Professional Documents
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and Fitness
Volume | 361
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Physical Activity and Fitness is Volume 361 in the ‘Issues in Society’ series of educational resource
books. The aim of this series is to offer current, diverse information about important issues in
our world, from an Australian perspective.
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comprised of facts and opinions.
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The content comes from a wide variety of sources and includes:
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It is hoped that, as you read about the many aspects of the issues explored in this book, you will critically evaluate
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This title offers a useful starting point for those who need convenient access to information about the issues
involved. However, it is only a starting point. The ‘Web links’ section at the back of this book contains a list of useful
websites which you can access for more reading on the topic.
Chapter 1
Participation in physical activity
“R
oughly three of every 10 individuals aged 15 years populations are walking, running and cycling less and less
or older – about 1.5 billion people – do not reach as they spend more time in cars and in front of computers,
present physical activity recommendations,” the investigators said.
they said in a report that described the problem as a
“pandemic.”
The picture for adolescents is even more worrying, with The picture for adolescents is even more
four out of five 13- to 15-year-olds not moving enough, worrying, with four out of five 13- to
the report said. 15-year-olds not moving enough.
Inactivity was described for the study as failing to do
30 minutes of moderate physical activity five times a week,
20 minutes of vigorous activity three times a week, or a The Lancet series called for global efforts to promote
combination of the two. physical exercise by improving pedestrian and cyclist
safety on city roads, for example, more physical education
at school or promoting access to free public exercise
Roughly three of every 10 individuals spaces.
aged 15 years or older – about 1.5 billion
people – do not reach present physical Source: ABC News, 18 July 2012
activity recommendations. © Agence France Presse (AFP) 2012
I
nsufficient physical activity is all-cause mortality compared to those biggest difference in prevalence
the fourth leading risk factor who engage in at least 30 minutes of between the two sexes in the Eastern
for mortality. Approximately moderate intensity physical activity Mediterranean Region. This was also
3.2 million deaths and 32.1 million on most days of the week. the case in nearly every individual
disability-adjusted life years (DALYs) Participation in 150 minutes country (Figure 10).
(representing about 2.1% of global of moderate physical activity each The prevalence of insufficient
DALYs) each year are attributable to week (or equivalent) is estimated to physical activity rose according to
insufficient physical activity.1 People reduce the risk of ischaemic heart the level of country income. High-
who are insufficiently physically disease by approximately 30%, the income countries had more than
active have a 20-30% increased risk of risk of diabetes by 27%, and the risk double the prevalence compared to
50
% of population
40
30
20
10
0
AFR AMR EMR EUR SEAR WPR Low- Lower- Upper- High-
income middle- middle- income
income income
W omen were less likely than men to have met the guidelines of 30 minutes of moderate exercise on most
days of the week (29% compared with 33%). Around three-quarters of people aged 75 years and over did
not meet these guidelines. The remainder of the population exercised more, with their levels ranging
from 56% to 64%.
Physical activity levels were related to a number of environmental and socio-economic conditions:
➤➤ Adults living in lowest income households were more likely to be sedentary or exercise at low levels (79%) than
those in highest income households (61%)
➤➤ Almost half (45%) of employed adults worked in a less active job environment (for example, office work)
➤➤ Women were more likely to spend 4 hours or more per day sitting at work (57%) than men (47%), and
➤➤ People who had dependent children were less likely to meet the recommended physical activity guidelines
(28%) than those who did not have children (33%).
Being physically inactive can lead to being overweight and obese, which can increase the risk of developing a
number of chronic health conditions. Men and women who were sedentary or exercised at low levels were more
likely to have heart disease, stroke and vascular disease, hypertension, Type 2 diabetes and arthritis than those
who exercised at moderate or high levels.
More details are available in Physical Activity in Australia: A Snapshot, 2007-08 (cat. no. 4835.0.55.001).
low-income countries for both men data may be explained by increased 1. Insufficient physical activity is defined as
and women, with 41% of men and 48% work and transport-related physical less than five times 30 minutes of moderate
activity per week, or less than three times
of women being insufficiently phys- activity for both men and women in
20 minutes of vigorous activity per week,
ically active in high-income countries the low- and lower-middle-income or equivalent.
as compared to 18% of men and 21% countries. The increased automation
of women in low-income countries. of work and other aspects of life in Extract from Chapter 1 – Burden: mortality,
Nearly every second woman in high- higher-income countries is a likely morbidity and risk factors, Global status
income countries was insufficiently determinant of insufficient physical report on noncommunicable diseases 2010
physically active (Figure 10). These activity. © 2011 World Health Organization | www.who.int
P
mended physical activity guidelines
hysical activity is an important (AIHW, 2011g). In 2006-07, the direct of at least 30 minutes of exercise on
factor in maintaining good health care costs due to physical most days of the week, with each
overall health and wellbeing. inactivity in Australia were estimated session lasting 10 minutes or more.
Being physically active has significant to be $1.5 billion, including $469 This was more common for men than
health benefits, including reducing million attributable to falls and $372 women (40% and 36% respectively)
the risk of some chronic conditions, million attributable to coronary heart and for younger people.
helping to control weight and improv- disease (Econtech, 2007). Even when people were exercis-
ing mental wellbeing. Some forms Worldwide, physical inactivity ing, the health benefits accruing
of physical activity may also help is the fourth leading risk factor for from the exercise may have been
manage long-term conditions, such mortality, contributing to 6% of jeopardised by their work and
as arthritis and Type 2 diabetes, by deaths (WHO, 2010), and is a leading leisure habits. Prolonged periods of
reducing the effects of the conditions modifiable health risk factor contrib- sitting may not only be detrimental
and improving people’s quality of life. uting to the burden of disease and to people’s health but may also
injury in Australia (Begg et al. 2007). counteract the benefits of regular
Worldwide, physical moderate to vigorous physical
In 2007-08, 60% of Australians activity (Healy et al. 2008).
inactivity is the fourth leading adults (18 years and over) had done More than three out of four
risk factor for mortality, some exercise for fitness, recreation Australians aged 18 years and over
contributing to 6% of deaths. or sport in the week prior to interview, spent between two and six hours a
with: day sitting at leisure activities such
In recent decades, there has been ➤➤ 44% walking for exercise as watching television, reading or
a decline in physical activity due to ➤➤ 31% doing moderate exercise playing computer games (78%), and
the increasingly sedentary nature (i.e. exercise that caused a almost half (45%) spent most of their
of many forms of work, activities moderate increase in heart rate time sitting at work.
such as watching television or using or breathing) and Almost 40% of Australians aged
a computer, and changes in transp- ➤➤ 6% doing vigorous exercise 18 years and over did no exercise at
ortation. Sedentary behaviour is (i.e. exercise that caused a all in the week prior to the survey.
believed to be associated with the large increase in heart rate or
rise in overweight and obesity, which breathing). Extract from Year Book Australia, 2012
increases the risk of cardiovascular © 2012 Commonwealth of Australia
disease, colon and breast cancers, Women were more likely to Australian Bureau of Statistics
Type 2 diabetes and osteoporosis walk for exercise than men (46% www.abs.gov.au
Notes
Physical inactivity prevalence(a) – 2008 8. World Health Organisation, 2011, Global
Status Report on noncommunicable
United Kingdom diseases 2010, accessed 9 February 2012,
Japan www.who.int
9. World Health Organisation geographical
Italy
regions include the African Region, the
New Zealand Region of the Americas, the South-East
Asia Region, the European Region, the
Norway
Eastern Mediterranean Region and the
USA Western Pacific Region.8
Australia 16. World Health Organisation, 2004, Global
Strategy on diet, physical activity and health,
Canada accessed 9 February 2012, www.who.int
China 17. World Health Organisation, 2012, Global
Health Observatory Data Repository,
India accessed 8 May 2012, www.who.int
0 10 20 30 40 50 60 70
% Extract from ‘Our health risks – how does
Australia compare?’, article in Australian
a) Age-standardised estimate of the proportion of the total population (15 years and over) Social Trends, 4102.0, June 2012
who were insufficiently physically active. © 2012 Commonwealth of Australia
Source: WHO Global Health Observatory Data Repository, www.who.int Australian Bureau of Statistics
www.abs.gov.au
T
he National Physical Activity adjusted estimates from the last four −− O n average, boys aged 9-16 years
Guidelines for Australian National Health Surveys. In 2007-08, reported 142 minutes of moderate
Adults recommend putting 72% of Australians were classified to vigorous physical activity
together as least 30 minutes of as sedentary or having low exercise (MVPA) per day, while girls aged
moderate-intensity physical activity levels, compared with 69% in 1995 and 9-16 years averaged 112 minutes
on, preferably all, days. 2001, and 70% in 2004-05. of MVPA per day.
