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Health benefits of physical activity: the evidence

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TLDR
It is revealed that the current Health Canada physical activity guidelines are sufficient to elicit health benefits, especially in previously sedentary people, and that a further increase in physical activity and fitness will lead to additional improvements in health status.
Abstract
The primary purpose of this narrative review was to evaluate the current literature and to provide further insight into the role physical inactivity plays in the development of chronic disease and premature death. We confirm that there is irrefutable evidence of the effectiveness of regular physical activity in the primary and secondary prevention of several chronic diseases (e.g., cardiovascular disease, diabetes, cancer, hypertension, obesity, depression and osteoporosis) and premature death. We also reveal that the current Health Canada physical activity guidelines are sufficient to elicit health benefits, especially in previously sedentary people. There appears to be a linear relation between physical activity and health status, such that a further increase in physical activity and fitness will lead to additional improvements in health status.

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Physical activity in the United States measured by accelerometer.

TL;DR: Objective and subjective measures of physical activity give qualitatively similar results regarding gender and age patterns of activity, however, adherence to physical activity recommendations according to accelerometer-measured activity is substantially lower than according to self-report.
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The Social Determinants of Health: Coming of Age

TL;DR: Current knowledge about health effects of social (including economic) factors, knowledge gaps, and research priorities are reviewed, focusing on upstream social determinants that fundamentally shape the downstream determinants, such as behaviors, targeted by most interventions.
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Effect of exposure to natural environment on health inequalities: an observational population study

TL;DR: The association between income deprivation and mortality differed significantly across the groups of exposure to green space for mortality from all causes and circulatory disease, but not from lung cancer or intentional self-harm, which suggests physical environments that promote good health might be important to reduce socioeconomic health inequalities.
References
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Journal ArticleDOI

Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin.

TL;DR: In this paper, the authors compared a lifestyle intervention with metformin to prevent or delay the development of Type 2 diabetes in nondiabetic individuals. And they found that the lifestyle intervention was significantly more effective than the medication.
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Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance.

TL;DR: Type 2 diabetes can be prevented by changes in the lifestyles of high-risk subjects by means of individualized counseling aimed at reducing weight, total intake of fat, and intake of saturated fat and increasing intake of fiber and physical activity.
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Physical Fitness and All-Cause Mortality: A Prospective Study of Healthy Men and Women

TL;DR: Higher levels of physical fitness appear to delay all-cause mortality primarily due to lowered rates of cardiovascular disease and cancer, and lower mortality rates in higher fitness categories also were seen for cardiovascular Disease and cancer of combined sites.
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Exercise capacity and mortality among men referred for exercise testing.

TL;DR: Exercise capacity is known to be an important prognostic factor in patients with cardiovascular disease, but it is uncertain whether it predicts mortality equally well among healthy persons and there is also uncertainty regarding the predictive power of exercise capacity relative to other clinical and exercise-test variables.
Journal ArticleDOI

Physical Activity, All-Cause Mortality, and Longevity of College Alumni

TL;DR: With or without consideration of hypertension, cigarette smoking, extremes or gains in body weight, or early parental death, alumni mortality rates were significantly lower among the physically active than among less active men.
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What is the evidence for the benefits of good physical fitness?

The evidence shows that regular physical activity is effective in preventing chronic diseases and premature death, and there is a linear relationship between physical activity and health status.