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The deadly risk of the sedentary life

Strong evidence shows that physical inactivity increases the risk of many adverse health conditions, including the world’s major non-communicable diseases (NCDs) of coronary heart disease (CHD), type 2 diabetes, and breast and colon cancers, and shortens life expectancy. Because much of the world’s population is inactive, this presents a major public health problem.

Worldwide, we estimate that physical inactivity is responsible for between 6% and 10% of the major NCDs of CHD, type 2 diabetes, and breast and colon cancers. And, this unhealthy behaviour is responsible for 9% of premature mortality, or >5.3 of the 57 million deaths in 2008. By eliminating physical inactivity, life expectancy of the world’s population may be expected to increase by 0.68 years. This makes inactivity comparable to the established risk factors of smoking and obesity, discussed below. It is important to interpret the added years of life correctly: they appear modest because they represent gains in the whole population (comprising inactive and active persons), not among inactive persons who become active. Because all the gain accrues to those who move from inactive to active, the increase in life expectancy among the inactive alone is greater. For perspective, other research conducted in the United States estimated that inactive persons would gain 1.3–3.7 added years from age 50 by becoming active. And, among East Asians, life expectancy from age 30 among the active was 2.6–4.2 years greater, compared with inactive persons.”

  • Noncommunicable diseases (NCDs) kill 41 million people each year, equivalent to 71% of all deaths globally.
  • Each year, 15 million people die from a NCD between the ages of 30 and 69 years; over 85% of these “premature” deaths occur in low- and middle-income countries.
  • Cardiovascular diseases account for most NCD deaths, or 17.9 million people annually, followed by cancers (9.0 million), respiratory diseases (3.9million), and diabetes (1.6 million).
  • These 4 groups of diseases account for over 80% of all premature NCD deaths.
  • Tobacco use, physical inactivity, the harmful use of alcohol and unhealthy diets all increase the risk of dying from a NCD.
  • Detection, screening and treatment of NCDs, as well as palliative care, are key components of the response to NCDs.

Modifiable behavioural risk factors

Modifiable behaviours, such as tobacco use, physical inactivity, unhealthy diet and the harmful use of alcohol, all increase the risk of NCDs.

  • Tobacco accounts for over 7.2 million deaths every year (including from the effects of exposure to second-hand smoke), and is projected to increase markedly over the coming years.
  • 4.1 million annual deaths have been attributed to excess salt/sodium intake.
  • More than half of the 3.3 million annual deaths attributable to alcohol use are from NCDs, including cancer.
  • 1.6 million deaths annually can be attributed to insufficient physical activity.”

No walk, no health

In my opinion, the simple action of walking should become one of the main challenges of our near future. A sedentary lifestyle has certainly become the most widespread activity in our world dominated by machines and technology. We also know very well the damage caused by a sedentary lifestyle. Moving has become so important, as well as being not very often sufficiently practiced, so that smartwatches remind us of it imperatively every hour.

How much we walk has been showed by a research:

In USA, Americans take 5,117 steps a day, a distance of approximately 2.5 miles. That’s a significant shortfall compared to the averages in Western Australia (9,695), Switzerland (9,650), Switzerland (9,650) and Japan (7,168).

“It is interesting that these step counts are only about one-third of the values measured for men and women living in an Old Order Amish farming community in Ontario, Canada. Assuming that the labor-intensive farming lifestyle of the Amish reflects that of most North Americans in the mid-1800s, this suggests a marked decline in ambulatory activity over the last century and a half.”

Personally, I have an annual average of 11,988 steps a day, equal to 9,420km.

 

10 healthy rules to feel ourselves mentally and physically fit

In our society, very often feeling fit is experienced as a duty, because  our friends, the doctor or our partner ask us to be fit and we feel pushed to “do something” to not listen more those questions about why we do not want to do anything. Other times, however, it is the case of those who already practice in the gym to develop a mentality centered on the idea, that to feel good, we must do more and more and the results will be achieved only with pain and tiring sessions in which we challenge ourselves to reach the limit.

Neither of these two approaches to physical activity is of great help in promoting the pleasure of carrying out an activity without any other purpose than the desire to be physically and mentally fit and being at ease producing positive effects on one’s well-being, which are momentary but also lasting over time if carried out continuously. To motivate us to undertake and maintain this type of path it is important to know what we tell ourselves. Here are 10 rules, which represent 10 ways of doing that if acquired could support the choice and maintenance of a physically active lifestyle .

  1. Enjoy the work to be fit
  2. Build a peaceful mind
  3. Breath to feel your body
  4. Visualize your wellness
  5. Listen the heart calm and when working full of energy
  6. Image what you do before to do it
  7. Be your breathing
  8. Feel the body flexibility
  9. Be linked to the good mood
  10. Be grateful to yourself for what you do

10 healthy streets indicators

It’s amazing for me how easy it would be to change our socially oriented sedentary lifestyle. Others, in this case in United Kingdom  are developing a different culture and try to change it to a socially oriented wellness lifestyle that comes from the movement.