According to the National Health −− The average time spent doing
Survey in 2007-08, 65% of adults moderate to vigorous physical
had exercised for recreation, sport activity decreased with age.
or fitness during the two weeks
prior to interview. The results from ➤➤ Screen time:
this survey relate only to exercise −− P articipation in screen-based
for sport, recreation or fitness, activities peaked in children aged
and therefore are not necessarily 13-14 years, where screen time
indicative of total physical activity; varied from 3.5 hours in girls to
for example they could exclude over 4 hours in boys.
physical activity at work and walking −− Screen time primarily consisted
for transport. In addition, the survey of television viewing (approxim-
results do not provide information ately 2.5 hours for both boys and
on the number of people that The proportion of people girls).
−− 33 per cent of the children aged 9-16
meet the National Physical Activity reporting sedentary or years met the recommendations
Guidelines. low exercise levels has not for screen time in the National
The 2007-08 National Health changed markedly over the Physical Activity Recommendations
Survey found that: last twelve years. (no more than two hours of non-
➤➤ 72% of Australians aged 15 years educational screen time each day).
and over were classif ied as
sedentary or having low exercise Children For more information on the
levels. Of these, just under half The Australian Physical Activity physical activity levels of Australian
(49%) recorded no or very little Recommendations for 5 to 18 year children please see the 2007 Australian
exercise in the previous two weeks olds recommend at least 60 minutes National Children’s Nutrition and
(sedentary exercise level) and 51% of moderate and vigorous physical Physical Activity Survey.
recorded a low level of exercise. activity every day; and state that chil-
➤➤ The proportion of people who dren should not spend more than two The Australian
were sedentary increased with hours a day using electronic media for Health Survey
age as outlined below: entertainment (e.g. computer games, In 2011-12 a representative sample
−− 23% of 15-17 year olds TV, internet), particularly during of 50,000 Australians will be asked to
−− 29% of 18-24 years olds daylight hours. complete the Australian Health Survey
−− 30% of 24-34 year olds – the most comprehensive collection
−− 35% of 35-44 year olds The 2007 Australian National of health data ever undertaken.
−− 36% of 45-54 year olds Children’s Nutrition and Physical Participants will be asked about
−− 37% of 55-64 year olds Activity Survey found that: any diagnosed health problems they
−− 40% of 65-74 year olds have, the medications and medical
−− 57% of persons aged 75 and over. ➤➤ Moderate to vigorous physical services that they use, and new ques-
➤➤ Less than one quarter (22%) of activity: tions about lifestyle factors such as
Australians were classified as −− Approximately 69 per cent of diet and physical activity.
exercising at a moderate level and surveyed boys and girls aged
6% at a high level. 9-16 met the National Physical
Physical Activity Research and Statistics
Activity Recommendations by © Commonwealth of Australia.
The proportion of people rep- accumulating at least 60 minutes Used by permission.
orting sedentary or low exercise of moderate to vigorous physical Department of Health and Ageing
levels has not changed markedly over activity on most of the days www.health.gov.au
W
hile the overall health of world populations “daily activity should be accepted as the cornerstone of a
is improving, there are significant factors healthy lifestyle. Physical activity should be reintegrated
that continue to impact on our mental and into the routine of everyday living” (WHO 2002, p.6).
physical health. How much you earn, your social position, The individual, social and economic costs of physical
your level of education or your capacity to be involved inactivity have led to a national focus on this issue. Our
in activities that help connect you to others in your challenge is to facilitate opportunities for access to physical
community are important factors in determining your activity. We can do this by supporting individuals to
health status (VicHealth 2009). develop the skills required to be physically active across
In acknowledgement of the social and economic factors the lifespan and address factors in the environment that
affecting the health of the population and sub-populations, lead to sedentary lifestyles. The approach to address the
VicHealth has established a focus on increasing social and determinants of physical inactivity requires a long-term,
economic participation as a key priority area for action collective commitment from a variety of sectors.
during 2009-13. Our objectives in this area are to:
P
hysical activity has many benefits
for the health and wellbeing of
young people, and is important
in maintaining good health.
Regular physical activity reduces
cardiovascular risk and also positively
affects cardiovascular risk factors
such as overweight or obesity, high (Armstrong & Welsman 2006; the likelihood of positive health
blood pressure and Type 2 diabetes. Zakarian et al. 1994). How young behaviours in adulthood.
It protects against some forms of people perceive the benefits of, or Physical activity is a critical factor
cancer, and strengthens the musc- barriers to, exercise can also affect in determining a person’s body
uloskeletal system (AIHW 2008d; physical activity levels. weight. If energy intake (via food
NHMRC 2003a; Okely et al. 2008). and drink) is not balanced by energy
Strengthening the musculoskeletal expenditure (via activity and internal
system in childhood and adolescence Engaging in regular physical body functions) on a sustained basis,
helps to reduce the likelihood of activity during adolescence the excess food energy is stored as
osteoporosis (low bone-mineral increases the likelihood of body fat. Physical inactivity and poor
density), and falls and fractures in positive health behaviours nutrition are important contributors
later life (AIHW 2006a). to the rising levels of obesity in the
in adulthood. general population (AIHW 2008d; see
Physical activity may also im-
prove an adolescent’s psychosocial also Chapter 12 Overweight and obesity
wellbeing by reducing symptoms Decreases in physical activity and Chapter 14 Nutrition).
of depression, stress and anxiety, over time may be due to increases
and through improvements in in technology in the home, passive Physical activity among
self-confidence, self-esteem, energy leisure activities such as watching young Australians
levels, sleep quality and ability to television or playing computer In Australia, National Physical
concentrate (Hill et al. 1998). games, reliance on car transportation Activity Guidelines have been
A young person’s participation in and less physically demanding work developed around the intensity,
physical activity is shaped by individ- choices (Kumanyika et al. 2002; duration and frequency of physical
ual preferences, in combination with Zakarian et al. 1994). activity that is necessary to obtain
cultural and family influences, and Environmental factors that en- health benefits for children and
can be affected by the presence of courage or discourage people from young people. These guidelines
disease or disability. While parents being physically active include recommend at least 60 minutes
can influence adolescents’ physical neighbourhood layout, perceptions of moderate to vigorous physical
activity, participation in physical of neighbourhood safety, access to activity (for example, a brisk walk or
activity tends to decrease with facilities or public open space, climate a game of netball or football) every
age, and males and females may and public transport (Gill et al. 2005). day of the week for children aged
engage in different levels of physical Engaging in regular physical 5-17 years. For those aged 18 years
activity, particularly vigorous activity activity during adolescence increases and over, the guidelines recommend
Remoteness
Guidelines recommended that Major cities
children not exceed more than 2
hours of non-educational screen Other areas(b)
time (for example, watching movies
or playing computer games) per day Lowest SES areas
SES(a)
(CSIRO 2007). Evidence suggests that
children who engage in more than Highest SES areas
2 hours of non-educational screen
time per day are more likely to be 0 10 20 30 40 50 60 70
overweight; be less physically active; Per cent
consume more sugary drinks; snack (a) Refer to Appendix 1 Methods for explanation of ‘socioeconomic status (SES)’ and
on foods high in sugar, salt and fat; remoteness.
and have fewer social interactions (b) ‘Other areas’ includes Outer regional and Remote areas combined (Very remote areas
(CSIRO 2007). are excluded from the survey).
Notes:
1. A proxy measure is used to determine whether National Physical Activity Guidelines are
The National Physical Activity met. Information on sessions is not available from the National Health Survey hence
Guidelines recommended the number of days per week on which exercise is undertaken is used as a proxy for
that children not exceed sessions.
2. Comparable data for indigenous people are not available from this source.
more than two hours of Sources: AIHW analysis of the ABS ‘2007-08 National Health Survey’ confidentialised unit record file.
non-educational screen
time per day.
activity may be more prevalent substantially less likely than
in communities with a lack of non-indigenous young people to
According to the National supporting infrastructure such as meet the guidelines (14% and 34%
Secondary Students’ Diet and Activity sportsgrounds, playgrounds, skate respectively), according to the
Survey (NaSSDA) in 2009-10, on parks, bike paths and public open ABS 2004-05 National Aboriginal
week days 71% of students in years spaces. Socioeconomic status may and Torres Strait Islander Health
8 to 11 exceeded the recommended be a factor in the type of activity that Survey and the 2004-05 National
screen time, while on weekends 83% young people participate in, partic- Health Survey.
exceeded the guidelines. Males were ularly if infrastructure is inaccessible ➤➤ Physical activity rates decreased
more likely to exceed the recom- to people without private transport or with remoteness – from 46%
mended screen time than females, participation fees are too expensive among those living in Major
on both weekdays (74% and 64% (Booth et al. 2002; Transportation & cities to 34% in Outer regional
respectively) and weekends (85% and Research Board 2005). Lower levels and Remote areas combined,
81% respectively) (Cancer Council of physical activity may also occur according to the ABS 2007-08
Australia 2010b). in neighbourhoods with lower levels National Health Survey (note that
of perceived safety (Oliver & Hayes people living in Very remote areas
Does physical 2005). are excluded from this survey)
activity vary across Perceptions of safety or levels of (Figure 13.2).
population groups? infrastructure may be lower in areas ➤➤ There was no statistically signif-
Physical activity may be influ- of socioeconomic disadvantage or in icant difference in physical
enced by economic, cultural and some remote communities. Cultural activity rates for young people
environmental factors, which may background and gender may also living in the lowest and highest
limit the accessibility of physical affect physical activity levels (Booth socioeconomic status areas (38%
activity among certain population et al. 2002). and 50% respectively) (Figure 13.2).
groups, such as Aboriginal and Torres
Strait Islander young people, young Among young people aged 15-24
Chapter 13: Physical Activity, Part III: Factors
people living in remote areas and years meeting the National Physical influencing Health, Young Australians:
those who experience socioeconomic Activity Guidelines for moderate to their health, and wellbeing 2011.
disadvantage. vigorous physical activity: © Australian Institute of Health and Welfare
Reduced levels of physical ➤➤ Indigenous young people were www.aihw.gov.au
T
he rate of children’s particip- CHILDREN PARTICIPATING IN SPORT AND/OR
ation in sport and/or dancing DANCING, By sex and age group – 2012
was 66% in 2012. The highest Participation rate (%)
participation rate was for those 100
Males
aged 9-11 years (73%). Participation Females
in sport and/or dancing was similar Persons
80
for boys (67%) and girls (65%) in
2012. However, for those aged 12-14
years participation was significantly 60
higher for boys (67%) compared with
girls (61%).
