Exercise has had a
Goldilocks problem, with experts debating just how much exercise is too
little, too much or just the right amount to improve health and
longevity. Two new, impressively large-scale studies provide some
clarity, suggesting that the ideal dose of exercise for a long life is a
bit more than many of us currently believe we should get, but less than
many of us might expect. The studies also found that prolonged or
intense exercise is unlikely to be harmful and could add years to
people’s lives.
No one doubts, of
course, that any amount of exercise is better than none. Like medicine,
exercise is known to reduce risks for many diseases and premature death.
But unlike medicine,
exercise does not come with dosing instructions. The current broad
guidelines from governmental and health organizations call for 150
minutes of moderate exercise per week to build and maintain health and
fitness.
But whether that
amount of exercise represents the least amount that someone should do —
the minimum recommended dose — or the ideal amount has not been certain.
Scientists also have
not known whether there is a safe upper limit on exercise, beyond which
its effects become potentially dangerous; and whether some intensities
of exercise are more effective than others at prolonging lives.
So the new studies, both of which were published last week in JAMA Internal Medicine, helpfully tackle those questions.
In the broader of the two
studies, researchers with the National Cancer Institute, Harvard
University and other institutions gathered and pooled data about
people’s exercise habits from six large, ongoing health surveys, winding
up with information about more than 661,000 adults, most of them
middle-aged.
Using this data, the
researchers stratified the adults by their weekly exercise time, from
those who did not exercise at all to those who worked out for 10 times
the current recommendations or more (meaning that they exercised
moderately for 25 hours per week or more).
Then they compared 14 years’ worth of death records for the group.
They found that, unsurprisingly, the people who did not exercise at all were at the highest risk of early death.
But those who
exercised a little, not meeting the recommendations but doing something,
lowered their risk of premature death by 20 percent.
Those who met the
guidelines precisely, completing 150 minutes per week of moderate
exercise, enjoyed greater longevity benefits and 31 percent less risk of
dying during the 14-year period compared with those who never
exercised.
The sweet spot for
exercise benefits, however, came among those who tripled the recommended
level of exercise, working out moderately, mostly by walking, for 450
minutes per week, or a little more than an hour per day. Those people
were 39 percent less likely to die prematurely than people who never
exercised.
At that point, the
benefits plateaued, the researchers found, but they never significantly
declined. Those few individuals engaging in 10 times or more the
recommended exercise dose gained about the same reduction in mortality
risk as people who simply met the guidelines. They did not gain
significantly more health bang for all of those additional hours spent
sweating. But they also did not increase their risk of dying young.
The other new study
of exercise and mortality reached a somewhat similar conclusion about
intensity. While a few recent studies have intimated that frequent,
strenuous exercise might contribute to early mortality, the new study
found the reverse.
For this study,
Australian researchers closely examined health survey data for more than
200,000 Australian adults, determining how much time each person spent
exercising and how much of that exercise qualified as vigorous, such as
running instead of walking, or playing competitive singles tennis versus
a sociable doubles game.
Then, as with the
other study, they checked death statistics. And as in the other study,
they found that meeting the exercise guidelines substantially reduced
the risk of early death, even if someone’s exercise was moderate, such
as walking.
But if someone engaged
in even occasional vigorous exercise, he or she gained a small but not
unimportant additional reduction in mortality. Those who spent up to 30
percent of their weekly exercise time in vigorous activities were 9
percent less likely to die prematurely than people who exercised for the
same amount of time but always moderately, while those who spent more
than 30 percent of their exercise time in strenuous activities gained an
extra 13 percent reduction in early mortality, compared with people who
never broke much of a sweat. The researchers did not note any increase
in mortality, even among those few people completing the largest amounts
of intense exercise.
Of course, these
studies relied on people’s shaky recall of exercise habits and were not
randomized experiments, so can’t prove that any exercise dose caused
changes in mortality risk, only that exercise and death risks were
associated.
Still, the associations were strong and consistent and the takeaway message seems straightforward, according to the researchers.
Anyone who is
physically capable of activity should try to “reach at least 150 minutes
of physical activity per week and have around 20 to 30 minutes of that
be vigorous activity,” says Klaus Gebel, a senior research fellow at
James Cook University in Cairns, Australia, who led the second study.
And a larger dose, for those who are so inclined, does not seem to be
unsafe, he said.
No comments:
Post a Comment