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Promoting Physical Activity

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Chronic Illness Care

Abstract

One of the major factors proven to be associated with chronic disease is physical inactivity. Exercise is not only a tool for primary prevention of chronic disease but can also help prevent progression or complications from preexisting conditions. Chronic conditions such as coronary artery disease, type 2 diabetes mellitus, and hypertension can be positively impacted through physical activity. We review the general recommendations for physical activity and discuss special considerations for practitioners when initiating exercise prescriptions for patients with certain conditions. This chapter addresses the many challenges encountered when attempting to promote physical activity in a primary care clinic and introduces several successful models and initiatives for consideration.

The authors wish to thank the contributions of Kenzie Johnston, MD, Christopher Felton, DO, Jason Boothe, MD, and J.D. Hales, MD.

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References

  1. Remington PL, Brownson RC. Fifty years of progress in chronic disease epidemiology and control. MMWR Suppl. 2011;60(4):70–7.

    PubMed  Google Scholar 

  2. Franssen FM, Wouters EF, Schols AM. The contribution of starvation, deconditioning and ageing to the observed alterations in peripheral skeletal muscle in chronic organ diseases. Clin Nutr (Edinburgh, Scotland). 2002;21(1):1–14.

    Article  CAS  Google Scholar 

  3. Bauman A, Merom D, Bull FC, Buchner DM, Fiatarone Singh MA. Updating the evidence for physical activity: summative reviews of the epidemiological evidence, prevalence, and interventions to promote “active aging”. The Gerontologist. 2016;56(Suppl 2):S268–80.

    Article  PubMed  Google Scholar 

  4. Lee IM, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT. Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy. Lancet (London, England). 2012;380(9838):219–29.

    Article  Google Scholar 

  5. Nutrition, physical activity and obesity data, trends and maps web site. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (CDC), National Center for Chronic Disease Prevention and Health Promotion, Division of Nutrition, Physical Activity and Obesity; 2015. Available from: http://www.cdc.gov/nccdphp/DNPAO/index.html

  6. Wullems JA, Verschueren SM, Degens H, Morse CI, Onambele GL. A review of the assessment and prevalence of sedentarism in older adults, its physiology/health impact and non-exercise mobility counter-measures. Biogerontology. 2016;17(3):547–65.

    Article  PubMed  PubMed Central  Google Scholar 

  7. Group WB. Life expectancy at birth, total (years), United States. An Aging Nation: The Older Population in the United States; US Census Bureau, Census.gov, May 2014

    Google Scholar 

  8. Mendonca GV, Pezarat-Correia P, Vaz JR, Silva L, Heffernan KS. Impact of aging on endurance and neuromuscular physical performance: the role of vascular senescence. Sports Med (Auckland, NZ). 2016;47:583–98.

    Article  Google Scholar 

  9. Xue QL. The frailty syndrome: definition and natural history. Clin Geriatr Med. 2011;27(1):1–15.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001;56(3):M146–56.

    Article  CAS  PubMed  Google Scholar 

  11. Pamoukdjian F, Paillaud E, Zelek L, Laurent M, Levy V, Landre T, et al. Measurement of gait speed in older adults to identify complications associated with frailty: a systematic review. J Geriatr Oncol. 2015;6(6):484–96.

    Article  PubMed  Google Scholar 

  12. Rizzoli R, Reginster JY, Arnal JF, Bautmans I, Beaudart C, Bischoff-Ferrari H, et al. Quality of life in sarcopenia and frailty. Calcif Tissue Int. 2013;93(2):101–20.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Angulo J, El Assar M, Rodriguez-Manas L. Frailty and sarcopenia as the basis for the phenotypic manifestation of chronic diseases in older adults. Mol Asp Med. 2016;50:1–32.

    Article  Google Scholar 

  14. Sinclair AJ, Rodriguez-Manas L. Diabetes and frailty: two converging conditions? Can J Diabetes. 2016;40(1):77–83.

    Article  PubMed  Google Scholar 

  15. Singer JP, Lederer DJ, Baldwin MR. Frailty in pulmonary and critical care medicine. Ann Am Thorac Soc. 2016;13(8):1394–404.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Dodds RM, Sayer AA. Sarcopenia, frailty and mortality: the evidence is growing. Age Ageing. 2016;45(5):570–1.

