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Great news for individuals with lower back pain. Which is a lot of us. A recent study found that the simple act of walking helps  with prevention of low back pain episodes!

In the study, persons who had recently recovered from an episode of lower back pain were randomly assigned either to 1) an individualized and progressive walking intervention, along with 6 sessions with a physical therapist over a 6 month period (to discuss the walking) or to 2) a no treatment control group. Afterwards, the walking group took an a median of 208 days until their next activity-limiting episode of lower back pain, while the control (no walking) group took a median of 112 days.

In other words, walking regularly resulted in going twice as long until the next occurrence of low back pain compared to non-walkers. They also had fewer occurrences of activity limiting low back pain episodes. Note that these were individuals (43 to 66 years) who had a history of low back pain episodes

How much did they walk? The walkers kept a walking diary, with the median 80 minutes of walking in week 1, which increased to 130 minutes by week 12. They walked a median of 3 times in week one, which increased to 4 times in week 12.

From Science Daily: Walking brings huge benefits for low back pain

Adults with a history of low back pain went nearly twice as long without a recurrence of their back pain if they walked regularly, a world-first study has found. ...continue reading "Walking Helps Prevent Low Back Pain Episodes"

A recent large study found another great reason for being physically active. The researchers found that physical fitness is linked to  atrial fibrillation (AFib) and stroke.

Atrial fibrillation is a heart rhythm disorder, and having it is linked to a much higher risk of having a stroke. The researchers found that being physically fit (exercise! physical activity!) is linked to lower rates of atrial fibrillation, stroke, and MACE (major adverse cardiovascular events, such as stroke or heart attack leading to death).

There was an eleven year follow up of the approximately 15,450 participants, all of whom did not have atrial fibrillation at the start of the study. The study tested the  physical fitness of the participants (average age 55 years) on an exercise treadmill.

Bottom line: Physical activity and physical fitness are important for reducing the risk of developing heart problems, including atrial fibrillation. Yes, even taking walks (brisk is best) will improve physical fitness.

From Science Daily: Keep fit to avoid heart rhythm disorder and stroke

A study in more than 15,000 people has found that physical fitness is linked with a lower likelihood of developing atrial fibrillation and stroke. The research is presented at ESC Congress 2023.
...continue reading "Being Physical Fit Is Linked To A Lower Risk of Atrial Fibrillation and Stroke"

Great news for people who don't have the time or the desire to engage in exercise routines, gym visits, or sports. A recent large study found that several very short bursts of physical activity (each less than a minute or two) during the day are beneficial to health. They lower cancer risk!

Researchers followed 22,398 non-exercising adults (average age 62 years) for 7 years. The participants wore tracking devices (wrist accelerometers) for 1 week at the beginning of the study to measure their activity levels. Starting at year 2 their cancer incidence was looked at.

They found that several short bursts of vigorous physical activity (each lasting less than 1 or 2 minutes) each day was associated with lower rates of cancer. And it was a dose response - the more of these little bursts of physical activity over the day, the lower the rates of cancer, especially physical activity related cancer.

About 3 1/2 minutes a day of vigorous activity was associated with a 17 to 18% reduction in cancer risk, but 4 1/2 minutes a day was associated with a 31% to 32% reduction in physical activity-related cancers (e.g., breast, endometrial, and colon cancers).

Bottom line: Engage in a little huffing and puffing physical activity every day and lower your risk of cancer. Run up those stairs! Dance to a song! Carry those heavy groceries! Every bit counts. This could be because short bursts of physical activity improve cardiorespiratory fitness and lower inflammation.

Excerpts from Science Daily: Short bursts of daily activity linked to reduced cancer risk

Promising new research suggests a total of just 4.5 minutes of vigorous activity that makes you huff and puff during daily tasks could reduce the risk of some cancers by up to 32 percent. ...continue reading "Short Bursts of Physical Activity Associated With Lower Cancer Risk"

The more physically active a person is before getting COVID-19, the lower the rates of hospitalization, deterioration events, and death from COVID-19 infection. In other words, physical activity is protective.

The results of a Kaiser Permanente member analysis of 194,191 adults with COVID-19 infection found a strong dose-response relationship - with higher physical activity levels before COVID-19 associated with less severe outcomes.

What levels of exercise were reported by patients? In the 2 years before a COVID-19 infection, physical activity/exercise levels reported by patients were categorized as: always inactive (10 minutes per week or less), mostly inactive (0 to 60 minutes per week), some activity (60 to 150 minutes per week), consistently active (greater than 150 minutes per week), and always active (always greater than 150 minutes per week).

