A Medicare-covered pathway for

Fitness Prescriptions in Lifestyle Medicine

Amy Pike, PT · Deb Halligan, BSN, RN · Katie Hill, MD · 2022

Increased Exercise, Balance, & Strength; Decreased Fall Risk in 12 Weeks

for patients with hypertension and atrial fibrillation


N=18 (Exercise) · N=20 (Sit-to-stand)

Minutes of daily exercise



Avg. days per week with exercise



Avg. seconds 5x sit-to-stand test


10.2 sec

Fitness treatment caused increased exercise and improved strength and balance, leading to decreased fall risk and moving participants from sedentary to meeting USPSTF recommendations for older adults to decrease fall risk and prevent cardiovascular disease.

For patients treated in the fitness pathway, at least 8 weeks, average age was 76.7 years. Average length of program participation was 17 weeks.

Income from collaborative care covered the cost of fitness team experts.

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  1. Tiedemann A, Shimada H, Sherrington C, Murray S, Lord S. The comparative ability of eight functional mobility tests for predicting falls in community-dwelling older people. Age Ageing. 2008 Jul;37(4):430-5. doi: 10.1093/ageing/afn100. Epub 2008 May 16. PMID: 18487264.
  2. U.S. Department of Health and Human Services. (2018). Physical Activity Guidelines for Americans, 2nd edition. Retrieved from https://health.gov/paguidelines/second-edition/pdf/Physical_Activity_Guidelines_2nd_edition.pdf

*Conflict of interest: The authors are employees of Nudj Health and company stakeholders