  1. Pedestrians from all walks of life – London’s streets should be welcoming places for everyone to walk, spend time in and engage in community life.
  2. People choose to walk, cycle and use public transport -Walking and cycling are the healthiest and most sustainable ways to travel, either for whole trips or as part of longer journeys on public transport. A successful transport system encourages and enables more people to walk and cycle more often. This will only happen if we reduce the volume and dominance of motor traffic and improve the experience of being on our streets.
  3. Clean air – Improving air quality delivers benefits for everyone and reduces unfair health inequalities.
  4. People feel safe – The whole community should feel comfortable and safe on our streets at all times. People should not feel worried about road danger or experience threats to their personal safety.
  5. Not too noisy – Reducing the noise impacts of motor traffic will directly benefit health,improve the ambience of street environments and encourage active travel and human interaction.
  6. Easy to cross – Making streets easier to cross is important to encourage more walking and to connect communities. People prefer direct routes and being able to cross streets at their convenience. Physical barriers and fast moving or heavy traffic can make streets difficult to cross.
  7. Places to stop and rest – A lack of resting places can limit mobility for certain groups of people. Ensuring there are places to stop and rest benefits everyone, including local businesses, as people will be more willing to visit, spend time in, or meet other people on our streets.
  8. Shade and shelter – Providing shade and shelter from high winds, heavy rain and direct sun enables everybody to use our streets, whatever the weather.
  9. People feel relaxed – A wider range of people will choose to walk or cycle if our streets are not dominated by motorised traffic, and if pavements and cycle paths are not overcrowded, dirty, cluttered or in disrepair.
  10. Things to see and do – People are more likely to use our streets when their journey is interesting and stimulating, with attractive views, buildings, planting and street art and where other people are using the street. They will be less dependent on cars if the shops and services they need are within short distances so they do not need to drive to get to them.
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Physical activity in the curriculum: impact in Schools of Medicine and new healthcare professionals

Embedding physical activity in the undergraduate healthcare curriculum is an important step to building capacity in the future workforce to promote physical activity, every contact.
This podcast features two UK medical schools and schools of health describing their approaches to upskilling tomorrow’s healthcare professionals, in physical activity, for tomorrow’s patients using the #MovementForMovement educational resources and a community of practice approach.
More about Ann Gates here: www.exercise-works.org/.

 

82-year-old hiked the Appalachian Trail: 2190 miles

There was a moment back in August when Dale “Grey Beard” Sanders considered giving up.

In the middle of the 100-Mile Wilderness in Maine, far from help, he was bleeding internally and having heart palpitations — not surprising considering that he was 50 or 60 years older than most of the people he had met on the Appalachian Trail.

Sanders called his wife in Bartlett, Tenn., and she urged him to keep going. With a go-ahead from his doctors, he did, and on Thursday, Sanders, 82, officially became the oldest person to hike the entire 2,190-mile trail in a year.

How Dutch save billions by cycling

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New research reveals the enormous economic burden of physical inactivity

Physical inactivity – a global pandemic that requires global action.A world-first study has revealed that in 2013, physical inactivity cost INT $67.5 billion globally in healthcare expenditure and lost productivity, revealing the enormous economic burden of an increasingly sedentary world.

The study, published today in The Lancet, was led by Dr Melody Ding from University of Sydney, leader of the current Lancet physical activity series

This study provides the first-ever global estimate of the financial cost of physical inactivity by examining the direct health-care cost, productivity losses, and disability-adjusted life years (DALYs) for five major non-communicable diseases attributable to inactivity: coronary heart disease, stroke, type 2 diabetes, breast cancer and colon cancer.

Based on data from 142 countries, representing 93.2 per cent of the world’s population, the researchers conservatively estimated that in 2013 the effect of physical inactivity on these diseases and all-cause mortality cost the world economy more than INT$67.5 billion.

“Physical inactivity is recognized as a global pandemic that not only leads to diseases and early deaths, but imposes a major burden to the economy,” said lead author Dr Melody Ding, Senior Research Fellow from the University’s School of Public Health.

“Based on our data, physical inactivity costs the global economy INT67.8 billion in 2013, with Australia footing a bill of more than AUD $805 million. At a global and individual country level these figures are likely to be an underestimate of the real cost, because of the conservative methodologies used by the team and lack of data in many countries.”

Counting the cost of global of inactivity: 2013    (International dollars)

$67.5bn: Total costs, including $53.8bn in direct cost (healthcare expenditure) and 13.7bn in indirect costs (productivity losses)

$31.2bn: Total loss in tax revenue through public healthcare expenditure

$12.9bn: Total amount in private sector pays for physical inactivity-related diseases (e.g. health insurance companies)

$9.7bn: Total amount households paid out-of-pocket for physical inactivity-related diseases

(Source: University of Sydney)

Physical activity benefits for adults and older adults

Be Active, Sit Less, Build Strength, Improve Balance

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