    Article  CAS  PubMed  Google Scholar 

  17. Group WB. Life expectancy at birth, total (years), United States. An Aging Nation: The Older Population in the United States; US Census Bureau, Census.gov, May 2014

    Google Scholar 

  18. Medicine ACoS. ACSM’s resource manual for guidelines for exercise testing and prescription. 7th ed. Philadelphia: LWW; 2013.

    Google Scholar 

  19. Garber CE, Blissmer B, Deschenes MR, Franklin BA, Lamonte MJ, Lee IM, et al. American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc. 2011;43(7):1334–59.

    Article  PubMed  Google Scholar 

  20. Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA, 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 

  21. Millar L. Improving your flexibility and balance American College of Sports Medicine; 2016. Available from: http://www.acsm.org/public-information/articles/2016/10/07/improving-your-flexibility-and-balance

  22. Ainsworth BE, Haskell WL, Whitt MC, Irwin ML, Swartz AM, Strath SJ, et al. Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc. 2000;32(9 Suppl):S498–504.

    Article  CAS  PubMed  Google Scholar 

  23. Target Heart Rates American Heart Association. 2016. Available from: http://www.heart.org/HEARTORG/HealthyLiving/PhysicalActivity/FitnessBasics/Target-Heart-Rates_UCM_434341_Article.jsp#.WBaj2vorLb1

  24. Lee IM, Sesso HD, Oguma Y, Paffenbarger RS Jr. The “weekend warrior” and risk of mortality. Am J Epidemiol. 2004;160(7):636–41.

    Article  PubMed  Google Scholar 

  25. Committee PAGA. Physical activity guidelines advisory committee report, 2008. Washington: US Department of Health and Human Services; 2008.

    Google Scholar 

  26. American Heart Association recommendations for physical activity in adults. American Heart Association; 2016. Available from: http://www.heart.org/HEARTORG/HealthyLiving/PhysicalActivity/FitnessBasics/American-Heart-Association-Recommendations-for-Physical-Activity-in-Adults_UCM_307976_Article.jsp#.WBcowPorLb1

  27. ACOG Committee opinion no. 650: physical activity and exercise during pregnancy and the postpartum period. Obstet Gynecol. 2015;126(6):e135–42.

    Google Scholar 

  28. Eschbach C. Exercise recommendations for menopause-aged women. American College of Sports Medicine; 2016. Available from: http://www.acsm.org/public-information/articles/2016/10/07/exercise-recommendations-for-menopause-aged-women

  29. Goodman JM, Thomas SG, Burr J. Evidence-based risk assessment and recommendations for exercise testing and physical activity clearance in apparently healthy individuals. Appl Physiol Nutr Metab: Physiol Appl Nutr Metab. 2011;36(Suppl 1):S14–32.

    Article  Google Scholar 

  30. Warburton DE, Gledhill N, Jamnik VK, Bredin SS, McKenzie DC, Stone J, et al. Evidence-based risk assessment and recommendations for physical activity clearance: consensus document 2011. Appl Physiol Nutr Metab: Physiol Appl Nutr Metab. 2011;36(Suppl 1):S266–98.

    Article  Google Scholar 

  31. Mirabelli MH, Devine MJ, Singh J, Mendoza M. The preparticipation sports evaluation. Am Fam Physician. 2015;92(5):371–6.

    PubMed  Google Scholar 

  32. Eves ND, Davidson WJ. Evidence-based risk assessment and recommendations for physical activity clearance: respiratory disease. Appl Physiol Nutr Metab: Physiol Appl Nutr Metab. 2011;36(Suppl 1):S80–100.

    Article  Google Scholar 

  33. Riddell MC, Burr J. Evidence-based risk assessment and recommendations for physical activity clearance: diabetes mellitus and related comorbidities. Appl Physiol Nutr Metab: Physiol Appl Nutr Metab. 2011;36(Suppl 1):S154–89.

    Article  Google Scholar 

  34. Lenz TL, Lenz NJ, Faulkner MA. Potential interactions between exercise and drug therapy. Sports Med (Auckland, NZ). 2004;34(5):293–306.

    Article  Google Scholar 

  35. Peters SP, Ferguson G, Deniz Y, Reisner C. Uncontrolled asthma: a review of the prevalence, disease burden and options for treatment. Respir Med. 2006;100(7):1139–51.

