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"In the midst of winter I finally learned that there was in me an invincible summer."

- Alert Camus








Thursday, August 9, 2012

Lack of exercise can be as deadly as smoking

Less than a third of people in the UK get the exercise they need - despite new figures saying inactivity can be as deadly as smoking. A study found more than 5.3 million of the 57 million deaths worldwide in 2008 could be linked to inactivity.

Researchers estimate that lack of exercise could be responsible for around one in 10 cases of heart disease (10.5%) and just under one in five cases (18.7%) of colon cancer in the UK.

But an analysis by NHS Choices says smoking (an active harm) and inactivity (a passive harm) may kill similar number of people, smoking rates are lower than the number of inactive people, making smoking a more risky activity overall. That said, upping your exercise is something that is easy and cheap to do and it's up to us all to take responsibility.

Lead researcher Dr I-Min Lee, from Harvard Medical School, said: "The UK is doing worse than the world average. We’re not sure why this is but only about a third are taking the recommended amount. It could be to do with the weather."

He also said there were a lack of incentives to exercise in the UK, and recommended walking or cycling to work as an easy (and cheap) way to get active.




    Lack of exercise can be as deadly as smoking

    LINK:  http://www.cardioholic.co.uk/get-lean/2012/07/18/lack-of-exercise-can-be-as-deadly-as-smoking



    Sedentary lifestyle can kill

     BBC


    Lack of exercise is causing as many deaths around the world as smoking, according to the research 
    The world is just days away from the greatest global showcase of elite sport.
    But while a few thousand athletes will be pushing their bodies to the limit, most of the world will be watching on TV, sitting inactive for hours on end.

    In a series of articles in the Lancet timed to coincide with the Olympics, researchers from 16 countries set out the scale of the health burden created by physical inactivity. You can read more about the research here.
    The scientists say they are neither Olympics kill-joys nor are they advocating punishing gym sessions. As Pamela Das from the Lancet puts it: "It is not about running on a treadmill, whilst staring at a mirror and listening to your iPod."
    There's nothing wrong with going to the gym of course, but the aim is to encourage everyone to build physical activity into their daily lives, such as by walking, cycling, swimming, gardening or doing any sport they enjoy.
    The trouble is, all that sounds familiar. We all know we should move more and sit less.
    Despite that, one in three adults worldwide fails to do the recommended 150 minutes of moderate aerobic physical activity per week. In the UK two out of three adults don't manage it. The guidance is here.
    So rather than stressing the health benefits of exercise, the Lancet researchers have opted to show the harm caused by inactivity. They estimate lack of exercise is responsible for about 5.3m deaths a year - about the same number as smoking.
    This is based on estimates of the impact on inactivity on coronary heart disease, Type 2 diabetes, and two specfic cancers - breast and bowel - where lack of exercise is a major risk factor.
    There are some weaknesses in the data. The scientists have had to rely on the results of questionnaires sent out to 122 countries in which people self-report their levels of activity. It must also be difficult to separate the disease burden of obesity from the figures.
    But Dr I-Min Lee, Harvard Medical School, says they were very cautious: "Our estimates of ill-health from lack of physical activity are, if anything, on the low side."
    The outlook for the next generation seems bleak. A staggering four out of five 13-15 year olds globally do not do the recommended 60 minutes of activity every day.
    The researchers say the problem of inactivity has reached pandemic levels, with far-reaching health, economic, environmental and social consequences. They call for a radical re-think in how to deal with the issue.
    But rather than simply focusing on the bad, I prefer to emphasise the good, or rather the benefits of being active. As Dr I-Min Lee put it to me, "Everything that gets worse when we get older, gets better when we exercise."

    Exercise can...

    Source: BBC health
    The team of 33 researchers drawn from centres across the world also said governments needed
     
    Article written by Fergus Walsh Fergus Walsh Medical correspondent

    Link:http://www.bbc.co.uk/news/correspondents/ferguswalsh/




    Lancet Article:
    The Lancet, Volume 380, Issue 9838, Pages 219 - 229, 21 July 2012
    doi:10.1016/S0140-6736(12)61031-9Cite or Link Using DOI
    Published Online: 18 July 2012

    Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy

    Dr I-Min Lee ScD a , Eric J Shiroma MSc b, Felipe Lobelo MD c, Pekka Puska MD d, Steven N Blair PED e, Peter T Katzmarzyk PhD f, for the 

    Lancet Physical Activity Series Working Group

    Summary

    Background

    Strong evidence shows that physical inactivity increases the risk of many adverse health conditions, including major non-communicable diseases such as coronary heart disease, type 2 diabetes, and breast and colon cancers, and shortens life expectancy. Because much of the world's population is inactive, this link presents a major public health issue. We aimed to quantify the effect of physical inactivity on these major non-communicable diseases by estimating how much disease could be averted if inactive people were to become active and to estimate gain in life expectancy at the population level.

    Methods

    For our analysis of burden of disease, we calculated population attributable fractions (PAFs) associated with physical inactivity using conservative assumptions for each of the major non-communicable diseases, by country, to estimate how much disease could be averted if physical inactivity were eliminated. We used life-table analysis to estimate gains in life expectancy of the population.

