2013). Democratie sanitaire. Les nouveaux défis de la politique de santé. Paris: Odile Jacob.
  29. Tourette-Turgis C., Thievenaz J. (2014). L'éducation thérapeutique du patient: champ de pratique et champ de recherche. Savoirs, (2): 9-48.
  30. Tourette-Turgis C. (2015). L'éducation thérapeutique du patient: la maladie comme occasion d'apprentissage. Louvain-la-Neuve: De Boeck.
  31. Weber A., Herzog F., Lecocq J., Feltz A., Pradignac A. (2014). P057: «Sport-Santé sur ordonnance». Évaluation du dispositif strasbourgeois. Nutrition clinique et métabolisme, 28: S97-S98. DOI: 10.1016/S0985-0562(14)70700-
  32. WHO (1986). The Ottawa Charter for Health Promotion. -- Testo disponibile al sito: http://www.who.int/healthpromotion/conferences/previous/ottawa/en/ (18/08/2018).
  33. WHO (1998). Therapeutic Patient Education – Continuing Education Programmes for Health Care Providers in the field of Chronic Disease. -- Testo disponibile al sito: http://www.euro.who.int/__data/assets/pdf_file/0007/145294/E63674.pdf (18/08/2018).

Alessandro Porrovecchio, Michael Racodon, Lo "sport-salute": considerazioni sul caso francese, tra educazione terapeutica e preAscrizione medica in "SALUTE E SOCIETÀ" 2/2019, pp 129-144, DOI: 10.3280/SES2019-002011