    Article  PubMed  Google Scholar 

  36. Nelson N, Asplund CA. Exercise testing: who, when, and why? PM & R: J Inj Funct Rehab. 2016;8(3 Suppl):S16–23.

    Article  Google Scholar 

  37. Kenjale AA, Hornsby WE, Crowgey T, Thomas S, Herndon JE 2nd, Khouri MG, et al. Pre-exercise participation cardiovascular screening in a heterogeneous cohort of adult cancer patients. Oncologist. 2014;19(9):999–1005.

    Article  PubMed  PubMed Central  Google Scholar 

  38. Gibbons RJ, Balady GJ, Bricker JT, Chaitman BR, Fletcher GF, Froelicher VF, et al. ACC/AHA 2002 guideline update for exercise testing: summary article. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (committee to update the 1997 exercise testing guidelines). J Am Coll Cardiol. 2002;40(8):1531–40.

    Article  PubMed  Google Scholar 

  39. Prevention CfDCa. Overweight & Obesity; 2012. Available from: https://www.cdc.gov/obesity/

  40. NHLBI Obesity Education Initiative Expert Panel on the Identification E, and Treatment of Obesity in Adults (US). Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults. Bethesda: National Heart, Lung, and Blood Institute; 1998.

    Google Scholar 

  41. Finkelstein EA, Trogdon JG, Cohen JW, Dietz W. Annual medical spending attributable to obesity: payer-and service-specific estimates. Health Aff (Project Hope). 2009;28(5):w822–31.

    Article  Google Scholar 

  42. Trogdon JG, Finkelstein EA, Hylands T, Dellea PS, Kamal-Bahl SJ. Indirect costs of obesity: a review of the current literature. Obes Rev: Off J Int Assoc Study Obes. 2008;9(5):489–500.

    Article  CAS  Google Scholar 

  43. Stacy Schmidt MS. Obesity and exercise. American College of Sports Medicine; 2016. Available from: http://www.acsm.org/public-information/articles/2012/01/19/obesity-and-exercise

  44. Donnelly JE, Blair SN, Jakicic JM, Manore MM, Rankin JW, Smith BK. American College of Sports Medicine Position Stand. Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Med Sci Sports Exerc. 2009;41(2):459–71.

    Article  PubMed  Google Scholar 

  45. Mathus-Vliegen EM. Prevalence, pathophysiology, health consequences and treatment options of obesity in the elderly: a guideline. Obes Facts. 2012;5(3):460–83.

    Article  CAS  PubMed  Google Scholar 

  46. Davidson LE, Hudson R, Kilpatrick K, Kuk JL, McMillan K, Janiszewski PM, et al. Effects of exercise modality on insulin resistance and functional limitation in older adults: a randomized controlled trial. Arch Intern Med. 2009;169(2):122–31.

    Article  PubMed  Google Scholar 

  47. Sigal RJ, Kenny GP, Boule NG, Wells GA, Prud’homme D, Fortier M, 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 

  48. Dunstan DW, Daly RM, Owen N, Jolley D, De Courten M, Shaw J, et al. High-intensity resistance training improves glycemic control in older patients with type 2 diabetes. Diabetes Care. 2002;25(10):1729–36.

    Article  PubMed  Google Scholar 

  49. Morrato EH, Hill JO, Wyatt HR, Ghushchyan V, Sullivan PW. Physical activity in U.S. adults with diabetes and at risk for developing diabetes, 2003. Diabetes Care. 2007;30(2):203–9.

    Article  PubMed  Google Scholar 

  50. What we recommend American Diabetes Association; 2015. Updated May 19, 2015. Available from: http://www.diabetes.org/food-and-fitness/fitness/types-of-activity/what-we-recommend.html?referrer=https://www.google.com/

  51. Stevens RJ, Kothari V, Adler AI, Stratton IM. The UKPDS risk engine: a model for the risk of coronary heart disease in type II diabetes (UKPDS 56). Clin Sci (London, England: 1979). 2001;101(6):671–9.

    Article  CAS  Google Scholar 

  52. Sigal RJ, Kenny GP, Wasserman DH, Castaneda-Sceppa C, White RD. Physical activity/exercise and type 2 diabetes: a consensus statement from the American Diabetes Association. Diabetes Care. 2006;29(6):1433–8.

    Article  PubMed  Google Scholar 

  53. Exercising with diabetes complications. Joslin Diabetes Center; 2016. Available from: http://www.joslin.org/info/exercising-with-diabetes-complications.html

  54. Ahmed HM, Blaha MJ, Nasir K, Rivera JJ, Blumenthal RS. Effects of physical activity on cardiovascular disease. Am J Cardiol. 2012;109(2):288–95.

