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SPORTS MEDICINE :
HEALTH :
PHYSICAL EXERCISE AND FITNESS:
Physical Activity and Public Health:
Updated Recommendation for Adults from the American College
of Sports Medicine and the American Heart Association
2007
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Physical Activity and Public Health:
Updated Recommendation for Adults from the American College
of Sports Medicine and the American Heart Association
2007
http://www.natap.org/2011/newsUpdates/090811_06.htm
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Summary-In 1995 the American College of Sports Medicine and the Centers
for Disease Control and Prevention published national guidelines on
Physical Activity and Public Health. The Committee on Exercise and Cardiac
Rehabilitation of the American Heart Association endorsed and supported
these recommendations. The purpose of the present report is to update and
clarify the 1995 recommendations on the types and amounts of physical
activity needed by healthy adults to improve and maintain health.
Development of this document was by an expert panel of scientists,
including physicians, epidemiologists, exercise scientists, and public
health specialists. This panel reviewed advances in pertinent physiologic,
epidemiologic, and clinical scientific data, including primary research
articles and reviews published since the original recommendation was
issued in 1995. Issues considered by the panel included new scientific
evidence relating physical activity to health, physical activity
recommendations by various organizations in the interim, and
communications issues. Key points related to updating the physical
activity recommendation were outlined and writing groups were formed. A
draft manuscript was prepared and circulated for review to the expert
panel as well as to outside experts.
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Comments were integrated into the final recommendation.
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Primary Recommendation-To promote and maintain health, all healthy adults
aged 18 to 65 yr need moderate-intensity aerobic (endurance) physical
activity for a minimum of 30 min on five days each week or
vigorous-intensity aerobic physical activity for a minimum of 20 min on
three days each week. [I (A)] Combinations of moderate- and
vigorous-intensity activity can be performed to meet this recommendation.
[IIa (B)] For example, a person can meet the recommendation by walking
briskly for 30 min twice during the week and then jogging for 20 min on
two other days. Moderate-intensity aerobic activity, which is generally
equivalent to a brisk walk and noticeably accelerates the heart rate, can
be accumulated toward the 30-min minimum by performing bouts each lasting
10 or more minutes. [I (B)] Vigorous-intensity activity is exemplified by
jogging, and causes rapid breathing and a substantial increase in heart
rate. In addition, every adult should perform activities that maintain or
increase muscular strength and endurance a minimum of two days each week.
[IIa (A)] Because of the dose-response relation between physical activity
and health, persons who wish to further improve their personal fitness,
reduce their risk for chronic diseases and disabilities or prevent
unhealthy weight gain may benefit by exceeding the minimum recommended
amounts of physical activity. [I (A)] (Circulation. 2007;116:1081-1093.)
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Topics Covered
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Aerobic Activity
Muscle-Strengthening Activity
Benefits of Greater Amounts of Activity.
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Physical activity and public health: updated recommendation for adults
from the American College of Sports Medicine and the American Heart
Association
Author: Haskell, WL
Journal: Medicine and science in sports and exercise
ISSN: 0195-9131 Date: 2007
Volume: 39 Issue: 8 Page: 1423
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Some Sources Citing This Document
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Heart Disease and Stroke Statistics--2011 Update:
A Report From the American Heart Association
Author: Roger, V. L.
Journal: Circulation (New York, N.Y.)
ISSN: 0009-7322 Date: 02/2011
Volume: 123 Issue: 4 Page: e18
DOI: 10.1161/CIR.0b013e3182009701
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The Metabolic Syndrome
Author: Cornier, M.-A.
Journal: Endocrine reviews
ISSN: 0163-769X Date: 08/2008
Volume: 29 Issue: 7 Page: 777
DOI: 10.1210/er.2008-0024
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Role of Low Energy Expenditure and Sitting
in Obesity, Metabolic Syndrome, Type 2 Diabetes,
and Cardiovascular Disease
Author: Hamilton, M. T.
Journal: Diabetes (New York, N.Y.)
ISSN: 0012-1797 Date: 11/2007
Volume: 56 Issue: 11 Page: 2655
DOI: 10.2337/db07-0882
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Amount of Time Spent in Sedentary Behaviors
in the United States, 2003-2004
Author: Matthews, C. E.
