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How much exercise is enough
The benefits of exercise,
according to the Surgeon general, performed daily, will reduce your
risk of premature death and also reduce the risk of developing
disease, such as high blood pressure, diabetes and colon
cancer.
Two years ago this summer, the American public was
sent a message about exercise: Perform some type of physical
activity on most, if not all, days of the week to maintain your
health. Specifically, the Surgeon General's Report on Physical
Activity and Health suggested that people burn 150 calories with
physical activity each day, or 1,000 calories each week. The report
was a decisive victory for those who have long preached the benefits
of exercise, emphatically stating that regular physical activity
performed daily will reduce one's risk of premature death and reduce
the risk of developing disease, such as diabetes, high blood
pressure and colon cancer. The report also stated that exercise can
reduce feelings of depression and anxiety, help control weight,
build healthy bones, muscles and joints, and promote psychological
well-being.
Activity standards
The Surgeon General's recommendations represent a shift from
standards of the past. Previously, the most common standard was the
exercise prescription model that advocates exercising three to five
days per week, at an intensity level of 60 to 90 percent of maximum
heart rate, for 20 to 30 minutes. The new standard emphasizes the
amount, rather than the intensity, of physical activity, aiming to
broaden the types of activities that are considered healthful. The
goal, of course, is to get sedentary people (who make up 25 percent
of our population) moving.
Just because we are reaching out to unfit individuals, however, does
not mean standards such as the exercise prescription model should be
dashed. Likewise, many other training recommendations should be
considered when developing an individual exercise plan for clients.
Pyramids, pyramids, pyramids
Numerous physical activity pyramids are available to the consumer,
with each one sending basically the same message: Doing something is
better than nothing. Edwards describes using five different heart
rate training zones (moderate activity, weight management, aerobic
zone, anaerobic threshold zone and the red line zone) to meet
various training needs. Franks provides physical activity
recommendations that include five levels (activities for everyone,
activities for sedentary individuals, activities for moderately
active people with health goals, activities for moderately active
people with fitness goals, and activities for vigorously active
individuals with performance goals). |
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With Franks' physical activity
recommendations and Edward's heart rate training zones as the
basis, the adult activity pyramid was created.
For each of the five zones, the percentage of heart rate
maximum, the rate of perceived exertion (RPE), the length of
time needed to get the best benefits, the number of activity
bouts needed per week and the MET level experienced is listed in
Table 2.
Fat burning zone. At the foundation of the adult activity
pyramid is the fat burning zone. Low-intensity activities
included in this area are designed for sedentary individuals who
have not been involved in regular physical activity. The key to
exercising within the fat burning zone is to keep the activity
intensity at a minimal level so that activity can be maintained
for an extended period.
This slow-paced workout is good for individuals concerned with
weight management or weight loss, and who are disabled or just
beginning an activity program. Activity within this zone is also
effective when used for recovery following an intense workout
such as those in the anaerobic or red zones. Further, it is
beneficial to stay within this zone when learning and perfecting
new activities and skills.
Healthy heart zone. The second level of the adult activity
pyramid contains the healthy heart zone. These activities are
designed for moderately active people with health goals.
Activities within this zone are designed to strengthen the heart
while working at a moderate intensity level. The activities are
typically performed slowly at a pain-free level, but more
intensely than the fat burning activities. Healthy heart
activities are designed to improve cardiovascular fitness.
Aerobic zone. The middle level of the adult activity pyramid
contains the aerobic zone that provides benefits to both the
heart and the respiratory systems. Activity in this zone
develops cardiovascular endurance and is intended for moderately
active people who have fitness goals. |
Exercise within this zone enhances a body's ability to move
oxygen to, and carbon dioxide away, from the muscles being used. During
aerobic activity, one may feel some discomfort, but it should not be
painful. Further, breathing may be strong and a person may feel exertion on
the body.
Training in the fat burning, healthy heart and aerobic zones should lead an
individual to an active, healthy lifestyle. The final two zones are used by
individuals training for athletic and competitive activities.