    Article  PubMed  Google Scholar 

  55. Darden D, Richardson C, Jackson EA. Physical activity and exercise for secondary prevention among patients with cardiovascular disease. Curr Cardiovasc Risk Rep. 2013;7(6):411–6.

    Article  Google Scholar 

  56. Eckel RH, Jakicic JM, Ard JD, de Jesus JM, Houston Miller N, Hubbard VS, et al. 2013 AHA/ACC guideline on lifestyle management to reduce cardiovascular risk: a report of the American College of Cardiology/American Heart Association task force on practice guidelines. J Am Coll Cardiol. 2014;63(25 Pt B):2960–84.

    Article  PubMed  Google Scholar 

  57. Smith SC Jr, Allen J, Blair SN, Bonow RO, Brass LM, Fonarow GC, et al. AHA/ACC guidelines for secondary prevention for patients with coronary and other atherosclerotic vascular disease: 2006 update endorsed by the National Heart, Lung, and Blood Institute. J Am Coll Cardiol. 2006;47(10):2130–9.

    Article  PubMed  Google Scholar 

  58. Thompson PD, Myerburg RJ, Levine BD, Udelson JE, Kovacs RJ. Eligibility and disqualification recommendations for competitive athletes with cardiovascular abnormalities: task force 8: coronary artery disease: a scientific statement from the American Heart Association and American College of Cardiology. Circulation. 2015;132(22):e310–4.

    Article  PubMed  Google Scholar 

  59. Black HR, Sica D, Ferdinand K, White WB. Eligibility and disqualification recommendations for competitive athletes with cardiovascular abnormalities: task force 6: hypertension: a scientific statement from the American Heart Association and the American College of Cardiology. Circulation. 2015;132(22):e298–302.

    Article  PubMed  Google Scholar 

  60. Mozaffarian D, Benjamin EJ, Go AS, Arnett DK, Blaha MJ, Cushman M, et al. Executive summary: heart disease and stroke statistics–2016 update: a report from the American Heart Association. Circulation. 2016;133(4):447–54.

    Article  PubMed  Google Scholar 

  61. Church TS, Kampert JB, Gibbons LW, Barlow CE, Blair SN. Usefulness of cardiorespiratory fitness as a predictor of all-cause and cardiovascular disease mortality in men with systemic hypertension. Am J Cardiol. 2001;88(6):651–6.

    Article  CAS  PubMed  Google Scholar 

  62. Lee CD, Folsom AR, Blair SN. Physical activity and stroke risk: a meta-analysis. Stroke. 2003;34(10):2475–81.

    Article  PubMed  Google Scholar 

  63. Whelton SP, Chin A, Xin X, He J. Effect of aerobic exercise on blood pressure: a meta-analysis of randomized, controlled trials. Ann Intern Med. 2002;136(7):493–503.

    Article  PubMed  Google Scholar 

  64. Pescatello LS, Fargo AE, Leach CN Jr, Scherzer HH. Short-term effect of dynamic exercise on arterial blood pressure. Circulation. 1991;83(5):1557–61.

    Article  CAS  PubMed  Google Scholar 

  65. Zipes DP, Link MS, Ackerman MJ, Kovacs RJ, Myerburg RJ, Estes NA 3rd. Eligibility and disqualification recommendations for competitive athletes with cardiovascular abnormalities: task force 9: arrhythmias and conduction defects: a scientific statement from the American Heart Association and American College of Cardiology. Circulation. 2015;132(22):e315–25.

    Article  PubMed  Google Scholar 

  66. Nishimura RA, Otto CM, Bonow RO, Carabello BA, Erwin JP 3rd, Guyton RA, et al. 2014 AHA/ACC guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association task force on practice guidelines. J Thorac Cardiovasc Surg. 2014;148(1):e1–e132.

    Article  PubMed  Google Scholar 

  67. Bonow RO, Nishimura RA, Thompson PD, Udelson JE. Eligibility and disqualification recommendations for competitive athletes with cardiovascular abnormalities: task force 5: valvular heart disease: a scientific statement from the American Heart Association and American College of Cardiology. Circulation. 2015;132(22):e292–7.