No matter the sex, race, ethnicity, age, BMI categories, whether one had cardiovascular disease or hypertension - the results were generally consistent for everyone. Bottom line: Aim for 150 minutes of physical activity or more every week. [similar results earlier study]

From Medical Xpress: More exercise linked to less-severe COVID-19 outcomes

Kaiser Permanente members who were more physically active prior to being diagnosed with COVID-19 had a lower risk of severe outcomes, according to research published Dec. 15, 2022, in the American Journal of Preventive Medicine. ...continue reading "Higher Physical Activity Levels Associated With Less Severe COVID-19"

For a long time we thought that our genes determine how long we will live (longevity). A new study says not so fast - how we live is more important than our genes. Specifically, how much physical activity and sedentary time (time spent sitting) both have an effect on whether we die early or later, no matter our genetic make-up.

Researchers found that among older women - having higher weekly amounts of light, moderate, or vigorous physical activity was associated with a lower risk of early death. Having higher amounts of sedentary (sitting) time was associated with a higher risk of early death. It didn't matter if there was a genetic predisposition for longevity or not - the findings applied to everyone.

Bottom line: Get off the sofa or out of your chair and move, move, move. All types of physical activity are good for longevity and to lower risk of disease. While this study looked at older women, the findings are also thought to apply to older men.

From Science Daily: Physical activity may have a stronger role than genes in longevity

Previous research has shown that low physical activity and greater time spent sitting are associated with a higher risk of death. Does risk change if a person is genetically predisposed to live a long life? ...continue reading "Physical Activity May Be More Important Than Genes In Longevity"

More and more research over the past decade has stressed the importance of exercise for our health, but it turns out it is also important in slowing down tumor development. Yes - it actually reduces the growth of cancer.

During a presentation at a 2022 medical conference in Spain, researcher Adrián Castillo García stated that a prescription for exercise (physical activity) should be part of cancer treatment.

Physical exercise also works to make cancer treatments more effective. For example, physical exercise (physical activity), in combination with chemotherapy, reduces the progression of cancer and on tumor volume (doesn't grow as much). Garcia thought that resistance exercise, such as cycling, was especially effective.

Other studies also find that exercise slows down tumor growth (e.g., colon cancer growth in persons with colorectal cancer is reduced by high intensity interval training), and lowers the risk of developing bowel cancer.

Bottom line: View exercise as anti-cancer.

From Medscape: Nutrients and Exercise Affect Tumor Development

Researchers discussed an update on the latest evidence regarding the cancer-lifestyle link as part of the Precision Health session: Oncology, held during the 7th International Congress of the Spanish Society of Precision Health (SESAP). The role that certain nutrients can have on tumor development was analyzed, along with the most recent data justifying the idea that the prescription of physical exercise should not be optional, but rather integrated into oncological treatment.

Exercise as Oncological Therapy

In the same session, Adrián Castillo García, graduate in physical activity and sports sciences and a researcher at the Barcelona Biomedical Research Institute (IIBB) of the Spanish National Research Council (CSIC), reviewed the latest studies that showed evidence of the importance of physical exercise during cancer treatment and its potential role in modulating the tumor microenvironment and immune function. 

...continue reading "Exercise Slows Down Tumor Development"

The studies are coming fast and furious about how all daily physical activity has health benefits. Ordinary daily activities that cause a person to move, such as housework, vacuuming, washing dishes, gardening, walking, cooking, even showering - all count. (On the other hand, reading and computer use do not.)

A recent study by University of California researchers found a higher rate of heart disease, stroke, and death in older women who have less than 2 hours each day of "daily life movement" (daily physical activities) compared to those who have more than 4 hours per day. At the start of the study 5416 women (63 years or older, and without heart disease) wore an accelerometer to measure their daily movements for 1 week, and then their health was followed for more than 6 years.

The researchers found that higher amounts of daily life movement or "being up and about" were associated with a lower risk of major cardiovascular disease, coronary heart disease, stroke, and cardiovascular death in older women. In other words - all movement (and not just exercise) counts towards cardiovascular disease prevention.

From Science Daily: Daily activities like washing dishes reduced heart disease risk in senior women

Seniors take note, running or brisk walking is not the only way to reduce the risk of heart disease. Simply being "up and about" performing routine activities, referred to as daily life movement, including housework, gardening, cooking and self-care activities like showering can significantly benefit cardiovascular health. ...continue reading "Ordinary Daily Activities Can Have Health Benefits"

Many people think that only exercises done in a gym, in exercise classes, or with exercise equipment can improve health. But no! Any physical activity is good, which means ordinary walks and household tasks or housework are beneficial. And the more frequently you do them, the more beneficial.

