2. OBJECTIVE
The purpose of this presentation is to provide a snapshot of the
scientific evidence of the benefits of physical activity on health and
well-being.
3. WHAT IS PHYSICAL ACTIVITY
• Physical activity
Bodily movement produced by skeletal muscles that results in an
expenditure of energy
• Physical fitness
Ability of the body’s systems to function efficiently and effectively.
One is “physically fit” if they have the ability to:
“carry out daily tasks with vigor and alertness, without undue fatigue, and
with ample energy to enjoy leisure-time pursuits and to meet unforeseen
emergencies.”
WHO 2003
4. “PHYSICAL ACTIVITY IS SOMETHING YOU DO. PHYSICAL
FITNESS IS SOMETHING YOU ACQUIRE, A
CHARACTERISTIC OR AN ATTRIBUTE ONE CAN ACHIEVE
BY BEING PHYSICALLY ACTIVE. AND EXERCISE IS
STRUCTURED AND TENDS TO HAVE FITNESS AS ITS GOAL"
6. The ability of your heart, blood vessels, lungs and blood to deliver
oxygen and nutrients to all of your body’s cells while you are being
physically active.
• Brisk walking
• Jogging
• Swimming
• Cycling
• Rope-jumping
7. Refers to the ratio of lean body tissue (muscle) to body-fat tissue.
• Brisk walking
• Jogging
• Swimming
• Cycling
8. The ability of the joints to move through their full range of motion.
Flexibility
9. The amount of force that a muscle can apply in a given contraction.
• Lifting weights
Muscular Strength
10. The ability of the muscle to keep working over a period of
time.
• Pushups
• Sit-ups
• Pull-ups, and
• weight training
Muscular Endurance
11. COMMON REASONS NOT TO EXERCISE
• I don’t have the time
• I don’t like to sweat
• I’ll look silly
• It hurts
• I don’t know what to do
• It’s not important
13. DO YOU KNOW?
• 13.5 million people have coronary heart disease.
• 1.5 million people suffer from a heart attack in a given year.
• 250,000 people suffer from hip fractures each year.
• Over 60 million people (a third of the population) are overweight.
• 50 million people have high blood pressure.
(WHO, 2003)
19. PHYSICAL ACTIVITY & OTHER
CARDIOVASCULAR DISEASES
• Reduced risk of high blood pressure (hypertension)
• Reduced the risk of stroke
• Prevention of peripheral vascular disease
• Reduction in CVD deaths
20. ACTIVITY REDUCES THE RISK OF SOME
CANCERS
• Exercise helps to prevent obesity, a major risk factor for several
types of cancer
• Exercise enhances immune function
• Exercise activates antioxidant enzymes that protect cells from free
radical damage
WHO 2003
21. ACTIVITY REDUCES RISK OF BACK PAIN
• Improves flexibility
of joints and ligaments
• Improves musculoskeletal
strength and endurance
22. ACTIVITY PROMOTES WEIGHT CONTROL
• Burns calories
• Increases rate of metabolism
• Promotes fat loss and preserves
muscle
23. DIABETES MELLITUS (DM)
• Type I (juvenile onset)
• Pancreas fails to produce insulin
• Type 2 (adult onset)
• Lack of sensitivity to insulin
• Often caused by obesity
American Diabetes AssociationAmerican Diabetes Association
24. ACTIVITY REDUCES RISKS OF DIABETES
• Type 1
Reduces disease risk
Increases quality of life
• Type 2
Decreased insulin requirement
Reduced fatness
25. PHYSICAL ACTIVITY REDUCES RISK OF
OSTEOPOROSIS
• Increases peak bone mass
• Slows decline in bone
mass
28. PHYSICAL ACTIVITY & AGING
• Slows aging
Acquired aging
(related to lifestyle)
• Compression of morbidity
• Time-dependent aging cannot be altered
29. PHYSICAL ACTIVITY & WELLNESS
• Good physical fitness and regular physical activity are important for
optimal wellness.
• Good physical fitness:
Helps you enjoy leisure
Helps you work more effectively and efficiently
Keeps body functioning effectively
Can help you function safely and meet emergencies
32. BEFORE YOU START...
• If you are over 40 or have health problems (heart disease, high blood
pressure, diabetes, obesity, muscle or joint problems) see a
physician/physiotherapist before beginning exercise
• Be informed
• Learn as much as you can about exercise by reading and talking to
other people
• Learn safety precautions before you do any exercise
33. SUMMARY
• Physical inactivity is one of the top 10 leading causes of death and
disability in the developed world
• Exercise improves our body and minds
• Even moderate exercise has many health benefits
• It is important to set fitness goals that are realistic and meaningful
for you
• It takes time to make fitness part of a lifestyle, and we will all have
ups and downs in following our exercise programs
Exercise feels good!
Notas do Editor
A pattern of physical activity is regular if activities are performed most days of the week, preferably daily,5 or more days of the week if moderate-intensity activities are chosen or 3 or more days of the week if vigorous-intensity activities are chosen.
The evidence is growing and is more convincing than ever! People of all ages who are generally inactive can improve their health and well-being by becoming active at a moderate-intensity on a regular basis.