    Article  PubMed  Google Scholar 

  68. Parker MW, Thompson PD. Exercise in valvular heart disease: risks and benefits. Prog Cardiovasc Dis. 2011;53(6):437–46.

    Article  PubMed  Google Scholar 

  69. Bellinger CR, Peters SP. Outpatient chronic obstructive pulmonary disease management: going for the GOLD. J Allergy Clin Immunol Pract. 2015;3(4):471–8; quiz 9–80.

    Article  PubMed  Google Scholar 

  70. Ford ES, Croft JB, Mannino DM, Wheaton AG, Zhang X, Giles WH. COPD surveillance – United States, 1999–2011. Chest. 2013;144(1):284–305.

    Article  PubMed  PubMed Central  Google Scholar 

  71. (US) NCfHS, editor. Health, United States, 2015. Hyattsville: (US) NCfHS; 2016.

    Google Scholar 

  72. Casaburi R, ZuWallack R. Pulmonary rehabilitation for management of chronic obstructive pulmonary disease. N Engl J Med. 2009;360(13):1329–35.

    Article  CAS  PubMed  Google Scholar 

  73. Casaburi R. Exercise training in chronic obstructive lung disease. In: Saunders WB, editor. Principles and practice of pulmonary rehabilitation. Philadelphia: W.B. Saunders; 1993. p. 204–24.

    Google Scholar 

  74. Casaburi R, Patessio A, Ioli F, Zanaboni S, Donner CF, Wasserman K. Reductions in exercise lactic acidosis and ventilation as a result of exercise training in patients with obstructive lung disease. Am Rev Respir Dis. 1991;143(1):9–18.

    Article  CAS  PubMed  Google Scholar 

  75. Haas F, Salazar-Schicchi J, Axen K. Desensitization to dyspnea in chronic obstructive pulmonary disease. In: Saunders WB, editor. Principles and practice of pulmonary rehabilitation. Philadelphia: W.B. Saunders; 1993. p. 241–51.

    Google Scholar 

  76. Huiart L, Ernst P, Suissa S. Cardiovascular morbidity and mortality in COPD. Chest. 2005;128(4):2640–6.

    Article  PubMed  Google Scholar 

  77. van Eeden SF, Sin DD. Chronic obstructive pulmonary disease: a chronic systemic inflammatory disease. Respiration: Int Rev Thorac Dis. 2008;75(2):224–38.

    Article  Google Scholar 

  78. Nici L, Donner C, Wouters E, Zuwallack R, Ambrosino N, Bourbeau J, et al. American Thoracic Society/European Respiratory Society statement on pulmonary rehabilitation. Am J Respir Crit Care Med. 2006;173(12):1390–413.

    Article  PubMed  Google Scholar 

  79. Mahler DA. Pulmonary rehabilitation. Chest. 1998;113(4 Suppl):263s–8s.

    Article  CAS  PubMed  Google Scholar 

  80. Ries AL, Bauldoff GS, Carlin BW, Casaburi R, Emery CF, Mahler DA, et al. Pulmonary rehabilitation: joint ACCP/AACVPR evidence-based clinical practice guidelines. Chest. 2007;131(5 Suppl):4s–42s.

    Article  PubMed  Google Scholar 

  81. Assessment of fracture risk and its application to screening for postmenopausal osteoporosis. Report of a WHO Study Group. World Health Organ Tech Rep Ser. 1994;843:1–129.

    Google Scholar 

  82. Kai MC, Anderson M, Lau EM. Exercise interventions: defusing the world’s osteoporosis time bomb. Bull World Health Organ. 2003;81(11):827–30.

    PubMed  Google Scholar 

  83. Office of the Surgeon G. Reports of the Surgeon General. Bone health and osteoporosis: a report of the surgeon general. Rockville: Office of the Surgeon General (US); 2004.

    Google Scholar 

  84. Osteoporosis prevention, diagnosis, and therapy. Jama. 2001;285(6):785–95.

    Google Scholar 

  85. Gregg EW, Pereira MA, Caspersen CJ. Physical activity, falls, and fractures among older adults: a review of the epidemiologic evidence. J Am Geriatr Soc. 2000;48(8):883–93.

    Article  CAS  PubMed  Google Scholar 

  86. Karlsson MK, Nordqvist A, Karlsson C. Physical activity, muscle function, falls and fractures. Food Nutr Res. 2008;52(3)

    Google Scholar 

  87. Moayyeri A. The association between physical activity and osteoporotic fractures: a review of the evidence and implications for future research. Ann Epidemiol. 2008;18(11):827–35.

