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Exercise Is Medicine: Let’s Pop A Pill!
Robyn Stuhr, MA, ACSM-RCEP Department of Orthopaedic Surgery & Sports Medicine
•Reduce your risk of heart disease by 40%? •Lower your risk of stroke by 27%? •Reduce the incidence of diabetes by almost 50%? •Reduce the incidence of high blood pressure by almost 50%? •Reduce mortality & risk of recurrent breast cancer by ~50%? •Lower your risk of colon cancer by over 60%? •Reduce your risk of developing Alzheimer’s disease by 33%? •Decrease depression as effectively as Prozac or behavioral therapy?
ACSM Exercise Is Medicine 2009
•Actions: Significant total body benefits •Cost: Affordable •Interactions Positive •Dosage: Minimum dose 30 min/day •Precautions: Proper training & equipment •Side effects: MINIMAL! : Risk of musculoskeletal injuries and cardiac events (very low)
National Academy of Sciences, Institute of Medicine
Diabetes, 56:2655-2667
Sui, M. JAMA 2007, 298:2507-16
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HypertensionCancerCHDType 2 DMStroke
Insulin resistance → disease
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Tertile of insulin sensitivity Bottom 1/3 Middle 1/3 Top 1/3
Facchini et al. (2001), JCEM, 86:3574
*
Devlin & Horton (1985), Diabetes, 34:973
Acute exercise ↑ insulin sensitivity in obese individuals
Exercise ↑ Insulin Sensitivity
US Bureau of Labor Statistics, 2010
& 2010 Nielsen 3 Screen Report
U.S. Census Bureau 2007
LIMIT TV SCREEN TIME: 2 hrs/day!
Steeves, JA et al. Med Sci Sports Ex, Feb 2012
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the very best predictor of maintaining weight that was lost
ACSM Message Points 2009
62% watch less than 10 hrs of TV/wk. 90% exercise, on average, 1 hour/day (mostly walking)
NWCR Facts from studies reported on NWCR website 6/09.
Do something else.
YES! NO!
YES! NO!
NO!
Encapsulation Style
Compression Style
…lead to enjoyment
Willis, J. & Frye Campbell, L. Exercise Psychology, 1992