Despite the proven benefits of physical activity, more than 50% of American adults do not get enough physical activity to provide health benefits. 25% of adults are not active at all in their leisure time. Activity decreases with age and is less common among women than men and among those with lower income and less education. Furthermore, there are racial and ethnic differences in physical activity rates, particularly among women
There are numerous diseases that are related to physical inactivity. These are referred to as hypokinetic diseases.
A public advocacy group has recently coined the term sedentary death syndrome (SeDS) to describe inactive
living and associated hypokinetic disease risk factors. They indicate that SeDS is responsible for the epidemic
of chronic disease in our society and resulting increases in health costs. It is expected that, in the next few years,
expenditures for health care will account for one-fifth of all spending in the United States.
Cardiovascular disease refers to a variety of conditions affecting the heart and the vascular system.
This figure shows an actual image of a healthy heart. The heart is a muscle and like any other muscle gets stronger with regular use. A strong heart muscle can pump more blood per beat which allows the heart to work more easily. A strong heart also has good collateral circulation which improves the delivery of oxygen to the heart muscle.
The primary cause of cardiovascular disease is atherosclerosis which is the build up of fatty plaque on the inside walls of the vessels. Exercise reduces the formation of atherosclerosis and keeps the vessels clean. The slide reviews the proposed mechanisms for this protective effect.
1. Reduced lipid levels: keeps lower levels of fat in the circulation
2. Increases HDL cholesterol: helps to remove fats from the circulation
3. Reduced fibrin levels: fibrin is a sticky substance that promotes the adhesion of fat molecules to the walls of the vessels. Exercise reduces fibrin levels
The next slide will discuss metabolic syndrome in more detail.
Activity has been shown to reduce the risk of colon-rectal cancer by reducing the transit time required to move foods through the intestine. Activity has also been shown to have some protective effect on breast cancer and some of the reproductive cancers - most likely by reducing the levels of circulating hormones. Other possible mechanisms are an improved immune system and lower levels of body fatness.
Physical activity reduces risk of back pain by improving flexibility and improving musculo-skeletal strength and endurance
Physical activity is considered to be essential for long term weight control. It burns calories, increases the metabolic rate and promotes fat loss while maintaining lean body mass. These factors help a person avoid the problems of “creeping obesity” that plague most individuals as they get older.
Diabetes is another chronic condition that plagues many members of our society. Some diabetes (Type 1) originates during childhood when the pancreas fails to produce insulin. The other type of diabetes (Type 2) develops during adulthood and is caused by a lack of sensitivity to insulin which is secondary to obesity.
Activity reduces the disease risks associated with Type 1 diabetes and also reduces a person’s risk of developing Type 2 diabetes
Physical activity reduces the risk of osteoporosis by increasing the peak bone mass early in life and slowing the normal decline in bone mass with age. Activity must be weight bearing to have some protective effect. Walking, jogging, weight lifting, aerobics are all considered to be good forms of activity to reduce risks of osteoporosis.
Activity has also been shown to improve mental health. It reduces depression, anxiety and improves self-esteem.
Physical activity can help the immune system fight illness. Until recently, infectious disease and other diseases
of the immune system were not considered to be hypokinetic. Recent evidence indicates that regular moderate to vigorous activity can actually aid the immune system in fighting disease.
Each of us is born with “an innate immune system,” which includes anatomical and physiological barriers, such as skin, mucous membranes, body temperature, and chemical mediators that help prevent and resist disease. We also develop an “acquired immune system” in the form of special disease-fighting cells that help us resist disease.
Figure 8 shows a J-shaped curve that illustrates the benefits of exercise to acquired immune function. Sedentary people have more risk than those who do moderate activity, but with very high and sustained vigorous activity, such as extended high performance training, immune system function actually decreases.
Activity slows down the normal aging process. It does this by slowing down the rate of acquired aging (aging due to poor lifestyles). There is a natural time dependent aging process that cannot be altered.
Regular physical activity can compress illness into a shorter period of our life. An important national health goal is to increase the years of healthy life. Living longer is important, but being able to function effectively during all years of life is equally—if not more—important. Compression refers to shortening the total number of years that illnesses and disabilities occur. Compressing illness, also called compression of morbidity, means dramatically decreasing the years of illness. Healthy
lifestyles, including regular physical activity, have been shown to compress illness and increase years of effective functioning.
Review summary notes about physical activity and wellness.
Opportunities for people to be physically active exist in four major domains of one’s day-to-day life:
At work, for example if a job involves manual labour;
For transport, for example walking or cycling to school, work or to the shops;
In domestic duties at home, for example housework, gardening or do-it-yourself;
In leisure time, for example, in sports, exercise or recreational activities.
Despite the numerous opportunities for people to be physically active the majority of the population in the UK do very little or no physical activity in any of these domains.1
Exercise for life by Melissa
www.som.tulane.edu/groups/bht/ Presentations/exercise.ppt
Examples
Health goals
I want to lower my blood pressure
I want to feel good about my weight and health
Fitness goals
I want to run in a road race