    Article  PubMed  Google Scholar 

  88. Wolf SL, Barnhart HX, Kutner NG, McNeely E, Coogler C, Xu T. Reducing frailty and falls in older persons: an investigation of tai chi and computerized balance training. Atlanta FICSIT group. Frailty and injuries: cooperative studies of intervention techniques. J Am Geriatr Soc. 1996;44(5):489–97.

    Article  CAS  PubMed  Google Scholar 

  89. Nikander R, Sievanen H, Heinonen A, Daly RM, Uusi-Rasi K, Kannus P. Targeted exercise against osteoporosis: a systematic review and meta-analysis for optimising bone strength throughout life. BMC Med. 2010;8:47.

    Article  PubMed  PubMed Central  Google Scholar 

  90. Hind K, Burrows M. Weight-bearing exercise and bone mineral accrual in children and adolescents: a review of controlled trials. Bone. 2007;40(1):14–27.

    Article  CAS  PubMed  Google Scholar 

  91. Kelley GA, Kelley KS. Efficacy of resistance exercise on lumbar spine and femoral neck bone mineral density in premenopausal women: a meta-analysis of individual patient data. J Women’s Health (Larchmt). 2004;13(3):293–300.

    Article  Google Scholar 

  92. Kelley GA, Kelley KS, Tran ZV. Resistance training and bone mineral density in women: a meta-analysis of controlled trials. Am J Phys Med Rehabil. 2001;80(1):65–77.

    Article  CAS  PubMed  Google Scholar 

  93. Wallace BA, Cumming RG. Systematic review of randomized trials of the effect of exercise on bone mass in pre- and postmenopausal women. Calcif Tissue Int. 2000;67(1):10–8.

    Article  CAS  PubMed  Google Scholar 

  94. Vainionpaa A, Korpelainen R, Sievanen H, Vihriala E, Leppaluoto J, Jamsa T. Effect of impact exercise and its intensity on bone geometry at weight-bearing tibia and femur. Bone. 2007;40(3):604–11.

    Article  PubMed  Google Scholar 

  95. Kelley GA, Kelley KS. Exercise and bone mineral density at the femoral neck in postmenopausal women: a meta-analysis of controlled clinical trials with individual patient data. Am J Obstet Gynecol. 2006;194(3):760–7.

    Article  PubMed  Google Scholar 

  96. Bonaiuti D, Shea B, Iovine R, Negrini S, Robinson V, Kemper HC, et al. Exercise for preventing and treating osteoporosis in postmenopausal women. Cochrane Database Syst Rev. 2002;(3):Cd000333.

    Google Scholar 

  97. Martyn-St James M, Carroll S. Meta-analysis of walking for preservation of bone mineral density in postmenopausal women. Bone. 2008;43(3):521–31.

    Article  PubMed  Google Scholar 

  98. Palombaro KM. Effects of walking-only interventions on bone mineral density at various skeletal sites: a meta-analysis. J Geriatr Phys Ther. 2005;28(3):102–7.

    Article  PubMed  Google Scholar 

  99. Wolff I, van Croonenborg JJ, Kemper HC, Kostense PJ, Twisk JW. The effect of exercise training programs on bone mass: a meta-analysis of published controlled trials in pre- and postmenopausal women. Osteoporos Int: a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA:. 1999;9(1):1–12.

    Google Scholar 

  100. Martyn-St James M, Carroll S. A meta-analysis of impact exercise on postmenopausal bone loss: the case for mixed loading exercise programmes. Br J Sports Med. 2009;43(12):898–908.

    Article  CAS  PubMed  Google Scholar 

  101. Kukuljan S, Nowson CA, Bass SL, Sanders K, Nicholson GC, Seibel MJ, et al. Effects of a multi-component exercise program and calcium-vitamin-D3-fortified milk on bone mineral density in older men: a randomised controlled trial. Osteoporos Int: a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA. 2009;20(7):1241–51.

    Article  CAS  Google Scholar 

  102. Bailey CA, Brooke-Wavell K. Optimum frequency of exercise for bone health: randomised controlled trial of a high-impact unilateral intervention. Bone. 2010;46(4):1043–9.

