Exercise & Fitness Archive

News briefs

 Image: © adamkaz/Getty Images

Exercise is considered the most effective pill-free treatment to cope with the pain and stiffness of arthritis. And more people are getting advice from their health care providers about how to stay active, according to a study published online Jan. 5, 2018, by the CDC's Morbidity and Mortality Weekly Report. Researchers looked at national health surveys gathered from 2002 to 2014. In that period, there was an increase in the proportion of people with arthritis (osteoarthritis, rheumatoid arthritis, gout, lupus, or fibromyalgia) who said their clinician suggested physical activity to help reduce symptoms — from 52% in 2002 to about 60% in 2014. But by 2014, about 40% of arthritis sufferers still said they weren't getting exercise counseling. That's significant, considering that 91 million people ages 18 or older are affected by arthritis, according to a study published online Nov. 27, 2017, by Arthritis & Rheumatology. You don't have to wait for a doctor to suggest exercise as an arthritis treatment. Try something gentle, like walking, tai chi, or modified yoga. For more ideas, check out the Harvard Special Health Report The Joint Pain Relief Workout (www.health.harvard.edu/jprw).

Riding a bike — either outdoors or inside — can be a good way to exercise at different levels of intensity.

 Image: ©  Susan Chiang/Getty Images

Spring's milder temperatures often encourage people to exercise outside. Riding a bike can offer a nice break from walking, the exercise that doctors recommend most often. If you're bored of your walking route and looking for bit of a challenge, consider cycling. Biking enables you to travel faster and farther than jogging or running but puts far less stress on your joints.

"I have many patients who bike, and they find it's a great way to get some exercise, especially when the weather's favorable," says Dr. Brendan Everett, a cardiologist at Harvard-affiliated Brigham and Women's Hospital. Cycling may not burn as many calories as jogging over a given period of time, but jogging is difficult for many people, he notes. Also, you can choose a route that suits your fitness level — from a short, flat loop to a longer ride with gently rolling hills.

Research we're watching

 Image: © adamkaz/Getty Images

Decades of sedentary behavior (for example, sitting during most of your waking hours) can cause your heart muscle to shrink and stiffen. But for longtime couch potatoes, a mash-up of different types of aerobic exercise may help restore heart health, a new study suggests.

For the study, 53 healthy but sedentary middle-aged adults were divided into two groups. One (the exercise group) did high- and moderate-intensity aerobic training four or more days a week for two years. The other (the control group) engaged in regular yoga, balance training, and weight training three times a week for two years.

Alternating between high- and low-intensity exercise may spur faster fitness gains.

 Image: © SelectStock/Getty Images

Spend less time exercising and burn more calories: sounds too good to be true, right? But it may just be possible with interval training, a type of workout that uses short bursts of strenuous activity to ramp up your heart rate and boost your fitness.

Long popular with high-performance athletes, interval training — a workout that alternates between high-intensity and low-intensity activity — isn't just reserved for those seeking gold medals. "If done properly, it can be safe for the vast majority of people," says Dr. Meagan Wasfy, an instructor in medicine at Harvard Medical School and a cardiologist at Massachusetts General Hospital.

Ask the doctors

Q. I often run on a treadmill rather than running outdoors, to avoid bad weather and save time. But am I getting a lower-quality workout?

A. Die-hard runners sometimes swear by outdoor runs, claiming that the treadmill can't come close to an outdoor workout featuring wind, hills, and uneven terrain, which they say makes outdoor runs more challenging. But that doesn't mean you can't get the same quality of workout on a treadmill indoors. If you run slower on the road and faster on the treadmill, or if you put the treadmill on an incline, you may be able to burn as many calories indoors as out. One study in the Journal of Sports Sciences found that putting the treadmill on a 1% incline could erase the differences in resistance between indoor and outdoor running. This put the two workouts on an equal footing — so to speak.

Understanding risk and modifying your activities can cushion your joints from damage.

 Image: © FatCamera/Getty Images

Joints are a little bit like couch cushions. Over time, the padding between your bones, called cartilage, gets worn out and flattens down — a condition known as osteoarthritis. Unfortunately, dealing with worn joints is not as simple as fixing or replacing a couch. And whether your joints wear out may not be entirely in your control.

"Unfortunately, a lot of your risk depends on your genes," says Dr. Scott Martin, an orthopedic surgeon and associate professor of orthopedic surgery at Harvard Medical School. "If you have a history of arthritis in your family, you may get arthritis in your lifetime. That's one factor you can't control." Dr. Martin is the faculty editor for the Harvard Special Health Report Knees and Hips (www.health.harvard.edu/knees).

Research we're watching

 Image: © Squaredpixels/Getty Images

As many people have suspected, a new study confirms that standing more can help you burn more calories. But the number of calories it burns in the course of the day isn't even enough to work off a fun-size candy bar.

The results of a Mayo Clinic study, published online January 31 by the European Journal of Preventive Cardiology, found that adults who weighed 143 pounds, the average weight in the study, burned 0.15 more calories per minute while they stood than when they sat. So, in a six-hour day of standing instead of sitting, they would burn some 54 extra calories.

Harvard fitness expert Michele Stanten takes you through a simple routine that will safely elevate your heart rate to keep your fitness goals on track.

All you need are light clothing, a good pair of shoes and a few minutes of your day and Harvard exercise expert Michele Stanten will have you on your way to meeting your fitness goals.

Any task that encourages you to sit in one position for long hours can wreak havoc on posture. Even enjoyable hours whiled away with an e-reader or a tablet may have that effect — and worse. A study from the Harvard T.H. Chan School of Public Health, Brigham and Women's Hospital, and Microsoft showed that holding a tablet too low in your lap can force the muscles and bones in the neck into an unnatural posture, which may strain or aggravate other muscles, nerves, tendons, ligaments, and spinal discs. Over time, poor posture chips away at the range of motion in your joints. The neck problems described in the study above — and repetitive stress injuries from tasks such as typing — may occur, too.

Fortunately, good ergonomics and regular posture checks can help combat these problems.