Journal: American journal of epidemiology
ISSN: 0002-9262 Date: 03/2008
Volume: 167 Issue: 7 Page: 875
DOI: 10.1093/aje/kwm390
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Physical Activity and Reduced Risk of Cardiovascular Events:
Potential Mediating Mechanisms
Author: Mora, S.
Journal: Circulation (New York, N.Y.)
ISSN: 0009-7322 Date: 11/2007
Volume: 116 Issue: 19 Page: 2110
DOI: 10.1161/CIRCULATIONAHA.107.729939
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Heart Disease and Stroke Statistics--2012 Update:
A Report From the American Heart Association
Author: Roger, V. L.
Journal: Circulation (New York, N.Y.)
ISSN: 0009-7322 Date: 01/2012
Volume: 125 Issue: 1 Page: e2
DOI: 10.1161/CIR.0b013e31823ac046
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Appropriate Physical Activity Intervention Strategies
for Weight Loss and Prevention of Weight Regain for Adults
Author: DONNELLY, JOSEPH E.
Journal: Medicine and science in sports and exercise
ISSN: 0195-9131 Date: 02/2009
Volume: 41 Issue: 2 Page: 459
DOI: 10.1249/MSS.0b013e3181949333
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Depressive Symptoms, Health Behaviors, and Risk
of Cardiovascular Events in Patients With Coronary Heart Disease
Author: Whooley, Mary A.
Journal: JAMA : the journal of the American Medical Association
ISSN: 0098-7484 Date: 11/2008
Volume: 300 Issue: 20 Page: 2379
DOI: 10.1001/jama.2008.711
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Energy expenditure in adolescents playing new generation computer games
Author: Graves, L
Journal: British journal of sports medicine
ISSN: 0306-3674 Date: 2008
Volume: 42 Issue: 7 Page: 592
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Population-Based Prevention of Obesity: The Need for Comprehensive
Promotion of Healthful Eating, Physical Activity, and Energy Balance:
A Scientific Statement From American Heart Association Council on
Epidemiology and Prevention, Interdisciplinary Committee for Prevention
(Formerly the Expert Panel on Population and Prevention Science)
Author: Kumanyika, S. K.
Journal: Circulation (New York, N.Y.)
ISSN: 0009-7322 Date: 07/2008
Volume: 118 Issue: 4 Page: 428
DOI: 10.1161/CIRCULATIONAHA.108.189702
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Sitting time and mortality from all causes,
cardiovascular disease, and cancer
Author: Katzmarzyk, PT
Journal: Medicine and science in sports and exercise
ISSN: 0195-9131 Date: 2009
Volume: 41 Issue: 5 Page: 998
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Cramp, F., & Daniel, J. (2008).
Exercise for the management of cancer-related fatigue in adults.
Cochrane Database Syst Rev, 2.
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Association between muscular strength and mortality in men:
prospective cohort study
Author: Ruiz, J. R
Journal: BMJ. British medical journal (Clinical research ed.)
ISSN: 0959-8138 Date: 08/2008
Volume: 337 Issue: jul01 2 Page: a439
DOI: 10.1136/bmj.a439
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Too Much Sitting The Population Health Science of Sedentary Behavior
Author: Owen, Neville
Journal: Exercise and sport sciences reviews
ISSN: 0091-6331 Date: 07/2010
Volume: 38 Issue: 3 Page: 105
DOI: 10.1097/JES.0b013e3181e373a2
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Too little exercise and too much sitting:
Inactivity physiology and the need for new recommendations
on sedentary behavior
Author: Hamilton, Marc T.
Journal: Current cardiovascular risk reports
ISSN: 1932-9520 Date: 07/2008
Volume: 2 Issue: 4 Page: 292
DOI: 10.1007/s12170-008-0054-8
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Television time and continuous metabolic risk in physically active adults
Author: Healy, GN
Journal: Medicine and science in sports and exercise
ISSN: 0195-9131 Date: 2008
Volume: 40 Issue: 4 Page: 639
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Exercise and Type 2 Diabetes: The American College of Sports Medicine
and the American Diabetes Association: joint position statement
Author: Colberg, S. R.
Journal: Diabetes care
ISSN: 0149-5992 Date: 12/2010
Volume: 33 Issue: 12 Page: e147
DOI: 10.2337/dc10-9990
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Neighborhood built environment and income:
Examining multiple health outcomes
Author: Sallis, James F.
