| Fitness
and Wellness
Benefits
of Exercise
Heart
Failure:
Traditionally,
heart failure patients have been discouraged from exercising.
Now, exercise is proving to be helpful for many of these patients
and, when performed under medical supervision, does not pose
a risk for a heart attack. In one study, patients between the
ages of 61 and 91 increased their oxygen consumption by 20%
after six months by engaging in supervised treadmill and stationary
bicycle exercises. Performing daily hand grip exercises may
improve blood flow through the arteries of patients with heart
failure.
Diabetes:
Is
reaching epidemic proportions throughout the world as more and
more cultures adopt Western dietary habits. Aerobic exercise
is proving to have significant and particular benefits for people
with both type 1 and type 2 diabetes; it increases sensitivity
to insulin, lowers blood pressure, improves cholesterol levels,
and decreases body fat.
Regular
exercise, even of moderate intensity, improves insulin sensitivity.
In fact, studies of older people who engage in regular, moderate,
aerobic exercise (e.g., brisk walking, biking) lower their risk
for diabetes even if they don't lose weight. Anyone on insulin
or who has complications from diabetes must take special precautions
before embarking on a workout program.
Osteoporosis:
Exercise
is very important for slowing the progression of osteoporosis.
Women should begin exercising before adolescence, since bone
mass increases during puberty and reaches its peak between ages
20 and 30. Weight bearing exercise, which applies tension to
muscle and bone, encourages the body to compensate for the added
stress by increasing bone density by as much as 2% to 8% a year.
High-impact
weight-bearing exercises, such as step aerobics, are very protective
for premenopausal women. These exercises, however, increase
the risk for osteoporotic fractures in elderly patients, who
would benefit most from regular, brisk, long walks. Even moderate
exercise (as little as an hour a week) helps reduce the risk
for fracture, but everyone who is in good health should aim
for more.
Careful
weight training is beneficial as well for older women. Low-impact
exercises that improve balance and strength, particularly yoga
and T'ai Chi, have been found to decrease the risk of falling;
in one study, T'ai Chi reduced the risk by almost half.
Lung
Disease:
Although
exercise does not improve lung function (except for intense,
regular aerobic exercise), training helps some patients with
chronic lung disease by strengthening their limb muscles, thus
improving endurance and reducing breathlessness.
Cancer:
A
number of studies have indicated that regular, even moderate,
exercise reduces the risk of colon cancer. Strenuous activity,
in fact, adds only slight or no additional benefit. Moderate
exercise may also help reduce the risk for prostate cancer and
possibly for breast cancer. A recent study of 100,000 nurses,
however, suggested that the benefits of exercise on breast health
may be greater or lesser at different times in a woman's life,
depending on her menstrual status and estrogen levels. For example,
the study found no added protection against from exercise in
young adulthood (when the disease is uncommon in any case).
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