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Physical Activity Programs

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Lifestyle Medicine

Abstract

There are substantial data demonstrating that regular physical activity has significant health benefits. However, until relatively recently, there has been no federally supported physical activity recommendations as there have been for decades for diet. In 2008, the first Federal Physical Activity Guidelines were released which recommend that adults should participate in at least 150 min (2 h and 30 min) a week of moderate-intensity, or 75 min (1 h and 15 min) a week of vigorous-intensity aerobic physical activity, or an equivalent combination of moderate- and vigorous-intensity aerobic activity. In addition to aerobic activity, adults should also participate in muscle-strengthening activities (resistance training) that involve all major muscle groups on 2 or more days a week. While there remain many areas that need more research, the available literature strongly supports the current guidelines, and these guidelines should serve as foundation for a clinical exercise prescription.

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Abbreviations

ACLS:

Aerobics Center Longitudinal Study

AT/RT:

Aerobic training/resistance training

BMI:

Body Mass Index

CARDIA:

Coronary artery risk development in young adults

CHD:

Coronary heart disease

CRF:

Cardiorespiratory fitness

CVD:

Cardiovascular disease

DARE:

Diabetes aerobic and resistance exercise

DREW:

Dose response to exercise in women

FBG:

Fasting blood glucose

HDL:

High-density lipoproteins

LDL:

Low-density lipoprotein

MET:

Metabolic equivalents of task

OGTT:

Oral glucose tolerance test

PA:

Physical activity

STRRIDE:

Studies of targeted risk reduction intervention through defined exercise

T2D:

Type-2 diabetes

TG:

Triglyceride

References

  1. U.S. Department of Health and Human Services. 2008 physical activity guidelines for Americans. 2008. p. 1–3.

    Google Scholar 

  2. Haskell WL, et al. Physical activity and public health: updated recommendation for adults from the American college of sports medicine and the American Heart Association. Med Sci Sports Exerc. 2007;39(8):1423–34.

    Article  PubMed  Google Scholar 

  3. Go AS, et al. Heart disease and stroke statistics—2014 update: a report from the American heart association. Circulation. 2014;129(3):e28–92.

    Article  PubMed  Google Scholar 

  4. Sesso HD, Paffenbarger RS, Lee I-M. Physical activity and coronary heart disease in men. Circulation. 2000;102(9):975–80.

    Article  CAS  PubMed  Google Scholar 

  5. LaMonte MJ, Blair SN. Physical activity, cardiorespiratory fitness, and adiposity: contributions to disease risk. Curr Opin Clin Nutr Metab Care. 2006;9(5):540–6.

    Article  PubMed  Google Scholar 

  6. LaMonte MJ, Blair SN, Church TS. Physical activity and diabetes prevention. J Appl PHysiol (1985). 2005; 99:1205–13.

    Article  Google Scholar 

  7. Erikssen G. Physical fitness and changes in mortality. Sports Med. 2001;31(8):571–6.

    Article  CAS  PubMed  Google Scholar 

  8. Blair SN, et al. Physical fitness and all-cause mortality: a prospective study of healthy men and women. JAMA. 1989;262(17):2395–401.

    Article  CAS  PubMed  Google Scholar 

  9. Li J, Siegrist J. Physical activity and risk of cardiovascular disease—a meta-analysis of prospective cohort studies. Int J Environ Res Public Health. 2012;9(2):391–407.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Swift DL, et al. Physical activity, cardiorespiratory fitness, and exercise training in primary and secondary coronary prevention. Circ J. 2013;77(2):281–92.

    Article  PubMed  Google Scholar 

  11. Lee CD, Blair SN, Jackson AS. Cardiorespiratory fitness, body composition, and all-cause and cardiovascular disease mortality in men. Am J Clin Nutr. 1999;69(3):373–80.

    CAS  PubMed  Google Scholar 

  12. Blair Sn K, Kohl JB, H. W, et al. Influences of cardiorespiratory fitness and other precursors on cardiovascular disease and all-cause mortality in men and women. J Am Med Assoc. 1996;276(3):205–10.

    Article  Google Scholar 

  13. Lee D-c, et al. Long-term effects of changes in cardiorespiratory fitness and body mass index on all-cause and cardiovascular disease mortality in men: the aerobics center longitudinal study. Circulation. 2011;124(23):2483–90.