    Article  PubMed  Google Scholar 

  103. Macdonald HM, Kontulainen SA, Khan KM, McKay HA. Is a school-based physical activity intervention effective for increasing tibial bone strength in boys and girls? J Bone Miner Res: Off J Am Soc Bone Miner Res. 2007;22(3):434–46.

    Article  Google Scholar 

  104. Vainionpaa A, Korpelainen R, Vihriala E, Rinta-Paavola A, Leppaluoto J, Jamsa T. Intensity of exercise is associated with bone density change in premenopausal women. Osteoporos Int: a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA. 2006;17(3):455–63.

    Article  CAS  Google Scholar 

  105. Karinkanta S, Heinonen A, Sievanen H, Uusi-Rasi K, Pasanen M, Ojala K, et al. A multi-component exercise regimen to prevent functional decline and bone fragility in home-dwelling elderly women: randomized, controlled trial. Osteoporos Int: a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA. 2007;18(4):453–62.

    Article  CAS  Google Scholar 

  106. Feskanich D, Willett W, Colditz G. Walking and leisure-time activity and risk of hip fracture in postmenopausal women. JAMA. 2002;288(18):2300–6.

    Article  PubMed  Google Scholar 

  107. Michaelsson K, Olofsson H, Jensevik K, Larsson S, Mallmin H, Berglund L, et al. Leisure physical activity and the risk of fracture in men. PLoS Med. 2007;4(6):e199.

    Article  PubMed  PubMed Central  Google Scholar 

  108. Cussler EC, Going SB, Houtkooper LB, Stanford VA, Blew RM, Flint-Wagner HG, et al. Exercise frequency and calcium intake predict 4-year bone changes in postmenopausal women. Osteoporos Int: a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA. 2005;16(12):2129–41.

    Article  CAS  Google Scholar 

  109. Kemmler W, von Stengel S. Exercise and osteoporosis-related fractures: perspectives and recommendations of the sports and exercise scientist. Phys Sportsmed. 2011;39(1):142–57.

    Article  PubMed  Google Scholar 

  110. Prevalence and most common causes of disability among adults – United States, 2005. MMWR Morb Mortal Wkly Rep. 2009;58(16):421–6.

    Google Scholar 

  111. Healthcare C, Utilization P. HCUP facts and figures. In: HCUP facts and figures: statistics on hospital-based care in the United States, 2008. Rockville: Agency for Healthcare Research and Quality (US); 2010.

    Google Scholar 

  112. Quality AfHRa. National and regional estimates on hospital use for all patients from the HCUP nationwide inpatient sample (NIS) HCUPnet2011 [National statistics—principle procedure only. ICD-9-CM 81.54 and 81.51. 2011]. 2016. Available from: http://hcupnet.ahrq.gov

  113. Murphy L, Schwartz TA, Helmick CG, Renner JB, Tudor G, Koch G, et al. Lifetime risk of symptomatic knee osteoarthritis. Arthritis Rheum. 2008;59(9):1207–13.

    Article  PubMed  PubMed Central  Google Scholar 

  114. Bennell KL, Hinman RS. A review of the clinical evidence for exercise in osteoarthritis of the hip and knee. J Sci Med Sport. 2011;14(1):4–9.

    Article  PubMed  Google Scholar 

  115. Murphy L, Helmick CG. The impact of osteoarthritis in the United States: a population-health perspective: a population-based review of the fourth most common cause of hospitalization in U.S. adults. Orthop Nurs. 2012;31(2):85–91.

    Article  PubMed  Google Scholar 

  116. Prevalence of doctor-diagnosed arthritis and arthritis-attributable activity limitation – United States, 2010–2012. MMWR Morb Mortal Wkly Rep. 2013;62(44):869–73.

    Google Scholar 

  117. Farr JN, Going SB, Lohman TG, Rankin L, Kasle S, Cornett M, et al. Physical activity levels in patients with early knee osteoarthritis measured by accelerometry. Arthritis Rheum. 2008;59(9):1229–36.

    Article  PubMed  PubMed Central  Google Scholar 

  118. Messier SP, Loeser RF, Miller GD, Morgan TM, Rejeski WJ, Sevick MA, et al. Exercise and dietary weight loss in overweight and obese older adults with knee osteoarthritis: the arthritis, diet, and activity promotion trial. Arthritis Rheum. 2004;50(5):1501–10.

    Article  PubMed  Google Scholar 

  119. O’Reilly SC, Jones A, Muir KR, Doherty M. Quadriceps weakness in knee osteoarthritis: the effect on pain and disability. Ann Rheum Dis. 1998;57(10):588–94.

