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Sport & Exercise

 

The local Sports Injury team of Jaqui Parfitt and Dr Chris Ellis have prepared a document entitled

Tips for Injury Avoidance and Management, which can be downloaded here.

 

Sport & Health

 

Why is physical activity good for health?
If you do some physical activity regularly you are less likely to develop diseases such as:
heart attacks, high blood pressure,  stroke, bowel cancer, breast cancer, osteoporosis, obesity and diabetes.
The health benefits of doing regular physical activity are well documented in research studies. The greatest health benefits occur when the least active people become moderately active. However, there are still benefits to be gained when moderately active people become very active. In other words, people who do more than the recommended 30 minutes a day are still likely to gain some extra reductions in health risks. Health benefits include the following:
Heart disease and stroke
On average, the risk of developing heart disease such as angina or a heart attack is markedly reduced in people who are regularly physically active compared to those who are not. For example, inactive people have almost double the risk of having a heart attack compared to those who are regularly physically active. Physically active people are also less likely to have a stroke. Physical activity is good for the heart muscle itself, but it also reduces some 'risk factors' for heart disease and stroke. For example, on average, blood pressure, cholesterol, and body weight are lower in people who are regularly physically active compared with those who are not.
If you already have heart disease, regular physical activity is usually advised as an important way to help prevent the heart disease from getting worse.
Diabetes
If you are regularly physically active then you have a lower risk of developing type 2 diabetes than inactive people. The greater the amount of physical activity that you do, the lower the risk of developing type 2 diabetes.
Weight control
Physical activity helps to burn off excess fat. Regular physical activity combined with a healthy diet is the best way of losing excess weight, and to maintain a healthy body weight. Of prime importance, physically active children are less likely to become overweight or obese adults.
Osteoporosis
Regular physical activity helps to prevent osteoporosis ('thinning of the bones'). The pulling and tugging on the bones by the muscles stimulates bone-making cells which strengthens the bones. This in turn reduces the risk of having fractures when you are older.
Cancer
Regular physical activity roughly halves the chance of developing cancer of the colon (bowel cancer). There is also evidence that breast cancer is less common in women who are regularly physically active.
Mental health
The good news is that exercise is good not just for the body but also the brain.
Regular physical activity is very beneficial in helping to reduce stress, anxiety, and mild depression. Exercise is great if you have had a busy demanding day at work and it helps one to relax and cope better with life’s stresses etc. Exercise is a key component in the treatment and prevention of anxiety/depression.  
In addition, many people feel better in themselves if they exercise regularly. This is because when you exercise chemicals called endorphins are released in your brain which make you feel relaxed and a sense of well being. It can also help to make you sleep better. (But do the activity during the daytime or early evening, not near to bed time.)

Older people
If you are over 70, you are less likely to fall and be injured if you are regularly physically active.

 

 What sort of physical activity should adults do, and for how long?
Adults should aim to do a mixture of aerobic activities and muscle-strengthening activities.

Aerobic activities
Aerobic activities are those that make the heart and lungs work harder. Basically, anything that makes your heart rate increase, and makes you at least mildly out of breath. For example: brisk walking, jogging, swimming, cycling, dancing, badminton, tennis, etc. You can even use normal activities as part of your physical activity routine. For example, fairly heavy housework, DIY, or gardening can make you mildly out of breath and mildly sweaty. Consider a brisk walk to work or to the shops instead of using a car or bus, etc.

To gain health benefits you should do at least 30 minutes of moderate aerobic physical activity, on most days (at least five days per week).

• 30 minutes per day is probably the minimum to gain health benefits. However, you do not have to do this all at once. For example, cycling to work and back 15 minutes each way adds up to 30 minutes. Try to increase the amount to 40-60 minutes per day if you can.

          o For people who need to manage their weight and are at risk of putting on weight and becoming obese, it should be for 45-60 minutes.

          o For people who have been obese, or are still obese and are aiming to lose weight, it should be for 60-90 minutes.

• Moderate physical activity means that you get warm, mildly out of breath, and mildly sweaty. It does not have to be intense. However, some evidence suggests that the more vigorous the physical activity, the better for health - particularly for preventing heart disease.

• On most days. You cannot 'store up' the benefits of physical activity. You need to do it regularly. At least five days a week is recommended.

Realistically, walking is likely to be the activity chosen by many people. But, this is fine as brisk walking is an excellent moderate physical activity. One report about physical activity stated: "The bottom line - walking two miles a day can cut the risk of death by half".