40
A
BS Director of the National Centre for Culture and Recreation Statistics, Andrew Middleton said the Children’s Participation
in Cultural and Leisure Activities survey has been conducted every three years, and has shown some interesting trends on
participation in sport, cultural activities and use of technology for children aged between 5 and 14 years.
“Between 2003 and 2012, children’s participation has increased by 27 per cent for dancing and 24 per cent for martial arts,” said
Mr Middleton.
“Contributing to the increasing popularity of dancing was a rise in participation among children aged 5 to 8 years, with participation
increasing from 27 per cent to 32 per cent for girls and from 1 per cent to 4 per cent for boys.
“Since 2003, swimming and diving has remained the most popular sport for younger Australians. The survey showed that 25 per
cent of 5-8 year olds and 18 per cent of 9-11 year olds participated in swimming and diving in 2012.
“For children aged 12-14 years, outdoor soccer, netball and dancing were the most popular sports in 2012, with participation rates
of 13 per cent for outdoor soccer and 11 per cent for both netball and dancing.
“Overall, the number of children who participated in netball declined between by 8 per cent since 2003. Participation in tennis also
fell by 10 per cent in this period.
“Children are also spending less time watching TV than they did a decade ago, with an average of 15 hours per week spent in front
of the box in 2012 compared to 22 hours per week in 2003.
“The proportion of children accessing the internet increased from 64 per cent in 2003 to 90 per cent in 2012,” Mr Middleton said.
Media release, 21 December 2012. © 2012 Commonwealth of Australia.
Australian Bureau of Statistics | www.abs.gov.au
P hysical inactivity is now identified as the fourth ➤➤ The current physical activity recommendations
leading risk factor for global mortality. Physical ➤➤ The interpretation and justification for the
inactivity levels are rising in many countries recommendations made.
with major implications for the prevalence of non-
communicable diseases (NCDs) and the general health Recommended levels of
of the population worldwide. physical activity for health
The significance of physical activity on public health, the
global mandates for the work carried out by WHO in relation 5-17 years old
to promotion of physical activity and NCDs prevention, For children and young people of this age group physical
and the limited existence of national guidelines on physical activity includes play, games, sports, transportation,
activity for health in low- and middle-income countries recreation, physical education or planned exercise, in
(LMIC) make evident the need for the development of the context of family, school, and community activities.
global recommendations that address the links between
the frequency, duration, intensity, type and total amount In order to improve cardiorespiratory and muscular
of physical activity needed for the prevention of NCDs. fitness, bone health, cardiovascular and metabolic health
The focus of the Global Recommendations on Physical biomarkers and reduced symptoms of anxiety and
Activity for Health is primary prevention of NCDs through depression, the following are recommended:
physical activity at population level, and the primary target 1. Children and young people aged 5-17 years old should
audience for these Recommendations are policy-makers accumulate at least 60 minutes of moderate- to
at national level. Issues not addressed in this document vigorous-intensity physical activity daily.
are clinical control and the management of disease 2. Physical activity of amounts greater than 60 minutes
through physical activity. Guidance on how to develop daily will provide additional health benefits.
interventions and approaches to promote physical activity 3. Most of daily physical activity should be aerobic.
in population groups are similarly not addressed. Vigorous-intensity activities should be incorporated,
including those that strengthen muscle and bone, at
The following steps summarise the process undertaken least 3 times per week.
by the WHO Secretariat in preparation of the Global
Recommendations on Physical Activity for Health: 18-64 years old
1. Review and compilation of the scientific evidence avail- For adults of this age group, physical activity includes
able for three age groups, for the following outcomes: recreational or leisure-time physical activity, trans-
cancer, cardiorespiratory, metabolic, musculoskeletal portation (e.g. walking or cycling), occupational (i.e. work),
and functional health. household chores, play, games, sports or planned exercise,
2. SettingoutofaprocesstodeveloptheRecommendations. in the context of daily, family, and community activities.
Great reasons to be active around and playing as well as more Examples of moderate activities
B eing active is good for you in vigorous activity like running and are a brisk walk, a bike ride or any
so many ways. It can provide a jumping. Active play is the best way sort of active play.
huge range of fun experiences, for young children to be physically More vigorous activities will
make you feel good, improve your active. make kids ‘huff and puff’ and include
health, and is a great way to relax and organised sports such as football and
enjoy the company of your friends. ➤➤ Children younger than 2 years of netball, as well as activities such as
age should not spend any time ballet, running and swimming laps.
Regular physical activity can: watching television or using other Children typically accumulate activity
➤➤ Help prevent heart disease, stroke electronic media (DVDs, com- in intermittent bursts ranging from a
and high blood pressure puter and other electronic games) few seconds to several minutes, so any
➤➤ Reduce the risk of developing type and for children 2 to 5 years of age sort of active play will usually include
2 diabetes and some cancers these activities should be limited some vigorous activity.
➤➤ Help build and maintain healthy to less than one hour per day. Most importantly, kids need the
bones, muscles and joints reducing opportunity to participate in a variety
the risk of injury, and Television, DVDs and playing
of activities that are fun and suit their
➤➤ Promote psychological wellbeing. computer games usually involve
interests, skills and abilities. Variety
sitting for long periods – time which
will also offer your child a range of
Physical activity could be spent playing active games
health benefits, experiences and
recommendations or interacting with others.
challenges.
for children 0-5 years Children shouldn’t spend more
Being physically active every day ➤➤ Infants, toddlers and pre-schoolers
should not be sedentary, rest- than two hours a day using electronic
is important for the healthy growth media for entertainment (e.g. comp-
and development of infants, toddlers rained, or kept inactive, for more
than one hour at a time, with the uter games, TV, internet), particularly
and pre-schoolers. during daylight hours.
exception of sleeping.
➤➤ For infants (birth to one year) Further information is available
physical activity – particularly All children need some ‘down on www.health.gov.au at Australia’s
supervised floor-based play in time’ but they are not naturally Physical Activity Recommendations for
safe environments – should be inactive for long periods of time. 5-12 year olds.
encouraged from birth. Sitting in strollers, highchairs and
Physical activity
car seats (restrained) for long periods
Before infants begin to crawl, en- recommendations
isn’t good for children’s health and
courage them to be physically active for 12-18 year olds
development. Try to take regular
by reaching and grasping, pulling At least 60 minutes of physical
breaks on long car trips and walk or
and pushing, moving their head, activity every day is recommended.
pedal for short trips when you can.
body and limbs during daily routines, This can built up throughout the day
While meeting these recomm-
and during supervised floor play, with a variety of activities.
endations may seem like a challenge
including tummy time. Once infants at times, a brochure that includes Physical activity should be done
are mobile, encourage them to be as tips and ideas to help you include at moderate to vigorous intensity.
active as possible in a safe, supervised more activity in your child’s day and There are heaps of fun ways to do it:
and nurturing play environment. further information on the recom- ➤➤ Moderate activities like brisk
➤➤ Toddlers (1 to 3 years) and Pre- mendations can be found on www. walking, bike riding with friends,
schoolers (3 to 5 years) should health.gov.au at National Physical skateboarding and dancing
be physically active every day Activity Recommendations for Children ➤➤ Vigorous activities such as football,
for at least three hours, spread 0-5 years. netball, soccer, running, swimming
throughout the day. laps or training for sport
Physical activity ➤➤ Vigorous activities are those that
Young children don’t need to do recommendations make you ‘huff and puff ’. For
their three hours of physical activity for 5-12 year olds additional health benefits, try to
all at once. It can be accumulated A combination of moderate and include 20 minutes or more of
throughout the day and can include vigorous activities for at least 60 vigorous activity at least three to
light activity like standing up, moving minutes a day is recommended. four days a week.
P
hysical activity can be done
almost anywhere and does not
necessarily require equipment!
Carrying groceries, wood, books or
children are good complementary
physical activities, as is climbing the
stairs instead of using the elevator.