Conditioning zone. The conditioning zone is designed to allow individuals to
cross over from aerobic to anaerobic training and is intended for vigorously
active individuals with performance goals. During this type of activity, the
systems providing energy for the activity do not require oxygen. The main
benefit of anaerobic training is to increase ability to metabolize lactic
acid, thus allowing muscles to train harder before experiencing the pain of
lactate accumulation.
The intensity of anaerobic training is hard and individuals who engage in
this type of activity will experience tired muscles, heavy breathing and
fatigue. Anaerobic exercise is generally used if one is training for
competition and should not be used by the untrained or unconditioned. A day
of anaerobic activity should be followed by a day of fat burning or healthy
heart training to let the body recover.
Red zone. The top level of the adult activity pyramid should be used only by
those individuals who are extremely fit. With this type of training, one
crosses the anaerobic threshold and is working in oxygen debt. The training
is extremely difficult and will result in a feeling that one cannot breathe
fast enough to keep up with the demand for oxygen.
This level of activity is typically used by individuals training for serious
competition. For untrained or unprepared individuals, these workouts will
result in great discomfort and maybe even injury. Red zone activities should
only be performed once a week and should be followed by healthy heart or fat
burning exercises. Due to the intensity of red zone activities,
participation in this zone for more than two days in a row may result in
acute injuries.
Caloric expenditure
As mentioned earlier, the Surgeon General's Report suggests that all
individuals burn 150 calories of energy per day or 1,000 calories per week
through physical activity. This provides a new challenge for personal
trainers who, for many years, have used heart rate intensity as the measure
of fitness training. In response to this, we present a companion piece to
the adult activity pyramid -- the time and calorie chart for physical
activity (TCCPA). This chart is designed for individuals who prefer to focus
on caloric expenditure rather than heart rate intensity in their training.
Figure 2 is an example of a TCCPA for a 110-pound person. (Charts are also
available for 130-, 150- and 170-pound individuals.) Across the top of the
chart are numbers indicating minutes of duration from five minutes to one
hour. Down the right side of the chart is a listing of various popular
physical activities. The top of the chart includes aerobic activities that
are vigorously intense. The middle includes healthy heart activities that
fluctuate between vigorous and moderate intensity. And the bottom of the
chart includes fat-burning activities that are moderately intense and can be
performed by almost anyone for an extended period.
The numbers within the chart provide an approximate value of calories
expended in a particular activity for a particular period of time. For
example, if a 110-pound person plays competitive tennis for 20 minutes, he
or she will expend approximately 140 calories. The number of calories for
each activity by time were determined using a standard formula for
determining caloric expenditure as described by McArdle, Katch and Katch in
Exercise Physiology, Energy Nutrition and Human Performance.3 All numbers
have been rounded off to enhance readability of the chart. The chart has
been divided into three separate zones, each with distinct health and
fitness benefits.
Combination zone. The standard for determining the combination zone was
based on the Surgeon General's recommendation. The line indicating this
standard travels down the chart at the 150-calorie level. Expending 150
calories per day in physical activity helps one maintain a degree of health,
albeit a minimal level. For many Americans who have been physically
inactive, however, this may be the place to start to become healthy.
It is important to note that any one physical activity performed for the
amount of time as indicated in the combination zone may not provide the
health benefits one desires. If an individual does not engage in the
activity long enough to expend 150 calories, he or she will need to do a
combination of these activities to achieve the standard. For example, one
could expend 85 calories by raking leaves for 20 minutes and then expend 85
calories mowing the yard for 10 minutes. The two activities combined will
burn 170 calories in physical activity.
Health improvement zone. The health improvement zone falls between the
Surgeon General's standard and a standard based on research conducted by
Paffenbarger.4 Paffenbarger's findings indicated that the greatest decrease
in cardiovascular deaths was observed among individuals who expended in
excess of 2,000 calories per week in physical activity.
