How Much Exercise Does One Needs?
By Dr. Panchajanya Paul

Exercise has multiple health benefits. It decreases the risks of
cardiovascular diseases, diabetes, hypertension, stroke, cancer, depression
and anxiety. There is a vast amount of data linking a physically active
lifestyle to lower rates of morbidity and mortality. All the body functions
benefits from exercise. Exercise even stimulates the formation of new
neurons in the brain by activating brain growth factors. From maximum
benefit, exercise needs to be done on a regular basis. Choose the form of
exercise you may enjoy like running, walking, swimming, dancing, soccer,
tennis, etc. As long as you experience physical exertion, you will reap the
benefit. Those with less time can try high intensity exercises like sprints.
It is better to do exercise in a group as people can motivate and inspire
from each other. The popularity of group fitness classes like CrossFit and
Orange theory fitness is testimonial to this.
According to the US department of health and human services -"Some physical
activity is better than none. Inactive adults should gradually increase
their level of activity. People gain health benefits from as little as 60
minutes of moderate-intensity aerobic activity per week. For major health
benefits, do at least 150 minutes of moderate-intensity aerobic activity or
75 minutes of vigorous-intensity aerobic activity each week. Another option
is to do a combination of both. A general rule is that 2 minutes of
moderate-intensity activity counts the same as 1 minute of
vigorous-intensity activity. For even more health benefits, do 300 minutes
of moderate-intensity aerobic activity or 150 minutes of vigorous-intensity
activity each week or a combination of both. The more active you are, the
more you will benefit. When doing aerobic activity, do it for at least 10
minutes at a time. Spread the activity throughout the week.
Muscle-strengthening activities that are moderate or vigorous intensity
should be included 2 or more days a week. These activities should work all
of the major muscle groups -legs, hips, back, chest, abdomen, shoulders, and
arms. Examples include lifting weights, working with resistance bands, and
doing sit-ups and pushups, yoga, and heavy gardening"
Exercise is the best remedy for stress management. Exercise lowers the
stress hormones also called the glucocorticoid levels in the blood. People
who exercise regularly has a better conditioning and lower recovery time
from physical exertion. Their baseline glucocorticoid levels stay low. Most
of the harmful effects of chronic stress are medicated by the persistent
elevated glucocorticoid hormones. Those who exercise regularly keep the
level of their stress hormones low, and are able to bounce back faster.
Now, exercise does not mean going to the gym or going for run. Any physical
movement, as long as it makes you move like a simple walk can be considered
an exercise. The challenge is to motivate ourselves to more. Some people do
better when they can count, and compare. For them, getting a wearable
fitness tracker which measures the heart rate, steps, and miles walked may
be helpful. There are many choices in all styles and prices from Jawbone,
Fitbit, Garmin, Apple and Samsung watches. Then there are simple habits one
can incorporate at their work and home which will make their lifestyle more
active. One of them is using a standing desk. Since most of us spend an
inordinate amount of time on the computers, standing while typing will keep
us moving. Other measures like getting up every 20 minutes from your chair
and move. Use a pedometer or a fitness tracker. A mundane and boring
activity like walking and moving can become fun and competitive once you
compare with family and friends. I wear a Fit-bit Charge and try to do the
recommended 10,000 steps per day. There are other small lifestyle changes
you can also make. Park your car a little further, so that you are forced to
walk. Run as many errands as possible by walking. Walk and talk instead of
texting or emailing when you can. Stand while you talk on the phone. Prefer
to speak with the person face-to-face rather than texting them. Seek all
opportunities to move. Some offices are holding standing and walking
meetings. Recently, I got rid of the copier and printer from my office. It
has freed up my office space and forces me to walk down the hallway to get
papers. I stopped bringing bottled water and now use a recyclable mug. Every
time I get thirsty, I walk to the common area to refill my water. In
addition to moving, it allows a chance to share ideas with your colleagues
and catch up with the latest gossip.
In summary, for the first time in human history, we spend most of our time
sitting. Our body was never meant to be sedentary. Sedentary lifestyle plays
havoc on our metabolism. It decreases the enzyme lipoprotein lipase, which
can cause fat accumulation. It reduces our lifespan and makes us prone to
multiple illnesses. The solution is simple- MOVE! Exercise! Make use of the
fitness gadgets and tools available to make you less sedentary. Lastly, make
a personal commitment to stand more, move more, and exercise daily. Pick up
your favorite sports, enroll for the leagues. Try to find more opportunities
to move rather than sit. We become healthier, happier, and smarter as we
move and exercise more.
References:
http://revdesportiva.pt/files/form_cont/Sitting_Time_and_Mortality_from_All_Causes.pdf
http://www.fitrxbrentwood.com/sitting-detrimental-health-offset-exercise/
http://aje.oxfordjournals.org/content/172/4/419.full.pdf+htmlReference:
https://www.nhlbi.nih.gov/health/health-topics/topics/phys/recommend
Exercise recommendation by department of health and human services:
https://www.nhlbi.nih.gov/health/health-topics/topics/phys/recommend

Dr. Panchajanya 'Panch' Paul, MD, ABIHM, ABPN, FAPA, is an Emory-trained Child and Adult Psychiatrist. He is certified in Holistic medicine and has authored two books: Stress Rescue and Sleep Coaching. Please call 678-851-3512 or email info@hpsych.org to schedule an appointment with Dr.Paul.