Walking is perhaps the most
practised and most highly recomm-
ended physical activity and it is
absolutely free. Some urban areas have
parks, waterfronts or other pedestrian
areas that are ideal for walking, run-
ning or playing. It is not imperative
to go to a gym, pool or other special
sports facility to be physically active.
T
he study also found that inactivity – defined as doing less than 150 minutes of moderate activity like brisk
walking a week – causes between six and eleven per cent of Australian cases of heart disease, breast cancer,
colon cancer and type 2 diabetes.
“Getting Australia active could save around 1,500 deaths from heart disease each year according to this research,”
said Dr Robert Grenfell, Clinical Issues Director at the Heart Foundation.
“More than a third of Australians aged 15 and over do very little or no exercise at all, which is putting their heart
and overall health at great risk.
“It’s important to remember that being active doesn’t have to mean working out at the gym – it can be as simple
as walking for 30 minutes a day on most days of the week,” Dr Grenfell added.
The Heart Foundation offers a range of programs to help Australians of all ages be more active including Jump
Rope for Heart, Heart Foundation Walking and Heartmoves.
Heart disease is the number one killer of Australian men and women, responsible for nearly 22,000 deaths a year
or one death every 24 minutes.
“Regular physical activity is good for your heart and can help control other risk factors such as high blood pressure
and being overweight,” Dr Grenfell said.
“That’s why the Heart Foundation also lobbies Federal and State Governments to improve local neighbourhoods
so that more people have access to parks and safe walking and cycling paths,” he added.
For more information about Heart Foundation programs and for tips on how to be active, visit
www.heartfoundation.org.au or call 1300 36 27 87.
1. www.thelancet.com/journals/lancet/article/PIIS0140-6736%2812%2961031-9/abstract
Physical activity is for people in the lifestyles often provide older persons deaths from common NCDs occur in
‘prime of life’. At my age, I don’t with regular occasions to make new low- and middle-income countries.
need to be concerned with it ... friendships, maintain social networks, Therefore, non-communicable
Regular physical activity has been and interact with other people of all diseases associated with physical
shown to improve the functional ages. inactivity are a significant public
status and quality of life of older While being active from an early health problem in most countries
adults. It is recommended that age can help prevent many diseases, around the world.
adults aged 65 and above do at least regular movement and activity can Levels of inactivity are high in
150 minutes of moderate-intensity also help relieve the disability and virtually all developed and developing
aerobic physical activity throughout pain associated with these conditions. countries. In developed countries
the week or do at least 75 minutes of Importantly, the benefits of physical more than half of adults are insuff-
vigorous-intensity aerobic physical activity can be enjoyed even if regular iciently active. In rapidly growing
activity throughout the week or an practice starts late in life. large cities of the developing world,
equivalent combination of moderate- Recommended levels of physical physical inactivity is an even greater
and vigorous-intensity activity. activity for adults aged 65 and above problem. Urbanisation has resulted
Many non-communicable diseases are available at www.who.int in several environmental factors
(NCDs) prevalent in older adults can which discourage participation in
benefit from participation in regular Physical activity is needed only in physical activity particularly in the
physical activity (cardiovascular industrialised countries. Developing transport and occupational domains.
disease, osteoarthritis, osteoporosis, countries have other problems. In rural areas of developing countries,
hypertension, falls prevention). Physical inactivity is now identified sedentary pastimes (e.g. watching
Physical activity has also been shown as the fourth leading risk factor for television) are also becoming in-
to improve mental health and global mortality. Physical inactivity creasingly popular.
cognitive function in older adults is also an independent risk factor
and has been found to contribute to for non-communicable diseases Global Strategy on Diet, Physical Activity and
the management of disorders such which caused more than 35 million Health, © 2012 World Health Organization
as depression and anxiety. Active deaths in 2005. Importantly, 80% of www.who.int
illness and improving productivity. meeting rooms to accommodate standing meetings. Some
In fact the National Preventative Health Taskforce of the interventions are being evaluated to determine
report in 2009 cited Australian research that found their effectiveness.
improved weight and metabolic effects in individuals who We know the dangers of sedentary environments
avoided prolonged sedentary time, interspersed periods but where our knowledge is less developed is around
of inactivity with breaks, and substituted light-intensity understanding the effective and practical steps we can take
activity for sedentary time. to do something about the problem. This is where the ‘lived
experience’ of incubating organisations like VicHealth
and the Cancer Council Victoria will contribute to our
The fact most Australians (of working age) understanding of the motivators, enablers and barriers
spend around a third of their waking life at to changing traditional workplace sedentary practices.
work means there’s real opportunity to use the Personally, I have spent much of the last four years
workplace as a setting for improving health. alternating my day between sitting and standing at an
adapted desk. Like any new form of exercise, this meant
using muscles that I hadn’t been using before, so I had a few
There are a number of interventions to reduce sitting minor sore spots in my legs, symptoms that disappeared
times that have been tested in workplaces – such as within a day or two. I know I feel more alert when I have
increasing the number of breaks in the day, introducing been standing and I suspect that my standing meetings
sit-to-stand desks, and making modifications to the built are much shorter than my seated ones!
environment to encourage greater movement in the day. Modifying workplaces alone will not solve the
While we are still in the early stage of building the problem of chronic disease, but they are a key setting for
evidence here, trials suggest no drop in productivity as a interventions. We need to find ways to make workplaces
result of the interventions and in fact, workers commonly see this as an obligation to their employees – putting the
reported feeling more alert and less sluggish as result of ‘H’ into OH&S, but also to realise the short and longer
many of these initiatives. term productivity benefits.
As an organisation engaged in health promotion, We hope that our trial and ones like it will help to
Cancer Council Victoria must walk the talk, so we identify the most effective ways that workplaces can help
recently embarked on a project to cut sitting times. The to reduce inactivity and, in doing so, take a stand for the
project involves engaging the entire organisation by health of their employees.
raising awareness of the issue through the provision of
information and promoting changes to the way we do Todd Harper is CEO of Cancer Council Victoria.
work – encouraging standing (or even walking) meetings,
and physical changes to the work environment such as © 2012 Todd Harper. First published 3 July 2012 on
piloting desks that allow staff to sit and stand, and adapting Croakey – the Crikey health blog | http://blogs.crikey.com.au/croakey
I
f you’re sitting down while you sitting many of us do. Research suggests that most of us
read this, you might want to “People can meet the physical act- are spending more than half of our
stand up. Research now shows ivity guidelines and do a 30-minute day being sedentary.
that sitting for long periods can run every day, but if they’re spending
increase your risk of a range of health 10 hours of the day sitting, then it is The Australian Diabetes, Obesity
conditions and premature death. not going to wipe out the effect of all and Lifestyle Study found adults
This is not only terrible news for the sitting,” Thorp says. spend:
those of us with a desk job; it’s a grim ➤➤ 57 per cent of their time engaged
warning for all. Our increasingly in sedentary activities
sedentary lifestyle means we all spend “Stand up. Move more, more ➤➤ 38 per cent of their time engaged
a lot of time on our backside – we often. These should be your in light intensity activities
sit when we drive our cars, eat our mantra for daily living.” ➤➤ About 5 per cent of their time
meals, watch TV, use a computer (or doing moderate-to-vigorous
any other of the screens we regularly activity.
use), read from a book, use the phone, The bottom line, she says, is that
catch up for a cuppa with our friends we all need to move as much as you Interestingly, these findings are
and the list goes on. can throughout the day. based on data collected using devices
But here’s the kicker: even if you “Stand up. Move more, more known as accelerometers, giving
are meeting – or even exceeding – the often. These should be your mantra researchers a more objective measure
Australian Government’s physical for daily living.” of how sedentary – or active – people
activity recommendations, you still are.
need to move more. (These guidelines How much sitting do we do?
recommend you get 30 minutes of Sitting and lying down are known What the research shows?
moderate-intensity exercise per day as sedentary behaviours that require The growing body of research
most days of the week.) a very low level of energy output. into sedentary behaviour clearly
Dr Alicia Thorp from the Baker (Activities are often measures in shows that prolonged sitting is a risk
IDI Heart and Diabetes Institute is METs – Metabolic Equivalent of factor for metabolic syndrome, heart
currently researching the effects of Task – sedentary activities range disease, type 2 diabetes, some cancers,
standing and sitting in the workplace, between 1 and 1.5 METs, walking at obesity and early death.
she says regular exercise is not a moderate pace ranges between 3-3.5 A recent University of Sydney
enough to counteract the amount of and jogging is about 7.) study, looking at more than 222,000
adults aged 45 and over, found that
men and women who sat for 11 hours
or more a day had a 40 per cent greater
risk of premature death, than those
who sat for less than four hours.
Another recent US study, found
adults who were most sedentary
(i.e. were sedentary for more than
10.8 hours a day for men, 10.1 hours
a day for women) had more than
three times the risk of premature
death compared to those who were
least sedentary (i.e. were sedentary
for less than 7.6 hours a day for men,
7.2 hours a day for women).