Expending between 150 to 300 calories in physical activity per day maintains
and improves health. If individuals engage in any physical activity long
enough to expend enough calories to place them into this zone, they can feel
some assurance they are not only maintaining, but actually improving their
health.
Longevity zone. The longevity zone is also based on Paffenbarger's work. In
his studies, he reported that the risk of death from all causes became
progressively lower as physical activity levels increased to about 3,500
calories per week. Expending more than 3,500 calories per week did not seem
to reduce relative risk any further. Burning between 300 to 500 calories in
physical activity per day enables a person to reduce his or her risk of
premature death from cardiovascular disease.
Although expending calories in excess of 500 per day in physical activity
does not significantly improve chances for decreased mortality, it still has
benefits. For example, individuals training for sports must exercise at a
level appropriate for their activity, and individuals attempting to lose
weight may want to exercise for longer periods to lose more weight.
So how much is enough?
Health benefits appear to be proportional to the amount of activity, rather
than to the intensity of the exercise. If health maintenance is the goal,
the Surgeon General suggests a minimum of 150 calories expended per day in
physical activity. To improve health, Paffenbarger suggests expending
between 150 and 300 calories per day, and to increase longevity, he suggests
expending between 300 and 500 calories per day. If fitness is the goal, the
amount of calories expended depends on the goals of the individual.
Competition in sports will require still higher caloric expenditure, with a
different exercise prescription than the former types.
Improving the health of the American public is a tremendous responsibility.
Having tools like the ones described here can help personal trainers and
health promotion specialists improve the health of their clients. The
research is clear: Doing something is better than nothing, and that
"something" does not need to be intensive. The goals of the client need to
be addressed before the exercise prescription is decided, and the adult
education pyramid and time and calorie chart for physical activity can help
formulate these plans.
Activity Habits and Patterns of
American Adults
* Inactivity and poor diet cause as least 300,000 deaths a
year in the United States.
* Adults who are less active are at greater risk of dying of heart disease
and developing diabetes, colon cancer and high blood pressure.
* More than 60 percent of U.S. adults do not engage in the recommended
amount of activity.
* Approximately 25 percent of U.S. adults are not active at all.
* Physical inactivity is more common among women than men, African American
and Hispanic adults than whites, older than younger adults, and the less
affluent than more affluent individuals.
* Social support from family and friends is consistently and positively
related to regular physical activity.
* Inactivity increases with age. By age 75, about one in three men and one
in two women engage in no physical activity.
* People with disabilities are less likely to engage in regular moderate
physical activity than people without disabilities, yet they have similar
needs to promote health and prevent lifestyle-related disease.
By Donna J. Terbizan & Brad Strand.
REFERENCES
Edwards, S. The Heart Rate Monitor Book. Sacramento, CA: Fleet Feet Press,
1993.
Franks, B.D. Personalizing physical activity prescription. The President's
Council on Physical Fitness and Sports Research Digest. 2(9), 1997.
McArdle, W.D., & F.I. & V.L. Katch. Exercise Physiology, Energy, Nutrition
and Human Performance, 3rd. ed. Appendix D: Energy expenditure in household,
recreational, and sports activities. Philadelphia: Lea & Febiger, 1991.
Paffenbarger, R.S., R.T. Hyde, A.L. Wing, & C.H. Steinmetz. A natural
history of athleticism and cardiovascular health. Journal of American
Medical Association. 252:491-495, 1984.
Pate, R., M. Pratt, S. Blair, et al. Physical activity and public health.
Journal of the American Medical Association. 273(5):402-407, 1995.
U.S. Department of Health and Human Services. Physical Activity and Health:
A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and
Human Services, Centers for Disease Control and Prevention, National Center
for Chronic Disease Prevention and Health Promotion, 1996.
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recommendations regarding the amount of physical activity required for good
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physical activity to "count" as
exercise, you should feel like you are exerting yourself somewhat, or
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etc.).
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