Study: Not Keeping Physically Active Could Kill You

Many people today have sedentary jobs, sitting at their desks all day (Photo: Star511 at Flickr/Creative Commons)2

Many people today have sedentary jobs, sitting at their desks all day (Photo: Star511 at Flickr/Creative Commons)

Are the technologies and comforts of modern society making us inactive and lazy?

In a recent study published by the British medical journal, the “Lancet,” in 2008 physical inactivity led to the death of nearly 5.3 million people across the world – that’s one in every 10 deaths.

It’s been reported that the problem of physical inactivity is growing in pandemic proportions.

Dr. Michael Joyner, a physiologist at the Mayo Clinic, writing in “The Journal of Physiology,” expands on concerns about the lack of physical activity and says that inactivity or a lack of exercise should be treated as if it were a medical condition.

Joyner says that the idea of inactivity’s impact on our health has been emerging in the medical community for at least the last 10 years.

“We’re looking at the exercise, inactivity/activity all wrong,” he says. “We’ve defined the normal state as the physically inactive state when in fact the normal state is the active state and so many of our lifestyle-related diseases and chronic diseases have their root cause in physical inactivity.”

Joyner also says that innovative treatments for many of these health problems center on increasing people’s physical activity.

He suggests that inactivity be “medicalized,” similar to what has been done to treat other health issues such as addiction and smoking.  That way, Joyner says, new treatments can be developed including those that focus on behavioral modifications and physical activity.

Taking it further, Joyner suggests that nations take public health measures to help promote physical activity.

Instead of spending hours sitting on your couch watching TV, why not get up and go for a walk? (Photo: Jessica Spengler via Flickr/Creative Commons)

Instead of spending hours sitting on your couch watching TV, why not get up and go for a walk? (Photo: Jessica Spengler via Flickr/Creative Commons)

So why has a lack of physical activity become such a problem? Joyner says there are what he describes as “death spirals” occurring simultaneously that encourages us to be less physically active and eat too much.

For example, he points out, that instead of getting their children to go outside and play, many parents today simply allow them to sit around the house to watch TV or play video games.  And, rather than encourage them to walk or ride their bicycles to school, some parents just drive their kids to and from their school’s doorstep.

Adults too have been sucked into the inactive lifestyle, according to Joyner.  He says that more people today are working in urban environments, where it might be difficult to be physically active all day long.

“In places like the United States and other developed countries, we’re sort of prisoners to our cars and so forth,” Joyner said.

Joyner says that less activity along with all of the rich, calorie-laden food that’s quickly available and ready to eat can combine into a real problem.

That problem, he says, includes non-communicable diseases like diabetes, hypertension, obesity, heart disease, stroke, and depression, which have been affecting the developed world and are increasingly affecting countries that are in economic transition.

According to Joyner, the diseases are all linked to lower levels of physical activity.

On the other hand, he says, people who maintain an active lifestyle are relatively protected from the conditions.  Joyner also points out that those who already have the diseases can get better when they become more physically active.

Joyner warns that if nothing is done to address inactivity, people are going to continue to get sick, their kidneys and blood vessels will fail, and they will need plenty of costly medical treatments.

Getting physically active can be as easy as taking a brisk walk every day. (Photo: Trailnet via Flickr/Creative Commons)

Getting physically active can be as easy as taking a brisk walk every day. (Photo: Trailnet via Flickr/Creative Commons)

Joyner says that if physical inactivity were treated as a medical condition, doctors and other providers can be better educated about the benefits of physical activity and become much more aware of the value of prescribing exercise instead of drugs.

That, he says, could also encourage the development of more formal rehabilitation programs that include innovative cognitive and behavioral therapy.

If after reading this you recognize that you aren’t as physically inactive as you should be, Joyner says a number of studies have shown that 150 minutes a week of “moderately vigorous physical activity” offers a level of protection from potentially deadly diseases and conditions.