While a 2010 Australian study
compared people who watched tel-
evision for four hours a day to others
who only watched for less than two
hours a day. The researchers found
those who watched for more than
W
hat’s more, our research and mortality figures to ascertain Six hours of television a day
found the impact of sed- the degree of risk posed by television amounts to almost five years of lost
entary behaviour linked to viewing. life. That means every single hour of
television viewing rivals that of other television viewed after the age of 25
major risk factors. reduces life by 22 minutes.
In the 1950s, Professor Jerry Six hours of television a day And because Australians are
Morris reported that conductors on amounts to almost five years exposed to an average of about
London’s double-decker buses had a of lost life. That means every two hours of television a day, the
lower risk of coronary heart disease single hour of television associated disease burden may be
than the drivers of those buses, who bigger than that of a lack of exercise,
sat all day.
viewed after the age of 25 being overweight or obese, or even
As the conductors ran up and reduces life by 22 minutes. smoking.
down the stairs at work, the inference So it appears that many Austral-
from the observation was that phy- We wanted to answer questions ians are hastened to their death by
sical exercise was good for health. such as how much higher would the their television sets.
Much research followed but surp- life expectancy of Australians be if
risingly, it took more than 50 years they watched no television at all, How could this be?
to discover what might have been and how does the effect of television Television viewing is a marker for
obvious from the start: the reverse viewing compare with other major time spent passively sitting.
is also true – too much sitting is bad risk factors, such as a lack of exercise, It’s likely that other sedentary
for health. smoking and obesity. activities such as sitting in front
The results are striking: our of a computer carry an equivalent
Australian study study indicates that if Australian risk. But it’s much more difficult to
We used previously published data men never watched television, measure these compared with asking
on the impact of television viewing on they could expect to live nearly two people how much television they
death from analyses of the Australian years longer than they do now. For watched in recent memory.
Diabetes, Obesity and Lifestyle Study women, the figure was one and a Theoretically, viewing time also
(AusDiab) and national population half years. comes with exposure to advertising
for unhealthy foods, so perhaps
people who watch a lot of television
have other habits that kill them.
Our study adjusted for a long list of
these including age, gender, leisure-
time exercise, waist circumference,
smoking, education, total energy
intake, alcohol intake, diet quality,
hypertension, total cholesterol,
medication use, previously reported
cardiovascular disease, and glucose
tolerance status, among others.
Statistical correction for such
factors is never perfect because they
can only be measured with limited
accuracy, but much of their effect was
removed by our adjustment.
And the effects of dietary factors
and physical activity are estimated
in exactly the same way, so if our
results are biased, then much of our
knowledge about risk factors for
‘S
edentary behaviour’ is a term used to describe ➤➤ Quiet play, such as art and craft activities, drawing
time spent doing physically inactive tasks that do and puzzles
not require a lot of energy. Watching television is ➤➤ Sleeping.
a common childhood sedentary activity. Children who
spend long periods of time inactive are more likely to Recommendation
have poorer physical, social and intellectual development. Children younger than two years of age should
Planning and encouraging physical activity during the not spend any time watching television or using other
time children are awake is an important part of promoting electronic media (DVDs, computer and other electronic
a healthy lifestyle. Limiting long periods of time where games).
children are inactive is just as important as making sure
they do enough activity. Why no screen time
Sedentary tasks can be grouped as either ‘productive’ for children under two?
or ‘non-productive’. Productive sedentary behaviour and Babies should not be restrained or kept inactive (during
quiet ‘down time’ are necessary for young children. awake time) for long periods, especially in front of the
television. Before babies can walk, they need plenty of
time to practise movements such as reaching, kicking and
Children who spend long periods of time feeling. As babies become more mobile and start crawling
inactive are more likely to have poorer and walking, they continue to need plenty of time to move
physical, social and intellectual development. freely and creatively, practise new movements, and play
with others.
Non-productive sedentary behaviour Screen time is not recommended for babies and
➤➤ Watching television and DVDs for leisure children less than two years of age, particularly in the
➤➤ Playing screen games such as handheld, video or early childhood setting, because it may:
computer games ➤➤ Reduce the amount of time they have for active play,
➤➤ Being restrained for long periods of time, such as in social contact with others and chances for language
a car seat, high chair, porta-cot or stroller. development
➤➤ Affect the development of the full range of eye
Productive sedentary behaviour movement
➤➤ Reading, listening to stories or looking at books ➤➤ Reduce the length of time they can stay focused.
Physical activity Physical activity Should be physically Should be physically Should be physically
recommendation should be encouraged active every day for at active every day for at active every day for at
from birth. least three hours, spread least three hours, spread least three hours, spread
throughout the day. throughout the day. throughout the day.
Sedentary Should not spend any Should not spend any Sitting and watching Sitting and watching
recommendation time watching television time watching television television and the use of television and the use of
– screen time or using other electronic or using other electronic other electronic media other electronic media
media (DVDs, computer media (DVDs, computer (DVDs, computer and (DVDs, computer and
and other electronic and other electronic other electronic games) other electronic games)
games). games). should be limited to less should be limited to less
than one hour per day. than one hour per day.
Sedentary Should not be sedentary, Should not be sedentary, Should not be sedentary, Should not be sedentary,
recommendation restrained or kept restrained or kept restrained or kept restrained or kept
– prolonged inactive for more than inactive for more than inactive for more than inactive for more than
inactivity one hour at a time, with one hour at a time, with one hour at a time, with one hour at a time, with
the exception of sleeping. the exception of sleeping. the exception of sleeping. the exception of sleeping.
Recommendation
Infants, toddlers and pre-schoolers should not be
sedentary, restrained or kept inactive for more than one
hour at a time – with the exception of sleeping.
Sometimes children are left inactive for longer than
they ought to be, in places such as high chairs, strollers or
car seats. Even during outdoor play time, some children
may stay inactive.
Young children who have adults to interact with during
play are more likely to be active. Be prepared to join in
with play and help less active children be more active
during play time.
Active play ideas ➤➤ Set viewing time and content limitations for child-
➤➤ Children will love running and playing with streamers ren – encourage your child to have an active role in
made from colourful ribbons or scarves, hoops and selecting what TV programs they wish to view within
balloons these limitations
➤➤ Catching and hitting games using a variety of objects ➤➤ Avoid TV during times of the day when kids could be
and balls – you may like to try bubbles, bean bags and outside engaging in active play and exploration – if
a range of balls of differing sizes necessary record programs so they can be viewed at a
➤➤ Create an obstacle course using items from around more suitable time
the house – try boxes, sheets, chairs and tables – kids
will love exploring under, over, through and around Try to have TV-free mealtimes – allowing
the course that you create time for family conversation and interaction.
➤➤ Encourage jumping games – make an imaginary river
using a rope, or an imaginary log using a pillow for
children to jump over ➤➤ Try to have TV-free mealtimes – allowing time for
➤➤ Digging and building in the sand, either at the beach family conversation and interaction
or in a sand pit ➤➤ Make your children’s bedrooms screen free zones
➤➤ Children can help in the garden, maybe even create a ➤➤ Try to supervise your child during their TV watching
small garden (in pots is fine if you have limited space) for and other electronic media use – parental involvement
children to tend and care for – digging holes for plants has been shown to have a positive impact on the
and carrying water cans are great ways to be active educational value of these activities
➤➤ Playgrounds offer a wide variety of experiences for ➤➤ Turn the TV off when the scheduled program is
children to be active – climbing, swings and slides are finished – having the TV on in the background can
great opportunities for active play distract children while they are playing or interacting
➤➤ Playing with pets is fun way to get kids moving. with others
➤➤ Be prepared with active play alternatives when the
kids want to turn on the TV.
Television viewing
These tips may help to develop positive TV viewing © 2010 Commonwealth of Australia. Used by permission.
habits with your 2-5 year old: Department of Health and Ageing | www.health.gov.au
Why exercise?
