9/1/2010 1 Physical Activity & Disease ?Exercise? vs ?Physical activity? crosstar1 Physical activity (PA) crosstar1 Exercise crosstar1 Physical inactivity 3 levels of Physical Inactivity crosstar1 Insufficient physical activity rhombbutton3 _________ of mod-vigorous intensity activities x7 less than the recommended level of activity crosstar1 Inactivity rhombbutton3 _________ of mod-vigorous intensity activities crosstar1 No leisure-time physical activity rhombbutton3 no reported leisure-time PA in the previous month Physical activity & Public Health crosstar1 Early 90?s: Public health entities rhombbutton3 ACSM, CDC & P, Surgeon General rhombbutton3 called attention to ?health benefits? of PA crosstar1 Joint ACSM and CDC report 1995 rhombbutton3 significant health benefits can be obtained how? crosstar1 ACSM and AHA report 2007 rhombbutton3 updated recommendations to original 1995 report 9/1/2010 2 Physical activity & Public Health crosstar1 ACSM and AHA report 2007 rhombbutton3 All healthy adults aged 18-65: Physical activity & Public Health crosstar1 ACSM and AHA report 2007 rhombbutton3 All healthy adults aged 18-65: Dose-Response Relationship How much is enough? Low end of dose response Low Dose-Response Relationship 9/1/2010 3 Physical Inactivity crosstar1 Leading causes of death in America (2004) 1 2 3 crosstar1 PA in America (2005) rhombbutton3 ___ US adults don?t meet guidelines x7 ____ no leisure time PA ? sedentary! x7 women less active as they age than men rhombbutton3 ___ adults are moderately active No Physical Activity for Adults 2003 Note: Data are for ages 18 years and over, age adjusted to the 2000 standard population, for no leisure-time physical activity. Source: Behavioral Risk Factor Surveillance System, NCCDPHP, CDC. 15.0 - 20.0 20.5 - 22.4 23.0 - 26.2 26.4 - 30.2 Age-adjusted percent (Quartiles) Benefits of regular PA & Exercise crosstar1? mortality and morbidity rhombbutton3 primary prevention x7 intervention to prevent an acute cardiac event x7 morbidity: x7 mortality: crosstar1 CVD (2004) rhombbutton3 79.4 million have some form (1 in 3) Prevalence of MI, CHD, & Angina for >18 y/o (2005) CO = 4.8% of pop WV = 10.4% of pop WI = 5.3% of pop 9/1/2010 4 HD Mortality in USA (99-03) Benefits of regular PA & Exercise crosstar1 CVD risk factors rhombbutton3 active people ? risk of CVD up to 2.5 times rhombbutton3 HTN rhombbutton3 Cholesterol More on CVD crosstar1 Lloyd-Jones, 2006 rhombbutton3 lifetime risk of CVD from age 50-95 x7 risk factor free: x7 2 or >: x7 Life expectancy: crosstar1 Lloyd-Jones, 2007 rhombbutton3 lifetime risk when risk factor free at 40-59 yrs Can we reverse CAD? crosstar1 Intensity and EE is sufficient rhombbutton3 ________________ at moderate intensity x7 Hambrecht, 1993 crosstar1 Ornish, 1998 rhombbutton3 multi-faceted approach rhombbutton3 5-yr regression in CAD lesions 9/1/2010 5 Hispanic Prevalence of Obesity by Race/Ethnicity 2006-2008 White non-Hispanic Black non-Hispanic Benefits of regular PA & Exercise crosstar1 Diabetes mellitus rhombbutton3 Americans have diabetes rhombbutton3 regular PA reduces risk of Type 2 diabetes Diabetes mellitus - 2007 Relationship Between PA & Incidences of Chronic Diseases Disease or Condition Number of Studies Trends Across Activity or Fitness Categories and Strength of Evidence Cancer Colon *** ??? Rectal *** ? Stomach * ? Breast ** ? Prostate *** ? Lung * ? Pancreatic * ? WI Males WI Females janotjm Microsoft PowerPoint - 1 Physical Activity & Disease notes.ppt [Compatibility Mode]
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