Journal: Social science & medicine (1982)
ISSN: 0277-9536 Date: 04/2009
Volume: 68 Issue: 7 Page: 1285
DOI: 10.1016/j.socscimed.2009.01.017
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Total mortality after changes in leisure time physical activity in 50 year
old men: 35 year follow-up of population based cohort
Author: Byberg, L
Journal: British journal of sports medicine
ISSN: 0306-3674 Date: 2009
Volume: 43 Issue: 7 Page: 482
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Exercise Capacity and Mortality in Black and White Men
Author: Kokkinos, P.
Journal: Circulation (New York, N.Y.)
ISSN: 0009-7322 Date: 02/2008
Volume: 117 Issue: 5 Page: 614
DOI: 10.1161/CIRCULATIONAHA.107.734764
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Exercise Training for Type 2 Diabetes Mellitus:
Impact on Cardiovascular Risk:
A Scientific Statement From the American Heart Association
Author: Marwick, T. H.
Journal: Circulation (New York, N.Y.)
ISSN: 0009-7322 Date: 06/2009
Volume: 119 Issue: 25 Page: 3244
DOI: 10.1161/CIRCULATIONAHA.109.192521
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Physical activity, fitness and fatness:
relations to mortality, morbidity and disease risk factors.
A systematic review
Author: Fogelholm, M.
Journal: Obesity reviews
ISSN: 1467-7881 Date: 03/2010
Volume: 11 Issue: 3 Page: 202
DOI: 10.1111/j.1467-789X.2009.00653.x
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Neighborhood Environments and Physical Activity Among Adults in 11
Countries
Author: Sallis, James F.
Journal: American journal of preventive medicine
ISSN: 0749-3797 Date: 06/2009
Volume: 36 Issue: 6 Page: 484
DOI: 10.1016/j.amepre.2009.01.031
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Health Insurance and Mortality in US Adults
Andrew P. Wilper, MD, MPH, Steffie Woolhandler, MD, MPH, Karen E. Lasser,
MD, MPH, Danny McCormick, MD, MPH, David H. Bor, MD,
and David U. Himmelstein, MD
December 2009, Vol 99, No. 12 |
American Journal of Public Health
Wilper et al. | Peer Reviewed | Research and Practice | 2295
http://ajph.aphapublications.org/doi/pdf/10.2105/AJPH.2008.157685
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Cost effectiveness of community-based physical activity interventions
Author: Roux, Larissa
Journal: American journal of preventive medicine
ISSN: 0749-3797 Date: 12/2008
Volume: 35 Issue: 6 Page: 578
PMID: 19000846 DOI: 10.1016/j.amepre.2008.06.040
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Interventions to Promote Physical Activity and Dietary Lifestyle Changes
for Cardiovascular Risk Factor Reduction in Adults:
A Scientific Statement From the American Heart Association
Author: Artinian, N. T.
Journal: Circulation (New York, N.Y.)
ISSN: 0009-7322 Date: 07/2010
Volume: 122 Issue: 4 Page: 406
DOI: 10.1161/CIR.0b013e3181e8edf1
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Walking and primary prevention:
a meta-analysis of prospective cohort studies
Author: Hamer, M
Journal: British journal of sports medicine
ISSN: 0306-3674 Date: 04/2008
Volume: 42 Issue: 4 Page: 238
DOI: 10.1136/bjsm.2007.039974
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Effect of Exercise Training Intensity
on Abdominal Visceral Fat and Body Composition
Author: IRVING, BRIAN A.
Journal: Medicine and science in sports and exercise
ISSN: 0195-9131 Date: 11/2008
Volume: 40 Issue: 11 Page: 1863
DOI: 10.1249/MSS.0b013e3181801d40
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Sedentary time and cardio-metabolic biomarkers
in US adults: NHANES 2003-06
Author: Healy, G. N.
Journal: European heart journal
ISSN: 0195-668X Date: 03/2011
Volume: 32 Issue: 5 Page: 590
DOI: 10.1093/eurheartj/ehq451
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Influence of resistance and aerobic exercise on hunger,
circulating levels of acylated ghrelin, and peptide YY
in healthy males
Author: Broom, D. R.