    Article  PubMed  PubMed Central  Google Scholar 

  14. American Diabetes Association. Economic costs of diabetes in the U.S. in 2012. Diabetes Care. 2013;36:1033–46.

    Article  PubMed Central  Google Scholar 

  15. Wei M, et al. The association between cardiorespiratory fitness and impaired fasting glucose and type 2 diabetes mellitus in men. Ann Intern Med. 1999;130(2):89–96.

    Article  CAS  PubMed  Google Scholar 

  16. Sui X, et al. A prospective study of cardiorespiratory fitness and risk of type 2 diabetes in women. Diabetes Care. 2008;31(3):550–5.

    Article  PubMed  Google Scholar 

  17. Carnethon MR, et al. Association of 20-year changes in cardiorespiratory fitness with incident type 2 diabetes. Diabetes Care. 2009;32(7):1284–8.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Wei M, Kampert JB, Barlow CE. Relationship between low cardiorespiratory fitness and mortality in normal-weight, overweight, and obese men. J Am Med Assoc. 1999;282(16):1547–53.

    Article  CAS  Google Scholar 

  19. Church TS, et al. Exercise capacity and body composition as predictors of mortality among men with diabetes. Diabetes Care. 2004;27(1):83–8.

    Article  PubMed  Google Scholar 

  20. Church TS, et al. Cardiorespiratory fitness and body mass index as predictors of cardiovascular disease mortality among men with diabetes. Arch Intern Med. 2005;165(18):2114–20.

    Article  CAS  PubMed  Google Scholar 

  21. Church TS, et al. Effects of different doses of physical activity on cardiorespiratory fitness among sedentary, overweight or obese postmenopausal women with elevated blood pressure: a randomized controlled trial. JAMA. 2007;297(19):2081–91.

    Article  CAS  PubMed  Google Scholar 

  22. Duscha BD, et al. Effects of exercise training amount and intensity on peak oxygen consumption in middle-age men and women at risk for cardiovascular disease. Chest. 2005;128(4):2788–93.

    Article  PubMed  Google Scholar 

  23. Ross R, et al. Effects of exercise amount and intensity on abdominal obesity and glucose tolerance in obese adults: a randomized trial. Ann Intern Med. 2015;162(5):325–34.

    Article  PubMed  Google Scholar 

  24. American College of Sports Medicine. ACSM’s Guidelines for Exercise Testing and Prescription. 9th ed. Philadelphia, PA: Lippincott Williams & Williams; 2014.

    Google Scholar 

  25. Bateman LA, et al. Comparison of aerobic versus resistance exercise training effects on metabolic syndrome (from the studies of a targeted risk reduction intervention through defined exercise—STRRIDE-AT/RT). Am J Cardiol. 2011;108(6):838–44.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Church TS, et al. Effects of aerobic and resistance training on hemoglobin A1c levels in patients with type 2 diabetes: a randomized controlled trial. JAMA. 2010;304(20):2253–62.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Johannsen NM, et al. Categorical analysis of the impact of aerobic and resistance exercise training, alone and in combination, on cardiorespiratory fitness levels in patients with type 2 diabetes: results from the HART-D study. Diabetes Care. 2013;36(10):3305–12.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Slentz CA, et al. Inactivity, exercise, and visceral fat. STRRIDE: a randomized, controlled study of exercise intensity and amount. J Appl Physiol (1985). 2005;99(4):1613–8.

    Article  Google Scholar 

  29. Sigal RJ, et al. Effects of aerobic training, resistance training, or both on glycemic control in type 2 diabetes: a randomized trial. Ann Intern Med. 2007;147(6):357–69.

    Article  PubMed  Google Scholar 

  30. Senechal M, et al. Changes in body fat distribution and fitness are associated with changes in hemoglobin A1c after 9 months of exercise training: results from the HART-D study. Diabetes Care. 2013;36(9):2843–9.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Swift, D., Johannsen, N., Church, T. (2016). Physical Activity Programs. In: Mechanick, J., Kushner, R. (eds) Lifestyle Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-24687-1_13

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  • DOI: https://doi.org/10.1007/978-3-319-24687-1_13

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