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Historically, physical exercise has been linked to conventional sports and associated with athletes. Currently, physical exercise is of great interest to many recreational practitioners, who enjoy exercise as a fun and useful way of improving health and well-being. The concept of exercise as a part of sports training has been extended to exercise as a means of improving the health of athletes. This entry will provide an overview of the role of exercise in disease prevention and of guidelines for performing health-related exercise.

The terms physical activity, physical exercise, and physical fitness are sometimes used interchangeably, although they are actually quite different concepts. Physical activity is any body movement produced by muscle action that increases energy expenditure. Physical exercise refers to planned, structured, systematic, and purposeful physical activity. Physical fitness is a set of attributes related to a person's ability to perform physical activities that require cardiorespiratory capacity, endurance, strength, or flexibility and is determined by a combination of regular activity and inherited ability. Another widely used concept is health-related physical fitness, consisting of those components of physical fitness that have shown a relationship with health. Health-related fitness has been characterized by an ability to perform daily activities with vigor and by traits and capacities that are associated with a low risk for the development of chronic diseases and premature death.

Role of Physical Activity/Exercise and Fitness in Disease Prevention

Physical Activity/Exercise and Disease Prevention

The Physical Activity Guidelines Advisory Committee, formed by the U.S. Department of Health and Human Services, in 2008 reviewed the existing scientific literature to identify the current evidence to develop a comprehensive set of specific physical activity recommendations. The review found strong scientific evidence that physically active people have higher levels of health-related fitness and a lower risk of developing a number of disabling medical conditions than do people who are inactive. These findings are summarized below.

Health Benefits of Regular Physical Exercise

Physical exercise reduces the risk of …

  • early death
  • developing heart and cardiovascular diseases
  • developing obesity
  • developing diabetes
  • developing high blood pressure and high (bad) cholesterol
  • developing certain types of cancer
  • developing depression and anxiety

Physical exercise also …

  • improves immune system activity
  • tones muscles and preserves or increases muscular mass, preserving function and independence
  • strengthens bones and joints
  • increases coordination and balance, reducing the risk of falls and bone fractures
  • helps in the control of body weight and improves “body image”
  • promotes well-being and social integration

Health Benefits of Regular Physical Exercise

The review found that both children and adults benefit from regular physical activity. For children and adolescents, physical fitness and health status are substantially enhanced by frequent physical activity. Compared with inactive young people, physically active children and youth have higher levels of cardiorespiratory endurance and muscular strength, less body fat, more favorable cardiovascular and metabolic disease risk profiles, enhanced bone health, and reduced symptoms of anxiety and depression.

In adults and older adults, strong evidence demonstrates that more active men and women have lower rates of all-cause mortality, coronary heart disease, high blood pressure, stroke, Type 2 diabetes, metabolic syndrome, colon cancer, breast cancer, and depression than less active adults. In addition, physically active adults and older adults also exhibit a higher level of cardiorespiratory and muscular fitness, have a healthier body mass and composition, and have a biomarker profile that is more favorable for preventing cardiovascular disease and Type 2 diabetes and for enhancing bone health.

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