Making Healthy Choices

Physical Activity

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Health Guidelines

 

Developing Your Aerobic Exercise Program

 

Regular physical activity is protective to the health in numerous ways as shown on the chart to the right. To experience these health benefits it's necessary to meet certain criteria. The following guidelines can help you design your personal activity program to be both effective and safe.

Choice of Activities
Safety 
Intensity 
Duration 
Keeping motivated 
Exercise heart rate calculator

How Physical Activity Protects Health

  • Burns excess calories to achieve and maintain a healthy weight
  • Lowers the blood pressure and improves blood cholesterol levels (HDLs) reducing the risk of heart attack and stroke
  • Improves insulin sensitivity helping prevent or control diabetes
  • Improves mood, self image, and helps combat depression and anxiety
  • Strengthens muscles and bones decreasing injury risk and helping prevent osteoporosis
  • Reduces the risk for colon cancer, breast cancer, and certain other cancers

      Surgeon General's Report on Physical Activity and Health

   

Choice of Activities

The good news for most people is that physical activity doesn't need to be strenuous to be beneficial. When first starting, choose moderate activities you enjoy and that are within your current level of capacity. As you get used to regular activity and want a greater challenge you can participate in more vigorous activity. 

National guidelines state:

"Every adult should accumulate 30 minutes or more of moderate-intensity physical activity on most, preferably all, days of the week."
         
American College of Sports Medicine and CDC

Moderate Physical Activities

The following moderate activities are similar in energy expenditure and are good examples of a daily fitness program to get good health results.

Gardening for 30-45 min
Walking for 35 minutes (1.75 to 2 miles)
Bicycling, 8-10 mph for 30 minutes
Active dancing for 30-40 minutes
Mowing the lawn with a push, power mower,
  raking leaves, active gardening  for 30-40 minutes
Water aerobics for 30-40 minutes
Swimming laps at a moderate pace for 25-30 min
Conditioning exercises, 30 to 40 min.
Golf for 45 to 60 minutes
Table tennis for 45 to 60 minutes
Volleyball, social, for 45 to 60 minutes

   

Safety
When beginning an activity, ease into it. Give the heart and muscles time to warm up for more vigorous activity to follow. The same is true for the end of the activity. Cool down gradually with easy walking, stretching, or other lower intensity activity.

Most healthy people don't need to see their doctors before starting a moderate-intensity activity program. However, if you have a health problem such as diabetes, obesity, or a heart problem, get your doctor's guidance first before beginning a fitness program. 

Progression
Another safety consideration in to start easy and progress gradually. You may only be able to go 5 or 10 minutes when first starting. Gradually work up over weeks to the full 30+ minutes. When you can easily complete your 30+ minutes then you can gradually increase intensity if you wish to develop higher fitness levels. It may have taken you years to get out of shape. Don't try to get back into shape over night. Give the body time to adapt and strengthen.

Duration
How long do I need to exercise. Notice that the guidelines say to "accumulate 30+ minutes daily". You don't have to get all your exercise at one time. It may be easier for you to break it up into two 15 minute active sessions or even three 10 minute sessions. 

For example. If you walk 15 minutes to catch a bus in the morning and again in the evening, you would get your 30 minutes. Or maybe you walk 15 minutes at noon each day and then bike or mow your lawn etc. for another 15+ minutes in the evening. If you want more benefit, go a little longer.

Intensity
When first beginning exercise at an easy level, one that you can maintain for 10 to 30 minutes without undue strain or fatigue. A moderate-intensity activity should feel "fairly easy to somewhat hard" and make you breath deeply but not be out of breath. Working up a moderate sweat is also a good indication of of benefit. 

If you want a more specific guide, use the exercise heart rate calculator below.

   

Keeping Motivated

  • Set weekly goals and then track your progress. A goal might be 30+ minutes of activity 5 days per week. Or, it may be walking 2 miles 4 days each week. Be specific and write it down. Then check yours progress weekly.

  • Exercise with your spouse or a friend. Adding a social element helps keep it fun.

  • Try a variety of activities. Walk, bike, swim, hike on the weekends, play tennis, garden.

  • Don't overdo! If you get too tired or get sore muscles it isn't much fun any more and many people quit. Take it easy but be regular and the body adapts.

  • Think of exercise as "Play time." Have fun!

  • Reward yourself as you reach your personal fitness goal.

  • Join a fitness center or biking or hiking club.

Exercise Heart Rate Calculator

Enter your current age

Your resting heart rate

Specify your intensity level desired:
Moderate (40-59% of heart rate reserve)
Vigorous (60-75% of heart rate reserve)
Strenuous, athlete level (70-85% of HR reserve)
   

Your target exercise heart rate* range  

* Keep your exercise heart rate in this range for optimum cardiovascular fitness and safety.

   

For every hour you exercise you increase your life expectancy by 2 hours.
Ralph Paffenbarger, Harvard Alumni Study

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