We all know we need exercise, but what activities will keep us fit and healthy and how often do we
need to do them? Maryke Steffens investigates in this ABC Health and Wellbeing fact file
W
If you haven’t exercised for a while
e’re famous for being a Just how much exercise do you or you want to significantly increase
sporting country, but how need to see these benefits? You your exercise level, it is advisable
many of us Aussies live up certainly don’t have to join a triathlon to speak with a health professional
to our energetic reputation? The bad club – even moderate exercise such as about designing an exercise plan.
news is that around 75 per cent of us regular walking or climbing the stairs Many injuries are caused by exercising
aren’t on the go enough to meet the can be protective no matter how late too much, too quickly, or by overuse.
minimum daily recommendation in life you start.
for exercise ... so here are some good One thing experts agree on is What types of
reasons to get off the couch and start that your exercise, at the very least, exercise are there?
moving! has to be moderately intense and has There are three main types of
to be regular. The National Physical exercise, each one has a different
Why do you Activity Guidelines for Australians effect on your body:
need to exercise? recommends at a minimum 30 ➤➤ Aerobic exercise such as swim-
Do we really need to exercise? minutes of moderate physical act- ming or running increases your
Sometimes even the thought of it ivity – like walking – on most days cardiorespiratory fitness and
seems hard. The truth of the matter is of the week. How do you know if endurance. This is the capacity
that you’ll be a healthier person for it you’re being moderately active? A of your heart and lungs to supply
and not just in terms of cardiovascular good test is to see if you can talk oxygen-rich blood to your muscles
R
from some form of mental illness, egular activity or sport is an essential part of a healthy lifestyle and is recommended
including depression and anxiety. for all people. For some, the benefits of physical activity include staying in shape
Encouragingly, both aerobic exercise or enjoying the company of fellow exercisers. Others undertake sport to put
themselves to the test. A very few may win gold medals or break records as a result.
and strength training has been
However, personal satisfaction is the main motivator driving people to achieve sporting
successfully used in treating clinical
goals or to maintain good health via an active lifestyle.
anxiety and depression. One con-
<< It can make you feel good.
trolled trial found exercise training
<< It can boost your self-esteem.
was as effective as antidepressant
<< It can help relieve stress.
medication in older adults, albeit
<< It can improve concentration.
with a slower onset of benefits. We’re
still unsure of how much you need Physical activity can also reduce the risk of developing diseases such as heart disease,
to exercise to feel the benefits or some cancers, diabetes and osteoporosis. Moreover, regular activity is an essential com-
even why this relationship exists, but ponent in the prevention and treatment of obesity, a major health problem in Australia.
researchers are looking for answers, NOW THAT’S ENOUGH TO GET YOU MOVING!
so watch this space.
Setting your goals
Those who have decided to take an active role in improving their health by increasing
Recovering from injury their activity levels in daily life will be aware that it is important to set goals. These
Pretty much everyone knows some- goals need to be realistic, and should be re-evaluated from time to time. You can set
one who’s sprained their ankle playing goals that are suitable and appropriately formulated using the word F.I.T. The F.I.T.
soccer or pulled a muscle running or formula includes the following:
done their back in gardening.
Whatever your injury, Chris Tzar F – frequency: how often do you plan to exercise?
says it’s important to see a health I – intensity: how hard should you push yourself?
professional before you continue T – time: how long should you exercise for?
exercising. Your GP can give you Keeping the F.I.T. formula in mind will help you to set goals and to monitor your
advice or give you a referral to an improvement as time passes.
exercise physiologist, both of which When setting goals for physical activity, it is important to choose activities that
are covered by Medicare. are enjoyable and satisfying – activities that you are more likely to want to repeat
Even more important than re- frequently. Try and vary the activities that you choose so that you don’t become bored
covering sensibly from an injury is or disinterested.
protecting yourself from one in the You can use the 4 S’s of fitness to help you think of a variety of activities that will
first place. Most injuries come from help to keep you in good shape and free of injury.
overuse or going too hard, too fast. The 4 S’s of fitness are:
To make sure you don’t overdo Stamina (cardiovascular): endurance exercise that is good for the heart.
it at the beginning of your fitness Suppleness (flexibility): muscle stretching to prevent injury.
program, Tzar recommends starting Strength (muscle building): building muscle to support the body and to
off slow and try out some Fartlek increase metabolism.
training. Speed helps increase metabolism.
“Fartlek training is when you
(REMEMBER: if you are over 35 years and/or embarking on an exercise program after a long
alternate between a work and active
period of inactivity it may be advisable to see your doctor before starting an exercise routine.)
rest period, for example walk-run-
walk-run. You might start off with five © Nutrition Australia | www.nutritionaustralia.org
minutes of walking and two minutes
of running, and you gradually Does stretching before you exercise doesn’t reduce
increase your working period each before exercise help? your risk of injury. But remember
time you go out. Eventually you’ll be A review of several studies in 2002 stretching is different to warming up
mostly working.” revealed that stretching before and and research has shown a good warm-
For the avid exerciser, a week after exercise doesn’t stop you from up can reduce chances of injury.
off from exercising every 12 weeks getting aching muscles the next day.
or so will help prevent overuse The review looked at two studies on By Maryke Steffens. Published 10 May 2007.
injuries. “You allow the soft tissues army recruits in military training, ABC Health & Wellbeing, Fact File
to recuperate,” says Chris. which both found that stretching © 2007 ABC | www.abc.net.au
Modern living
W
e are all spending much
more time sitting these
days. We work and play in
seats more than ever before. Many
jobs are now desk jobs, replacing
physical labour. And TV, computer
games and DVDs have become a big
part of people’s spare time.
So exercise is not a part of daily
life like it used to be. We now have
to make an effort and factor exercise
into our lives. But it doesn’t have to
be a chore or cost money, exercise
should be fun and it can be included
into your normal day.
into everyday life. new friends, enjoying the fun of
Remember ... ➤➤ Add more to your own list – let a social team game together, or
any movement your imagination go wild. the chatting while you walk, play
is an improvement! tennis or bike ride together.
➤➤ Climb stairs instead of using lifts Benefits of being ➤➤ Increased skills – practice means
or escalators. physically active getting better at what you do.
➤➤ Ride bikes or walk whenever you ➤➤ You feel fit, energetic, strong ➤➤ More physical activity means you
can. You only need to plan your and healthy. If you’ve ever can eat more without gaining
day a little better and you will suffered from a lack of energy, kilos.
save money and the environment. say after an illness such as ➤➤ Your muscles become stronger
➤➤ Walking the dog is also a good glandular fever, you’ll know how with more physical activity.
way of improving your fitness, and good it is to have a healthy body. ➤➤ You have a better night’s sleep
your dog will love it too. Feeling fit, energetic, strong and when you are regularly active.
➤➤ At lunchtime, go for a walk with healthy makes you feel positive ➤➤ You have more energy and feel
a friend instead of sitting down about life. less tired.
talking – you can talk while you ➤➤ Physical activity releases endor- ➤➤ Being healthy means looking
walk. Get out into nature! phins – these are the body’s natural your glowing best – this can
➤➤ Have a game of soccer, footy, ‘feel good’ chemicals – no wonder increase self-esteem and
cricket or basketball (or any getting physical makes you feel positive self-image.
other game) during your lunch good! ➤➤ You can use strenuous physical
break. ➤➤ Physical activity reduces stress activity as an effective way of
➤➤ Throw a ball to each other – this and tension, making you one reducing your anger.
improves coordination and can relaxed person. ➤➤ Any physical activity that involves
be fun. ➤➤ Exercise can improve mental an impact, e.g. walking, running,
➤➤ Go dancing with friends. health and reduce depression. aerobics etc, helps to keep calcium
➤➤ Cook healthy meals at home. Studies have shown that ‘green’ or in your bones, keeping them
Dancing around the kitchen and outdoor physical activity is best if stronger for longer. This will make
lifting heavy pots can be good you can do it. you stand tall and strong and help
exercise, you will save money on ➤➤ Exhilaration – enjoy the thrill of prevent osteoporosis when you’re
food and learn new recipes. some activities, like climbing a older.
➤➤ Make use of whatever is around rock wall or BMX racing. ➤➤ Physical activity means a strong
you to fit your physical activity ➤➤ Social enjoyment, like making heart and lungs – they’ll last longer
The importance of
warming up and
cooling down
It is important to do some warm
up exercises before you begin any
session of sport or physical activity.
Warming up prepares the body for
physical exertion, and reduces the
chances of getting cramps or serious
injuries. Walking, riding an exercise
bike, gentle aerobic movements or
dancing are good ways of warming up.
Cooling down properly after
exercising will reduce the risk of
muscle soreness or stiffness the next
day. You can use the same kinds of
physical activities that you used to
warm up.
Stretches should also be a part
of warming up and cooling down
afterwards. If you watch a lot of sport,
either live or on television, you have
probably seen athletes stretching
and loosening up before taking part
in a game or event. Serious athletes
aren’t willing to risk pain, injury and
poor performance by not preparing www.wheelchairsports-sa.org.au www.mind.org.uk
their bodies for increased activity, ➤➤ Recreation Link-up – YMCA of ➤➤ Bartholomew, J. et al. Effects of Acute
and neither should you! South Australia’s online recreation Exercise on Mood and Well-Being in
database. This database contains Patients with Major Depressive Disorder.
Medicine & Science in Sports & Exercise,
Resources a huge range of recreational and
37(12): 2032-2037, December 2005.
South Australia social opportunities to explore
➤➤ Check out local gyms and com- and choose from, including: The information from this site
munity centres in your area to sports, arts, games and personal should not be used as an alternative
find out what is available to suit development activities. to professional care. If you have a
your needs, available times and http://reclinkup.ymca.org.au particular problem, see a doctor, or
finances. Also be sure to find out ring the Youth Healthline on 1300 13
exactly what you are getting for General 17 19 (local call cost from anywhere in
your money! Want to find out about the ben- South Australia).
➤➤ If you wish to become involved efits of bike riding. Check out the
in team sports, choose the sport Cycling Promotion Fund:
© Government of South Australia.
you are interested in, and find www.cyclingpromotion.com.au
Used with permission.
out what is available in your area, Women’s and Children’s Health Network,
either at social or competitive Above all – have fun getting physical. Young Adult Health, Ages 18-25 | www.cyh.com
levels. Check the phone book for
local clubs or organisations, ask References
your local council or ask friends ➤➤ Government of Australia ‘A healthy, active
who may already be involved in Australia: information for young people’
www.healthyactive.gov.au
your chosen sport.
