Exercise & Fitness Archive

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Good news for urban dwellers: the heart benefits of your workout aren't canceled out by health risks caused by car exhaust fumes in the city air you breathe. A study in the Journal of the American Heart Association found that regular workouts still reduce the risk of heart attack even when people are regularly exposed to moderate to high levels of air pollution caused by traffic. Air pollution is known to raise risk for heart attacks as well as respiratory problems, including asthma and chronic obstructive pulmonary disease. Researchers studied data on more than 51,000 people ages 50 to 65, looking at how often the people exercised and other lifestyle factors, as well as their exposure to the traffic pollutant nitrogen dioxide. Over a period of nearly 18 years, nearly 3,000 of these people had a first heart attack, and 324 had a recurrent heart attack.

People who lived in areas with higher nitrogen dioxide levels had a 17% higher risk of having a first heart attack and a 39% higher risk of a recurrent heart attack, compared with those who had low exposure to traffic pollution. But regular exercise appeared to reduce that risk. Active participants had a 15% lower rate of initial heart attacks, regardless of air quality. So, even if the air you are breathing is less than ideal, regular workouts help protect your heart.

Lost your spark and gusto? These strategies can help you recharge.

Everyone has the occasional low-energy day when you are easily fatigued. Often the feeling passes, and you bounce back to your regular robust self. But if you struggle with a constant lack of energy, you may have a problem deep within your cells.

Mitochondria are the power source inside all your body's cells. These tiny structures fuel the body by producing molecules called adenosine triphosphate or ATP. However, as you grow older, your body has fewer mitochondria.

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Not getting enough exercise? You're not alone, suggests a report published online June 28, 2018, by the CDC's National Center for Health Statistics. Researchers looked at health survey information collected from all 50 states and the District of Columbia from 2010 to 2015. The results: Among adults ages 18 to 64 years old, just 27% of men and 19% of women met the guidelines for both aerobic and muscle-strengthening activities. The numbers were a little higher for men and women who worked, and lower if they were unemployed. The level of activity also varied by state, with 32% of men and women in Colorado meeting both activity goals, compared with just 13.5% in Mississippi. The takeaway: We all need at least 150 minutes per week of moderate-intensity exercise (like brisk walking), and muscle-strengthening exercise twice a week. If you're not meeting these goals, consider ways to increase your exercise activity. Even a few extra minutes per day will get you closer to your goals and better health.

Using stretchy bands to build muscle can be an easy and effective way to burn more calories and boost your heart health.

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Most people know that brisk walking and other movement that gets your heart beating faster is great for your cardiovascular health. But even health-conscious folks often overlook another key fitness recommendation: doing muscle-strengthening exercises at least twice a week.

Not crazy about the idea of going to a gym and hoisting heavy weights? There's no need to do so. You can work your muscles with stretchy bands (called resistance or exercise bands) at home. In fact, if you're out of shape or overweight, a simple resistance band workout can be a good way to ease into exercise, says Dr. Edward Phillips, assistant professor of physical medicine and rehabilitation at Harvard Medical School.

These strategies keep you healthy and safe through your 60s, 70, and 80s.

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After age 60, men tend to get thrown together — the so-called 60-and-older group — even though most are quite different in terms of their health.

"While many men are still very fit well into their 60s, 70s, and 80s, others face health challenges and chronic diseases that make daily living difficult," says Dr. Howard LeWine, assistant professor of medicine at Harvard Medical School.

You can still receive benefits from doing less than this recommended amount of aerobic exercise.

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Federal guidelines advocate 150 minutes of moderate-intensity aerobic activity per week for optimal health, which breaks down to 30 minutes, five days a week.

Yet the ongoing challenge is how to incorporate these minutes into your daily life. What if you can't find the time? And what happens to your health if you can't hit that number every week?

Even if you've been sedentary for many years, a slow and steady incremental approach can help you reach your workout goals.

Some people count the time since their last workout in hours or days. But you may count yours in years, maybe even decades. You know you need to start exercising to improve or maintain your health. But it's been so long, where do you even start?

The first thing you should know is it's not too late, says Dr. Beth Frates, an assistant professor of physical medicine and rehabilitation at Harvard Medical School and director of wellness programming for the Stroke Research and Recovery Institute at Spaulding Rehabilitation Hospital. Exercise can benefit almost everyone, regardless of age or health status. Provided you get your doctor's okay, you can start now.

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What's the secret to living longer? A Harvard study published online April 30, 2018, by Circulation suggests that it may come down to five healthy habits: eating a healthy diet, exercising daily, keeping a healthy body weight, drinking alcohol only in moderation, and not smoking. Researchers combed through information from two large studies that tracked more than 123,000 men and women for about three decades. Scientists estimated that life expectancy for study participants (at age 50) was 79 for women and 75 for men, if they didn't maintain healthy habits. But if they adopted all five habits, life expectancy at age 50 jumped to 93 for women and 87 for men. And following even one healthy habit was associated with a lower risk for dying young. The study is only observational and doesn't prove that healthy habits extend your life. But the findings build on similar research. "It's never too late to make positive lifestyle changes. Even for those who are 70 or older, following a healthy lifestyle such as eating a healthy diet and being physically active can add more years to life," says Dr. Frank Hu, senior author of the study and chair of the Department of Nutrition at the Harvard T.H. Chan School of Public Health.

Research we're watching

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Exercising regularly throughout life is the best way to keep your heart healthy. But starting to exercise even in late middle age may lessen the risk of heart failure, according to a report in the May 15 issue of Circulation. Heart failure, a gradual decline in the heart's ability to pump enough blood to meet the body's needs, affects about 6.5 million people in the United States.

The study involved more than 11,000 people who were part of a long-running project begun in the late 1980s, the Atherosclerosis Risk in Communities Study. Every six years, participants got medical testing and filled out questionnaires about their physical activity.

In the journals

Aerobic exercise has been linked with reducing symptoms of depression, but resistance training, such as weight lifting and bodyweight exercises like push-ups, can have the same effect.

A meta-analysis published in the June 2018 JAMA Psychiatry examined the effects of resistance training on depression symptoms in 33 clinical trials involving 1,877 people. The researchers found that people who did this type of exercise reported a significant reduction in such symptoms as low mood, loss of interest in activities, and feelings of worthlessness, compared with those who did not exercise.