    Article  PubMed  PubMed Central  Google Scholar 

  120. Christensen R, Bartels EM, Astrup A, Bliddal H. Effect of weight reduction in obese patients diagnosed with knee osteoarthritis: a systematic review and meta-analysis. Ann Rheum Dis. 2007;66(4):433–9.

    Article  PubMed  PubMed Central  Google Scholar 

  121. Fransen M, McConnell S. Exercise for osteoarthritis of the knee. Cochrane Database Syst Rev. 2008;(4):Cd004376.

    Google Scholar 

  122. McCarthy CJ, Mills PM, Pullen R, Roberts C, Silman A, Oldham JA. Supplementing a home exercise programme with a class-based exercise programme is more effective than home exercise alone in the treatment of knee osteoarthritis. Rheumatology (Oxford, England). 2004;43(7):880–6.

    Article  CAS  Google Scholar 

  123. Mazieres B, Thevenon A, Coudeyre E, Chevalier X, Revel M, Rannou F. Adherence to, and results of, physical therapy programs in patients with hip or knee osteoarthritis. Development of French clinical practice guidelines. Joint Bone Spine: Rev Rhum. 2008;75(5):589–96.

    Article  Google Scholar 

  124. Joy EL, Blair SN, McBride P, Sallis R. Physical activity counselling in sports medicine: a call to action. Br J Sports Med. 2013;47(1):49–53.

    Article  PubMed  Google Scholar 

  125. Effects of physical activity counseling in primary care: the activity counseling trial: a randomized controlled trial. JAMA. 2001;286(6):677–87.

    Google Scholar 

  126. Ben Wheatley M. Kaiser Permanente Policy Stories, V3, No.5: Exercise is the New Vital Sign. Kaiser Permanente Institute for Health Policy; 2014. Available from: http://www.kpihp.org/kaiser-permanente-policy-stories-v3-no-5-exercise-as-a-vital-sign/

  127. Thompson WR, Gordon NF, Pescatello LS. ACSM’s guidelines for exercise testing and prescription. Philadelphia: Lippincott Williams & Wilkins; 2010.

    Google Scholar 

  128. Medicine ACoS. Healthcare providers’ action guide. 2016. Available from: www.exerciseismedicine.org

  129. Len Kravitz PD. High-intensity interval training American College of Sports Medicine. 2016. Available from: http://www.acsm.org/docs/brochures/high-intensity-interval-training.pdf

  130. Selecting and effectively using a Yoga Program American College of Sports Medicine; 2011. Available from: www.acsm.org/docs/brochures/selecting-and-effectively-using-a-yoga-program

  131. Yang Y, Grubisich S, Komelski M. The essentials of Taiji (Tai Chi) and Qigong training for older adults: no pain, lots of gain. American College of Sports Medicine; 2016. Available from: http://www.acsm.org/public-information/articles/2012/01/19/the-essentials-of-taiji-(tai-chi)-and-qigong-training-for-older-adults-no-pain-lots-of-gain

  132. Dolan S. Benefits of group exercise; 2016. An Aging Nation: The Older Population in the United States; US Census Bureau, Census.gov, May 2014

    Google Scholar 

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Author information

Authors and Affiliations

  1. University of North Carolina Chapel Hill, Department of Family Medicine, Chapel Hill, NC, USA

    Lauren Porras

  2. University of North Carolina Chapel Hill, Department of Orthopaedics, Chapel Hill, NC, USA

    Lauren Porras

  3. UNC Hospitals, Department of Family Medicine, Chapel Hill, NC, USA

    Harry Stafford

  4. Broward Community and Family Health Centers, Inc, FL, USA

    Nailah Safiya Adams

Authors
  1. Lauren Porras
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  2. Harry Stafford
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  3. Nailah Safiya Adams
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Correspondence to Lauren Porras .

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Editors and Affiliations

  1. Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA

    Timothy P. Daaleman

  2. Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA

    Margaret R. Helton

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Porras, L., Stafford, H., Adams, N.S. (2018). Promoting Physical Activity. In: Daaleman, T., Helton, M. (eds) Chronic Illness Care. Springer, Cham. https://doi.org/10.1007/978-3-319-71812-5_5

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  • DOI: https://doi.org/10.1007/978-3-319-71812-5_5

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