Journal: American journal of physiology. Regulatory, integrative
and comparative physiology
ISSN: 0363-6119 Date: 10/2008
Volume: 296 Issue: 1 Page: R29
DOI: 10.1152/ajpregu.90706.2008
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Physical Activity, Function, and Longevity Among the Very Old
Author: Stessman, J.
Journal: Archives of internal medicine (1960)
ISSN: 0003-9926 Date: 09/2009
Volume: 169 Issue: 16 Page: 1476
DOI: 10.1001/archinternmed.2009.248
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Do the Health Benefits of Cycling Outweigh the Risks?
Author: de Hartog, Jeroen Johan
Journal: Environmental health perspectives
ISSN: 0091-6765 Date: 08/2010
Volume: 118 Issue: 8 Page: 1109
DOI: 10.1289/ehp.0901747
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Effects of Aerobic and Resistance Training
on Hemoglobin Asub1c/sub Levels in Patients With Type 2 Diabetes:
A Randomized Controlled Trial
Author: Church, Timothy S.
Journal: JAMA : the journal of the American Medical Association
ISSN: 0098-7484 Date: 11/2010
Volume: 304 Issue: 20 Page: 2253
DOI: 10.1001/jama.2010.1710
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Associations of neighbourhood greenness with physical and mental health:
do walking, social coherence and local social interaction
explain the relationships?
Author: Sugiyama, T
Journal: Journal of epidemiology and community health (1979)
ISSN: 0143-005X Date: 05/2008
Volume: 62 Issue: 5 Page: e9
DOI: 10.1136/jech.2007.064287
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Can a small-changes approach help address the obesity epidemic?
A report of the Joint Task Force of the American Society
for Nutrition, Institute of Food Technologists,
and International Food Information Council
Author: Hill, J. O
Journal: The American journal of clinical nutrition
ISSN: 0002-9165 Date: 01/2009
Volume: 89 Issue: 2 Page: 477
DOI: 10.3945/ajcn.2008.26566
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AHA/ACCF Secondary Prevention and Risk Reduction Therapy
for Patients With Coronary and Other Atherosclerotic Vascular Disease:
2011 Update
Author: Smith, Sidney C.
Journal: Journal of the American College of Cardiology
ISSN: 0735-1097 Date: 11/2011
Volume: 58 Issue: 23 Page: 2432
DOI: 10.1016/j.jacc.2011.10.824
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Leisure Time Spent Sitting in Relation to
Total Mortality in a Prospective Cohort of US Adults
Author: Patel, A. V.
Journal: American journal of epidemiology
ISSN: 0002-9262 Date: 08/2010
Volume: 172 Issue: 4 Page: 419
DOI: 10.1093/aje/kwq155
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Quantity and Quality of Exercise for Developing and Maintaining
Cardiorespiratory, Musculoskeletal, and Neuromotor Fitness
in Apparently Healthy Adults Guidance for Prescribing Exercise
Author: Garber, Carol Ewing
Journal: Medicine and science in sports and exercise
ISSN: 0195-9131 Date: 07/2011
Volume: 43 Issue: 7 Page: 1334
DOI: 10.1249/MSS.0b013e318213fefb
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Randomized clinical trials of weight-loss maintenance:
A review
Author: Turk, MW
Journal: The Journal of cardiovascular nursing
ISSN: 0889-4655 Date: 2009
Volume: 24 Issue: 1 Page: 58
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ACCF/AHA 2009 Performance Measures
for Primary Prevention of Cardiovascular Disease in Adults
Author: Redberg, Rita F.
Journal: Journal of the American College of Cardiology
ISSN: 0735-1097 Date: 09/2009
Volume: 54 Issue: 14 Page: 1364
DOI: 10.1016/j.jacc.2009.08.005
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Quantity and Quality of Exercise for Developing and Maintaining
Cardiorespiratory, Musculoskeletal, and Neuromotor Fitness
in Apparently Healthy Adults Guidance for Prescribing Exercise
Author: Garber, Carol Ewing
Journal: Medicine and science in sports and exercise
ISSN: 0195-9131 Date: 07/2011
Volume: 43 Issue: 7 Page: 1334
DOI: 10.1249/MSS.0b013e318213fefb
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The complete article may be read at the URL above.
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Temple University
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