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Editorials |20 December 2016

Exercise as Medicine

Patricia P. Katz, PhD; Russell Pate, PhD

Article, Author, and Disclosure Information
Author, Article, and Disclosure Information
This article was published at www.annals.org on 27 September 2016.
  • From University of California, San Francisco, San Francisco, California, and University of South Carolina, Columbia, South Carolina.

    Disclosures: Authors have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M16-2086.

    Corresponding Author: Patricia P. Katz, PhD, University of California San Francisco, 3333 California Street, Suite 270, San Francisco, CA 94143, e-mail, patti.katz@ucsf.edu.

    Current Author Addresses: Dr. Katz: University of California San Francisco, 3333 California Street, Suite 270, San Francisco, CA 94143.

    Dr. Pate: University of South Carolina, Arnold School of Public Health, 921 Assembly Street, Columbia, SC 29208.

    Author Contributions: Conception and design: P.P. Katz.

    Drafting of the article: P.P. Katz.

    Critical revision for important intellectual content: P.P. Katz, R. Pate.

    Final approval of the article: P.P. Katz, R. Pate.

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Regular physical activity has important positive effects on health, as supported by evidence from studies in populations ranging from children to seniors, healthy persons to those with multiple chronic conditions, and individuals with and without activity limitations or disabilities. People who engage in physical activity have a lower risk for cardiovascular disease, diabetes, some types of cancer, depression, cognitive impairment, and functional decline.
The study by Gill and colleagues (1) adds to the growing literature on the benefits of physical activity, focusing on an elderly population at high risk for mobility limitations and other health conditions. In their follow-up analysis of the Lifestyle Interventions and Independence for Elders (LIFE) study, in which physical activity significantly reduced the incidence of major mobility disorder (MMD) among elders (2), the authors examined the LIFE program's effect on transitions into and out of MMD. Results showed significant advantages for the physical activity group over 3.5 years: a decrease of almost one third in transitions from no MMD to MMD and almost one half in transitions from no MMD to death. Further, the likelihood of a transition from MMD to no MMD was greater in the physical activity intervention group. In other words, in addition to reducing the incidence of disability, the intervention enhanced recovery from disability and lessened the likelihood of subsequent disability episodes.
Despite the overwhelming evidence of the benefits of physical activity provided by this study and others, only about 1 in 5 adults meets the Centers for...
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Katz PP, Pate R. Exercise as Medicine. Ann Intern Med. [Epub ahead of print 27 September 2016]165:880–881. doi: 10.7326/M16-2086

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Published: Ann Intern Med. 2016;165(12):880-881.

DOI: 10.7326/M16-2086

Published at www.annals.org on 27 September 2016

©
2016 American College of Physicians
2 Citations

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