 

Muscle-strengthening activities
In addition to the above aerobic activities, adults should aim to do a minimum of two sessions of muscle-strengthening activities per week (not on consecutive days). Muscle-strengthening activities include a progressive weight-training programme, stair climbing and similar resistance exercises that use the major muscle groups. Ideally, the activities and exercises should not only aim to improve or maintain muscle strength, but also to maintain or improve flexibility and balance. A session at a gym is possibly ideal, but activities at home can easily suffice. For example, stair climbing, stretching and resistance exercises can be done at home which do not involve any special clothing or equipment.

A 'session' should be a minimum of 8-10 exercises using the major muscle groups. Ideally, to maximise strength development, use some sort of resistance (such as a weight for arm exercises) and do 8-12 repetitions of each exercise. The level (weight) of each exercise should be so that you can do 8-12 repetitions before the muscle group tires. So, for example, for the upper arm muscles, hold a weight in your hand and flex (bend ) the arm up and down 8-12 times - which should make your arm muscles tire.

You can do the exercises one after another to complete a session. Or, you can split a session up over a day of, say, bouts of 10 minutes.

 

 What about older people, children and teenagers
Older people
For older people, the above recommendations still apply, depending on ability. A particular goal for older people should be, where possible, to maintain or increase flexibility and balance. So, the 'muscle strengthening' activities, on two days a week, should perhaps focus on these areas. Maintaining flexibility and balance helps older people remain independent, and reduces the risk of falls, and injury from falls.

Children and teenagers
Children and teenagers should get at least one hour a day of moderate physical activity. The hour can be made up from various shorter sessions each day. So, it can be achieved by a mixture of play, PE, games, dance, cycling, a brisk walk to school, sports, various outdoor activities, etc.

 

 Are there any risks with physical activity?

The potential health gains from physical activity greatly outweigh the small risks involved.

Injuries may occur in any sport. If you do certain types of sports you risk suffering sprains, and sometimes more serious injuries. You can cut down the risk of injury by always warming up before sport, and by wearing the correct footwear. Endurance sports such as marathon running can cause stress fractures, fatigue, and menstrual periods to stop in some women.

Sudden death sometimes occurs in people who are doing some physical activity. This is rare if you are used to moderate physical activity. Please visit your GP for advice if you are unsure of what to do if you have existing heart disease etc. Common sense should prevail and increase the amount and intensity of exercise gradually.

 

Some other points about physical activity

It is never too late to start doing some physical activity for health, no matter how old or unfit you are. If you have a concern about a medical condition, see your GP.
A common wrong belief is that physical activity may be "bad for the heart". On the contrary, physical activity is good for most people with heart disease. It must be increased gradually and please seek advice if unsure.
If you are unfit, it is best to gradually build up your level of activity. Begin with 15min day and build up each week by 10-15 min etc.
If you have a condition that concerns you about physical activity, then see a doctor before starting a physical activity programme. However, there are few reasons why physical activity may be harmful. A common wrong belief is that physical activity may be "bad for the heart". On the contrary, physical activity is good for most people with heart disease.
 

One big obstacle is the uphill battle to become fit. Many people feel that the first few attempts at physical activity are quite a struggle. Do not get disheartened. You are likely to find that each time it becomes easier and more enjoyable.

Try and keep physical activity high on your list of priorities. If one kind of activity becomes boring, try switching to other types to maintain the health benefits.

Some people set their goals too high. For example, aiming for a marathon run. This may take too much time, you may lose enthusiasm, and physical activity may become a drudge. Beware of this pitfall.

You are more likely to keep on with regular physical activity if you find an activity that you enjoy and that can be fitted into your everyday life.

Physical activity is not just for young 'sporty' types. It is never too late to start to gain the benefits, no matter how old or unfit you are.

 

Further information

British Heart Foundation National Centre for Physical Activity and Health (HFNC)
www.bhfactive.org.uk

Bone health for all. National Osteoporosis Society
www.nos.org.uk

Evidence on the impact of physical activity and its relationship to health. A report from the Chief Medical Officer. Department of Health, At least five a week: April 2004.
www.dh.gov.uk


Exercise and depression. Mental Health Foundation
www.mentalhealth.org.uk

Why is it important to you? Diabetes UK
www.diabetes.org.uk

 

Spòrs Loch Abair

 

Last Updated: Monday 31 August 2009 4:58 PM