Exercise & Fitness Archive

In the journals

Don't be discouraged if you're not a quick walker. A new study suggests that total daily steps — and not how many steps you take per minute — are related to a lower risk of death. The results were published in the March 24/31, 2020, issue of JAMA.

Researchers examined data from 4,840 people, average age 57, who were involved in the National Health and Nutrition Examination Survey. The participants wore an accelerometer — a device that measures movement, including the number of steps taken per minute — for about 14 hours a day for an average of 5.7 days. The people were then followed for 10 years.

Research we're watching

A yoga-based rehabilitation program may be a safe alternative to conventional cardiac rehab, a new study suggests. A customized program of exercise and education, conventional rehab helps people recover from heart-related problems.

The study included nearly 4,000 heart attack survivors in India, where cardiac rehab programs are uncommon. Half took part in a program featuring 13 weekly sessions of gentle yoga exercises. The other half received standard care, which included three sessions of advice and handouts.

There are plenty of ways to exercise when you're indoors.

When your gym is closed and exercising outdoors isn't an option, it's tempting to focus on a couch routine, working out your thumb on the TV remote. But exercising is a crucial way to keep your immune system healthy, boost your mood, and stave off chronic illness. And there are many options to keep exercising, even when you're stuck indoors.

Aerobic workouts

Aerobic activity often requires lots of space, but it doesn't have to. "Just stepping in place is a simple and effective workout," notes Harvard fitness expert and certified fitness instructor Michele Stanten.

Moving more doesn't have to be a drag.

Many people don't look forward to their daily workout so much as they look forward to getting through it. "Exercise is often a very negative term," says Dr. Edward Phillips, assistant professor of physical medicine and rehabilitation at Harvard Medical School. "People hear it as something they have to do. It becomes another thing on the list, and when they don't do it, they feel even worse."

If this sounds like you, it may be time to reframe your workouts. Exercise should feel like a gift, not a chore, says Dr. Phillips. Sound like a lofty goal? The first step toward achieving it is to change your thinking. Stop calling it exercise, he suggests; start referring to it as physical activity, and a whole new world of options will open up.

After a couple of months of sheltering in place, and with warm weather upon us, your children probably have plenty of excess energy. Here are five suggestions for activities that will get them moving — and there’s nothing stopping parents from joining in.

This simple at-home exercise can improve flexibility, leg strength, and balance to protect against falls.

Falls continue to be a significant cause of fatal injury among older adults, according to the CDC. In fact, each year, falls result in more than 2.8 million injuries treated in emergency rooms and more than 27,000 deaths.

Lack of mobility and declining strength are the main contributors to falls. Still, another threat, which often goes unrecognized, is simply the fear of falling.

These popular pets have been linked to a range of heart-related benefits.

Seeing a dog's wagging tail and furry face can be heartwarming. But living with and caring for a dog may be heart-protecting — and might even help you live longer, according to a growing body of research.

The latest findings include two articles published last year in Circulation: Cardiovascular Quality and Outcomes. One pooled findings from 10 studies involving a total of 3.8 million people who were followed between one and 22 years. Dog owners were 31% less likely to die from a heart attack, stroke, or other cardiovascular condition than people who didn't own dogs. A separate study, which followed more than 335,000 heart attack and stroke survivors over 12 years, found that having a dog was linked to a 21% lower risk of death from any cause.

This low-impact, lifelong sport can be a good way to exercise, socialize, and enjoy nature — three factors linked to lower heart disease risk.

Famously described as "a good walk spoiled," golf is nonetheless a popular sport in the United States, played by an estimated 25 million Americans. And one could argue that rather than spoiling a nice walk, the game instead provides a good way for people of all ages to be physically active and reap other heart-related rewards.

"You're outdoors in a beautiful place with three friends and no phones or computer screens," says Dr. James Muller, a cardiologist at Harvard-affiliated Brigham and Women's Hospital. In today's world, people are often stuck behind their screens and lose touch with their in-person social community. Playing golf helps to remedy that problem.

Ask the doctors

Q. I have pelvic organ prolapse and I want to start working out. Are there exercises I should avoid?

A. Pelvic organ prolapse is a common problem, caused by a weakening of the bowl-shaped group of muscles and tissues that supports your pelvic organs. As this support fails, one or more of these organs — such as the uterus, bladder, or rectum — can shift out of place, typically pushing into (and sometimes protruding out of) the vagina.