Walking the Walk: How “Social Prescriptions” for Movement, Nature & Belonging Improve Health

Presentation Summary: Traditionally, when patients get sick, health care professionals ask, “What’s the matter with you?” But around the world, teams of doctors, nurses, therapists, social workers and wellness coaches have started to flip the script, asking “What matters to you?” Instead of solely pharmaceutical prescriptions, they offer “social prescriptions”—referrals to community resources and activities, like sports teams, cycling lessons, and walking groups. Effective for treating symptoms of the most common lifestyle ailments—diabetes, obesity, heart disease, depression, dementia, stroke, addiction, and more, social prescribing has also proven to lower hospitalization rates and doctors’ visits and reduce healthcare spending.

Dr. David Sabgir will explain the origins and successes of Walk with a Doc (WWAD)—a group offering free walking programs led by local doctors, healthcare providers, or medical students. These programs are particularly valuable for those managing chronic conditions, recovering from illness, or simply seeking to improve overall fitness with professional guidance. One of the primary advantages is the personalized medical oversight provided by the physician. Participants can feel confident that their physical activity level is tailored to their unique health status, ensuring safety and effectiveness. Physicians can monitor progress, address concerns, and adjust the program, minimizing the risk of injury or exacerbating existing conditions. Walking is a low-impact exercise accessible to people of all fitness levels. It has been shown to improve cardiovascular health, enhance mood, support weight management, and reduce the risk of chronic diseases such as diabetes and hypertension. Under a physician’s supervision, these benefits are maximized while addressing individual health goals and limitations Additionally, the physicians have been shown to derive as much benefit from participating in a regular walking program with their community. Physician burnout, an ongoing national concern, has anecdotally been ameliorated among these doctors leading the program. These walking programs can serve as a steppingstone for developing long-term healthy habits. With a physician’s endorsement and guidance, participants gain the confidence and knowledge to integrate regular physical activity into their lifestyle. This holistic approach promotes sustainable health improvements and enhances overall well-being.

Social prescribing expert Julia Hotz will spotlight evidence and examples from the social prescribing movement in the U.K. Movement, time in nature, and social connection have been linked to gains in longevity, mood-boosting neurotransmitters, and cognitive functioning, and reductions in inflammation. Social prescriptions for activities involving these ingredients can lead to lasting changes. Our session will explore case studies showing the power of doctor-led referrals for community activities and offer insights as to how doctors in the U.S. can start their own social prescribing programs and Walk with a Doc chapters, with maps showcasing where such programs exist.