“The easiest way to do that,” Joyner says, “is to go out on five 30-minute walks a week, and push it a little bit.” But he warns not to push too hard, “just a good brisk walk.”  If you find it difficult to do 30 minutes at a time, Dr. Joyner suggests that you can break up the walking sessions into three 10-minute segments and only do what you can handle.

For those people who have been inactive for a long period of time, gained some weight or have developed medical problems, getting physically active can be an even more difficult challenge.

If you have high blood pressure, high cholesterol, are a smoker or are over 45 years of age, Joyner says that you might want to see your physician before starting a physical activity or exercise program.

But don’t be discouraged, Joyner adds that in general, data shows that a majority of people can go out and walk to their level of discomfort without a lot of risk, meaning that most can begin a walking program relatively easy.

Dr. Michael Joyner is with us for this week’s radio edition of Science World and he talks about the dangers of being physically inactive and most importantly what we can do to help ourselves get and stay active and healthy.

Listen to the interview below.

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Dr. Joyner’s blog – here

Exercise Offsets Muscle Breakdown in Heart Patients

Exercise found to curb muscle breakdown in heart failure patients (Photo: National Institutes of Health)

Exercise can curb muscle breakdown in heart failure patients (Photo: National Institutes of Health)

We all know physical activity is good for us, and now new research suggests regular exercise can also help the aging and those suffering from heart failure.

In fact, researchers say, maintaining a regular physical workout can offset the breakdown of muscle, increase strength, reduce inflammation and condition the body to handle even more exercise.

And, the good news is, it doesn’t matter how old the patient is.

“Many physicians – and insurance companies – still believe that cardiac rehabilitation does not really help in old age. This study clearly falsifies this belief,” said Stephan Gielen, M.D., the study’s lead co-author and deputy director of Cardiology at the University Hospital, Martin-Luther-University of Halle, Germany.

Heart failure, a potentially deadly condition, occurs when the heart can’t keep up with its workload.  If the heart muscle cannot pump enough blood, it cannot meet the body’s needs for blood and oxygen.

As a result, those with heart-failure get tired easily and can have shortness of breath.  Activities most of us take for granted, such as walking, climbing stairs or other actions that require even mild exertion, can become very difficult for those with this condition.

According to the American Heart Association, about 5,700,000 Americans age 20 and older have heart failure.

For their study,  researchers recruited 60 heart-failure patients and 60 healthy volunteers in 2005 and 2008.   Half of each of these two groups consisted of people 55 years and younger, while the other half was 65 years and older, allowing for an average age difference of 20 years between the groups.

Even a casual walk can fatigue someone with heart failure (Photo: Michael Cohen via Flickr/Creative Commons)

Even a casual walk can fatigue someone with heart failure (Photo: Michael Cohen via Flickr/Creative Commons)

Half of the people in each age group were assigned, at random, to four weeks of supervised aerobic training, while the other half was told not to exercise during that time.

Before each group began their assigned schedule of exercises, or non-exercise, the researchers took biopsies from the thigh muscles of all the study subjects.  The muscle samples were taken again after the four-week test period.

Those assigned to the exercise group had four 20-minute periods of aerobic exercise every day for five days a week and also participated in one weekly 60-minute group exercise session.

The leg muscle strength of those in the exercise group was measured before they began their exercise program and once it concluded four weeks later.

The researchers found that all who exercised had increased their muscle force endurance and oxygen uptake – a measure of how much oxygen a body is consuming at any given time.  The heart failure patients 55 and under had increased their peak oxygen uptake by 25 percent, while those 65 and over increased it by 27 percent.  Both the younger and older groups of heart failure patients showed increased muscle strength after the four-week exercise program, but their muscle size was unaffected.

“Exercise switches off the muscle-wasting pathways and switches on pathways involved in muscle growth, counteracting muscle loss and exercise intolerance in heart failure patients,” Gielen said.

The study authors believe their research could lead to possible treatment of the muscle breakdown and wasting associated with heart failure.

Dr. Gielen joins us with more insight on this week’s radio edition of “Science World.”  See right column for scheduled times, or check out the interview with Dr. Gielen below.

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Other stories we cover on the “Science World” radio program this week include:

 

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