➤➤ Cycling Promotion Fund fact sheet.
➤➤ Check out the Office for
Cyclists live longer! Online (cited 02/2/09):
Recreation and Sport website www.cyclingpromotion.com.au
www.recsport.sa.gov.au ➤➤ Ecotherapy – The Green Agenda for
➤➤ Wheelchair sports SA Mental Health. Mind Report, May 2007;
‘A
erobic’ exercise refers to exercise that requires the less exercise will cause your fitness and associated health
consumption of substantially more oxygen than at benefits to decline.
rest. It involves repeated rhythmic movements of It’s also important to avoid prolonged sedentary
the large muscles of your body, such as those in your arms behaviour, such as sitting continuously for several hours.
or legs. Examples of aerobic exercise include brisk walking, So, in addition to trying to incorporate exercise into
jogging, swimming, cycling, dancing, cross-country skiing, your day, you should also try to break up your sedentary
ice-skating, kayaking, roller-blading, and aerobic dance behaviours, for example by getting up and walking around
(often simply called aerobics). your office for a few minutes every hour, or during the
Because you need more oxygen to do aerobic exercise, advertisement breaks when watching TV.
you breathe more rapidly and deeply to get extra oxygen
into your lungs. Your heart also beats faster to deliver more
For general health and fitness benefits, it is
oxygen-carrying blood from your lungs to your muscles.
How fast your heart beats and how rapidly you breathe recommended that you do some form of
will depend on how intense (hard) the exercise is, with moderate-intensity aerobic exercise on most
gentle exercise causing only slight increases in breathing days of the week, for a minimum of 30 minutes.
and heart rate, but more vigorous exercise resulting in
greater increases.
How hard should I do aerobic exercise?
To improve your general health and fitness, moderate
Aerobic versus intensity aerobic exercise is recommended. However,
if you are very unfit and currently do no exercise, even
anaerobic exercise short bouts of light exercise will be of benefit. With
The term ‘aerobic exercise’ comes from the fact that the energy continued participation, light exercise will produce
used during this form of exercise is linked to the consumption fitness improvements that will enable you to progress to
of oxygen (aerobic metabolism). Aerobic exercise is of a light moderate intensity exercise.
to moderate intensity, and is characterised by our ability to
As a general guide, ‘moderate-intensity’ aerobic exercise
maintain it for a prolonged duration (many minutes to several
may make you slightly breathless, but still able to hold a
hours) because we can support it entirely through aerobic
metabolism that does not cause us to fatigue very rapidly.
conversation, and you should be able to sustain this level
of exercise for at least 30 minutes. An example would be
Very strenuous exercise, such as running fast or rapidly cycling
when going on a brisk walk, jog or bike ride with a friend.
uphill uses energy at a very fast rate, and will exceed our
muscles’ capacity to work aerobically. Exercise at these higher If you want to be more exact in determining your
intensities does involve the use of oxygen, but also requires exercise intensity, then you can use your heart rate as a
your muscles to undertake some metabolism without oxygen guide. Moderate intensity exercise is likely to increase
(anaerobic metabolism), which results in the production of your heart rate to between 55 and 70 per cent of your
fatiguing factors that cause you to have to slow down and maximum heart rate. More vigorous exercise will increase
eventually stop. The length of time before this occurs will your heart rate even further.
depend on how much anaerobic metabolism is involved, with
faster speeds causing fatigue to occur more quickly. How to estimate your maximum heart rate
You can estimate your maximum heart rate by sub-
tracting your age in years from 220. For someone who
How often should I do aerobic exercise? is 40, for example, their maximum heart rate would be
For general health and fitness benefits, such as reducing estimated to be around 220 minus 40, which is 180 beats
your risk of heart disease and improving your stamina, per minute. So, for moderate-intensity exercise, this
it is recommended that you do some form of moderate person would aim for exercise that produces a heart rate
intensity aerobic exercise on most, and preferably all, days between 99 and 126 beats per minute (55 to 70 per cent of
of the week, for a minimum of 30 minutes a day. This their maximum heart rate). However, this is just a rough
30-minute total can be made up of shorter 10-minute estimate, and some people can have maximum heart rates
sessions, if this is better suited to your day. These short more than 20 beats above or below that estimated for their
sessions will still provide health benefits and produce some age. So it’s a good idea to also use your perception of how
fitness improvements, although to substantially increase hard the exercise is – the guide of working at an intensity
your fitness you probably need to include at least some at which you can still hold a conversation is a good one.
30-minute sessions in your week.
To maintain your level of aerobic fitness, and the health Beta-blockers and exercise
advantages that go with it, you need to keep up a regular Beta-blockers are one type of medicine used to lower
Aerobic HIIT
Aerobic HIIT sessions on the
other hand typically involve four
to six four-minute repetitions of
exercise performed at 80-90% of the
maximum aerobic exercise intensity.
These efforts are interspersed with
one to three minutes of recovery
with a single session taking up to 38
minutes.
As this is a lower intensity than
the supra-maximal HIIT, it is deemed
more achievable and has repeatedly
been used successfully to treat
patients with metabolic syndrome,
hypertension and coronary artery
disease.
But as the aerobic HIIT sessions
are somewhat prolonged it doesn’t
offer the same time-saving advantages
as supra-maximal HIIT.
M
otivation is the key, though the question remains,
‘how is it possible to stay motivated?’ If you are
finding it difficult to motivate yourself to be
active, and to stay motivated, try some of the following
helpful suggestions.
Find a buddy
It’s always great to exercise in the company of a friend.
By exercising together you can support and encourage
one another to keep moving and to keep activity regular.
Join a club
It may be easier and more convenient for some to slot
into the timetable of a sports club or gym close to home
or work.
I
f you’re over 65 and exercising regularly, give yourself
a pat on the back. Being active is one of the best ways
to boost your odds of ageing well, by keeping you
mentally healthy and free of disease and disability. And
it helps even if you start late in life.
But many older exercisers do only one activity and risk
missing out on some important health benefits.
That’s a key finding of a recent study, published in
the Journal of Science and Medicine in Sport, which looks
at the leisure time physical activity of more than 22,000
older Australians.
Contents
BRAINSTORM 52
written activities 53
DISCUSSION activities 54
MULTIPLE CHOICE 55-56
BRAINSTORM
Brainstorm, individually or as a group, to find out what you know about physical activity and fitness.
written activities
Complete the following activity on a separate sheet of paper if more space is required.
Are you getting enough exercise? Make a list of how many hours, and the types of activities you participated
in over the past week, in each of the following categories. Review your completed your list and identify
whether the time spent in the past week falls within the recommended guidelines for physical activity for your
age group. Offer additional ways you can adjust or improve your physical activities to meet the guidelines.
DISCussion activities
Complete the following activity on a separate sheet of paper if more space is required.
A recent study identified that, “walking for exercise was the most popular physical recreational activity,
with 24% of the population walking for exercise.”
Is walking the most popular physical recreational activity in your class? In small groups make a list of your
ten most popular activities (number from 1 to 10, with 1 being most popular). Compare your list with the
other groups to identify the most popular physical recreational activity in your class.
MULTIPLE CHOICE
Complete the following multiple choice questionnaire by circling or matching your preferred responses.
The answers are at the end of the next page.
1. How many minutes of moderate-intensity aerobic physical activity per week are recommended for adults
18-64 years old?
a. 30
b. 60
c. 75
d. 150
e. 300
2. It has been estimated that for every hour of television you watch over the age of 25, you reduce your
life expectancy by how many minutes?
a. 2
b. 20
c. 22
d. 30
e. 32
f. 60
3. What percentage of your maximum heart rate are you exercising at when you are performing ‘vigorous
aerobic exercise’?
a. 15-30 per cent
b. 30-55 per cent
c. 55-70 per cent
d. 70-85 per cent
e. 85-100 per cent
4. What are considered as the 4 S’s of fitness? (select all that apply)
a. Speed
b. Stamina
c. Standing
d. Suppleness
e. Sitting
f. Strength
g. Stress
h. Self-esteem
i. Sedentary
5. What do the letters BMI refer to in relation to physical activity and fitness?
a. Big muscle indicator
b. Body mass index
c. Body muscle index
d. Breathing movement index
e. Body movement indicator
MULTIPLE CHOICE
Complete the following multiple choice questionnaire by circling or matching your preferred responses.
The answers are at the end of this page.
9. Non-productive sedentary behaviour i. Refers to activity of less than 150 accrued minutes of physical
activity in a week.