Studies show that physical activity from housework tasks (e.g., vacuuming) are associated with improved cognition, increased brain volume, and executive functioning of the brain in older adults, and with less frailty. Higher levels of physical activity are linked to a reduction in early death and heart diseases. Heavy household tasks (e.g. vacuuming, window cleaning, scrubbing, painting) have more benefits than light household tasks (e.g., dusting, ironing, doing laundry, washing dishes, cooking).

I know, I know - no one wants to get up and do such household tasks as vacuuming, but think of it as exercise class replacement.

A commentary (and video) by Dr. Stephan Martin discussing studies showing housework improving health and fitness. From Medscape: Housework Can Increase Brain Volume and Physical Fitness

Physical activity is a panacea: it protects against cardiovascular events such as myocardial infarction and stroke. Very active people are less likely to have type 2 diabetes, and the prevalence of dementia is apparently lower for them.  ...continue reading "Physical Activity of Housework Has Health Benefits"

The CDC (Centers for Disease ) recently released another bit of gloomy news about Americans - that 25% of adults report being physically inactive. Being physically inactive means that they don't do any physical activities outside of work. This means no walking for exercise, no gardening, no bicycling, nothing.

There were differences according to where a person lives - from a low of physical inactivity of 17.7% of people in Colorado to a high of 49.4% in Puerto Rico. There were regional variations with the South reporting 27.5% of adults being physically inactive and with the West the least (21.0%).

There were also differences in physical inactivity levels by race and ethnicity. Overall, Hispanic adults (32.1%) reported the most physical inactivity outside of work, and non-Hispanic Asian adults the least (20.1%). The results were from large-scale health-related telephone surveys (called Behavioral Risk Factor Surveillance System or BRFSS), with more than 400,000 adults interviewed each year.

Why the concern with physical activity? Numerous studies find that physical activity results in better health, for example in lower risk of diabetes, better brain health, and lower risk of heart disease. Some researchers call exercise or physical activity a "magical bullet" in warding off heart disease.

Dr. Ruth Peterson, Director of CDC's Division of Nutrition, stated that:

“Getting enough physical activity could prevent 1 in 10 premature deaths. Too many people are missing out on the health benefits of physical activity such as improved sleep, reduced blood pressure and anxiety, lowered risk for heart disease, several cancers, and dementia (including Alzheimer’s disease)."

How much physical activity is best? CDC guidelines state that adults should have at least 150 minutes (2 hours and 30 minutes) to 300 minutes of moderate intensity workouts each week. This includes brisk walking! All physical activity counts, for example, bicycling, gardening, fast dancing, exercise classes.

Jan. 20, 2022 CDC news release: CDC Releases Updated Maps of America’s High Levels of Inactivity

There is another great reason to try to lose weight if you are overweight or obese - being overweight or obese lowers blood flow to the brain in older adults. Yikes! However, one bit of good news from a study of 495 adults (average age 69) was that increased physical activity (brisk walks count!) can reduce or eliminate this association.

This could help explain why obesity increases the risk for a number of conditions as a person gets older, such as heart disease, dementia, and Alzheimer's disease.

The study was part of the Irish Longitudinal Study on Ageing. The average BMI (body mass index) was 28, which is considered overweight. One finding was that each 1 cm increase in waist circumference was associated with the same reduction of brain (cerebral) blood flow as 1 year of advancing age. (Yes, brain volume and blood flow typically diminish with age in older adults. So you want to prevent it as much as possible.)

The study found that higher levels of physical activity can reduce or remove this association of overweight & obesity and reduced brain blood flow. So if it's not possible to lose weight - then get really physically active!

How much exercise is beneficial? The researchers recommend at least 1.5 to 2 hours per day of "being active", that is, doing activities that require "moderate" effort - this means breathing somewhat harder than normal (e.g. brisk walking, cycling at a regular pace, carrying light loads). Equally beneficial is to get some "vigorous activity" which results in breathing much higher than normal (e.g., digging, aerobics, fast cycling, carrying heavy loads). But any and all movement is good!

Medical Xpress: Researchers find obesity linked to reduced blood flow to the brain

A new study from scientists at The Irish Longitudinal Study on Aging (TILDA) at Trinity College Dublin reveals important findings, indicating that being overweight or obese significantly reduces blood flow in the brain. The study also shows that increased physical activity can positively modify, or even negate, this reduction in brain blood flow. ...continue reading "Overweight and Obesity Is Associated With Reduced Blood Flow In the Brain"