    Findings

    Worldwide, we estimate that physical inactivity causes 6% (ranging from 3·2% in southeast Asia to 7·8% in the eastern Mediterranean region) of the burden of disease from coronary heart disease, 7% (3·9—9·6) of type 2 diabetes, 10% (5·6—14·1) of breast cancer, and 10% (5·7—13·8) of colon cancer. Inactivity causes 9% (range 5·1—12·5) of premature mortality, or more than 5·3 million of the 57 million deaths that occurred worldwide in 2008. If inactivity were not eliminated, but decreased instead by 10% or 25%, more than 533 000 and more than 1·3 million deaths, respectively, could be averted every year. We estimated that elimination of physical inactivity would increase the life expectancy of the world's population by 0·68 (range 0·41—0·95) years.

    Interpretation

    Physical inactivity has a major health effect worldwide. Decrease in or removal of this unhealthy behaviour could improve health substantially.

    Funding

    None.







    The Lancet, Volume 380, Issue 9838, Pages 219 - 229, 21 July 2012
    doi:10.1016/S0140-6736(12)61031-9
    Published Online: 18 July 2012

    Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy

    Dr I-Min Lee ScD a Corresponding AuthorEmail Address, Eric J Shiroma MSc b, Felipe Lobelo MD c, Pekka Puska MD d, Steven N Blair PED e, Peter T Katzmarzyk PhD f, for the Lancet Physical Activity Series Working Group

    Summary

    Background

    Strong evidence shows that physical inactivity increases the risk of many adverse health conditions, including major non-communicable diseases such as coronary heart disease, type 2 diabetes, and breast and colon cancers, and shortens life expectancy. Because much of the world's population is inactive, this link presents a major public health issue. We aimed to quantify the effect of physical inactivity on these major non-communicable diseases by estimating how much disease could be averted if inactive people were to become active and to estimate gain in life expectancy at the population level.

    Methods

    For our analysis of burden of disease, we calculated population attributable fractions (PAFs) associated with physical inactivity using conservative assumptions for each of the major non-communicable diseases, by country, to estimate how much disease could be averted if physical inactivity were eliminated. We used life-table analysis to estimate gains in life expectancy of the population.

    Findings

    Worldwide, we estimate that physical inactivity causes 6% (ranging from 3·2% in southeast Asia to 7·8% in the eastern Mediterranean region) of the burden of disease from coronary heart disease, 7% (3·9—9·6) of type 2 diabetes, 10% (5·6—14·1) of breast cancer, and 10% (5·7—13·8) of colon cancer. Inactivity causes 9% (range 5·1—12·5) of premature mortality, or more than 5·3 million of the 57 million deaths that occurred worldwide in 2008. If inactivity were not eliminated, but decreased instead by 10% or 25%, more than 533 000 and more than 1·3 million deaths, respectively, could be averted every year. We estimated that elimination of physical inactivity would increase the life expectancy of the world's population by 0·68 (range 0·41—0·95) years.

    Interpretation

    Physical inactivity has a major health effect worldwide. Decrease in or removal of this unhealthy behaviour could improve health substantially.

    Funding

    None.
    This article is made available free of charge, as a service to our users.
    a  Division of Preventive Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
    b Department of Epidemiology, Harvard School of Public Health, Boston, MA, USA
    c Global Health Promotion Office, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA, USA
    d National Institute for Health and Welfare, Helsinki, Finland
    e Department of Exercise Science and Department of Epidemiology/Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, SC, USA
    f Pennington Biomedical Research Center, Baton Rouge, LA, USA
    Corresponding Author Information Correspondence to: Dr I-Min Lee, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02215, USA
    Members listed at end of paper


    Physical activity guidelines for adults


    FACTSHEET 4

    Physical activity
    guidelines for
    AdulTS (19–64 yEArS)

    1. Adults should aim to be active daily. Over a week, activity
    should add up to at least 150 minutes (2½ hours) of
    moderate intensity activity in bouts of 10 minutes or more –
    one way to approach this is to do 30 minutes on at least
    5 days a week.

    2. Alternatively, comparable benefits can be achieved through
    75 minutes of vigorous intensity activity spread across the
    week or combinations of moderate and vigorous intensity
    activity.

    3. Adults should also undertake physical activity to improve
    muscle strength on at least two days a week.

    4. All adults should minimise the amount of time spent being
    sedentary (sitting) for extended periods.

    Individual physical and mental capabilities should be considered
    when interpreting the guidelines.

    Examples of physical activity that meet the
    guidelines

    Moderate intensity physical activities will cause adults to
    get warmer and breathe harder and their hearts to beat
    faster, but they should still be able to carry on a
    conversation. 
    Examples include:
    • � Brisk walking
    • � Cycling
    Vigorous intensity physical activities will cause adults to
    get warmer and breathe much harder and their hearts to
    beat rapidly, making it more difficult to carry on a
    conversation.
    Examples include:
    • � Running
    • � Sports such as swimming or football

    Physical activities that strengthen muscles involve using
    body weight or working against a resistance. This should
    involve using all the major muscle groups. 
    Examples include:
    • � Exercising with weights
    • � Carrying or moving heavy loads such as groceries

    Minimising sedentary behaviour may include:

    • � Reducing time spent watching TV, using the computer
    or playing video games
    • � Taking regular breaks at work
    • � Breaking up sedentary time such as swapping a long
    bus or car journey for walking part of the way

    What are the benefits of being active daily?

    • � Reduces risk of a range of diseases, e.g. coronary
    heart disease, stroke, type 2 diabetes
    • � Helps maintain a healthy weight
    • � Helps maintain ability to perform everyday tasks with
    ease
    • � Improves self-esteem
    • � Reduces symptoms of depression and anxiety

    For further information: Start Active, Stay Active: A report
    on physical activity for health from the four home
    countries’ Chief Medical Officers (2011)
    © Crown copyright 2011. 406414d 1p 0k July 11 (Web only)


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