★★ Lack of exercise causes an estimated 6% of coronary heart fitness or gym activities. (p.14)
disease cases, 7% of type 2 diabetes cases, and 10% of breast ★★ Young people aged 15-24 years were less likely to be seden-
and colon cancers. (pp. 1, 5, 11, 25) tary than those aged 25-64 years. (pp. 16, 17)
★★ Worldwide, insufficient physical activity is the fourth ★★ Children who engage in more than 2 hours of non-educ-
leading risk factor for mortality. (pp. 2, 4, 5, 10, 20, 25) ational screen time per day are more likely to be overweight;
★★ Participation in regular physical activity reduces the risk be less physically active; consume more sugary drinks;
of heart disease, diabetes, obesity, and breast and colon snack on foods high in sugar, salt and fat; and have fewer
cancer. (pp. 2, 15, 22, 38, 40, 42) social interactions. (p.17)
★★ In 2008, globally 31% of adults aged 15 years or older were ★★ The rate of children’s participation in sport and/or dancing
insufficiently active (men 28% and women 34%). (p.2) was 66% in 2012. The highest participation rate was for
★★ High-income countries had more than double the preval- those aged 9-11 years (73%). (p.18)
ence of inactivity compared to low-income countries for ★★ Between 2003 and 2012, children’s participation in dancing
both men and women. (pp. 2, 3) (27%) and martial arts (24% ) has increased. (pp. 18, 19)
★★ Adults living in lowest income households were more ★★ Since 2003, swimming and diving has remained the most
likely to be sedentary or exercise at low levels than those popular sport for younger Australians. (p.19)
in highest income households. (pp. 3, 8) ★★ Children are spending less time watching TV than they
★★ Women are more likely to walk for exercise, and men are did a decade ago, with an average of 15 hours per week
more likely to do moderate or vigorous exercise. (p.4) spent in front of the box in 2012 compared to 22 hours
★★ In 2008, nearly two-fifths (38%) of Australians aged 15 years per week in 2003. (p.19)
and over were insufficiently physically active. (pp. 5, 25, 44) ★★ Children and young people aged 5-17 years old should
★★ In 2007-08, 72% of Australians were classified as sedentary accumulate at least 60 minutes of moderate- to vigorous-
or having low exercise levels, compared with 69% in 1995 intensity physical activity daily. (pp. 20, 24, 47)
and 2001, and 70% in 2004-05. (pp. 6, 8) ★★ Heart disease is the number one killer of Australian men
★★ Over the past 50 years, there has been a huge shift from a and women, responsible for nearly 22,000 deaths a year
lifestyle that was physically active to one that is predom- or one death every 24 minutes. (p.25)
inantly sedentary. (p.7) ★★ Office-based workers spend an estimated 75% of their day
★★ Those least likely to be active are women, people with lower in a chair. (p.26)
socioeconomic status, older adults, people born overseas, ★★ Even in a fast paced world that allows 24-hour access to
people with a disability and Indigenous Australians. (p.7) work and social networks, we still find time to consume
★★ Toddlers and pre-schoolers should be physically active 21.5 hours of television (seated) a week. (p.26)
every day for at least 3 hours, throughout the day. (p.8) ★★ In 2008, $3.6 billion was estimated to be lost on workplace
★★ Adults and older people should participate in 30 minutes productivity due to overweight and obesity, while muscul-
of moderate intensity physical activity on most, and oskeletal disorders accounted for 44% of workplace
preferably all, days. (p.8) compensation cases and up to 22% of sick leave. (p.26)
★★ Adults who watch more than 4 hours of television a day, ★★ Research suggests that most of us are spending more than
when compared to those who watch less than 2 hours half of our day being sedentary. (p.28)
a day, may have up to 46% higher risk of death from all ★★ It’s been estimated that for every hour of television you
causes, and 80% increased risk for cardiovascular related watch over the age of 25, your life expectancy is reduced
death. (p.8) by 22 minutes. (pp. 29, 30)
★★ Of people without a disability, 64% take part in sport ★★ A large majority of children and adolescents in Australia
or physical activities or attend sporting events as a exceed the recommended maximum of 2 hours a day of
spectator, compared with 50% of people with a disability screen use for leisure and that time spent in screen activities
and 28% of those with a profound or severe core-activity is increasing. (p.34)
limitation. (p.10) ★★ New research shows that sitting around for long periods
★★ Physical inactivity is responsible for more than 6.6% of of time can increase your blood glucose levels – even if
the total burden of disease and injury in Australia. (p.10) you fit a 30-minute session of exercise in – so stay active
★★ Each year the total economic cost of physical inactivity is and complement your 30 minutes of exercise with regular
estimated to be $13.8 billion. (p.11) light activity. (p.36)
★★ The most commonly reported barriers to physical activity ★★ You can estimate your maximum heart rate by subtracting
among physically inactive Australians are a lack of time your age in years from 220, e.g. for someone who is 40 their
(40%) and injury or disability (20%). (p.11) maximum heart rate would be estimated to be around
★★ The number of Australians jogging or running as a sport 220 minus 40, which is 180 beats per minute. (pp. 42, 43)
or recreation has almost doubled since 2005-06. (p.14) ★★ Around two thirds of people over 65 are exercising,
★★ The two most popular sport or physical recreational with most of them favouring aerobic activity – usually
activities participated in by Australians are walking and walking. (p.49)
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Thank you
<< Nutrition Australia
<< Australian Bureau of Statistics
<< Department of Health and Ageing.
Disclaimer
The Spinney Press is an independent educational publisher and has no political affiliations or vested interests with any persons or organisations whose
information appears in the Issues in Society series. The Spinney Press seeks at all times to present variety and balance in the opinions expressed in its
publications. Any views quoted in this book are not necessarily those of the publisher or its staff.
Advice in this publication is of a general nature and is not a substitute for independent professional advice. Information contained in this publication
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A I S
active transport 7 Indigenous Australians 7-10, 12, 15, 17 screen time 6, 8-9, 17, 32-33
aerobic exercise 36-38, 42‑43, 44-45 children, for 32‑33, 35
arthritis 3, 4, 25 J impacts of excessive 30, 34
jogging see running sedentary behaviour 4, 8, 28, 30, 42
B see also physical inactivity
blood pressure, high 15, 22-23, 25
M
martial arts 18-19 non-productive 32
productive 32
C N sitting 26-27, 28-29
cancer 1, 2, 4, 5, 7, 15, 20, 22-23, 25, 26,
National Physical Activity Guidelines standing 26-27, 28-29
28, 36, 47
6, 8, 10, 15-17, 22‑23, 28-29, 31, 33, sports, organised 18-19, 22, 47
cardiovascular disease 3, 4, 5, 7, 15, 25,
35, 36, 45 participation in 18‑19
36 see also heart disease
0-5 years 35 popular 10, 14, 18
children see also young people 5-12 years 6, 22 strength training 37-38
activity recommendations for 35, 12-18 years 6, 22-23 stroke 2, 3, 5, 10, 22-23, 36
47‑48 adults 6, 23 swimming 7, 14, 18, 19, 22, 37, 40, 42,
1-5 years 22, 35, 47 older Australians 6, 8, 23, 49‑50 46, 47-48, 49
5-12 years 22, 47
12-18 years 22-23, 47-48 O T
rates of activity 6, 9, 15-17, 18-19 obesity 1, 4, 7, 10, 15, 26, 28, 30, 34, tai chi 40, 49-50
‘couch potato’ lifestyle 1 36, 38, 45 television viewing 4, 6, 8-9, 11, 15, 22,
cycling 1, 7-8, 11, 14, 17, 20‑21, 22-23, older people 6, 8, 21, 23, 25, 49-50 24-25, 26, 29, 30‑31, 32-33, 34, 35,
24, 25, 29, 37, 39-41, 42, 44, 46, osteoporosis 4, 7, 15, 25, 36-38, 39 47 see also screen time
47-48, 49‑50
P W
D physical activity walking 1, 4, 6-8, 11, 14, 20-21, 22-23,
dancing 7, 9, 18-19, 22, 39, 41, 42, 47, choosing 37-38, 40, 48 24, 25, 26-27, 28-29, 32, 36-38,
49, 50 definition 8 39-41, 42, 46, 47-48, 49‑50
depression 2, 5, 7, 10, 15, 20-21, 23, 25, economic benefits 11-12, 26-27 workplace
34, 38, 39 health benefits 4, 10, 15-16, 20-21, productivity 10, 27, 28
diabetes 1, 2, 3, 4, 5, 7, 10, 11, 15, 22-23, 22-23, 25, 26-27, 36, 38, 39-40, sedentary behaviour in 8, 26‑27
25, 26, 28, 36, 38, 45, 47, 49 42, 44-45, 46, 49 World Health Organization (WHO) 2-3, 4,
disability 7, 9-10, 11, 15, 25, 49, 50 insufficient 1, 2‑3, 4, 5, 8-9, 10 5, 7, 8, 20-21, 24-25
levels 6
E moderate-intensity 1, 2, 3, 4, 6, 7, 16, Y
employees, health of 26-27 21, 22, 24, 25, 28, 36, 43, 44 young people 9, 15-17, 22-23 see also
exercise see also physical activity, sports motivation, maintaining 38, 46 children
aerobic 36-38, 42‑43, 44-45 myths about 24‑25
benefits of 36-38, 39-41 participation in 6, 7-13
facts 39-41 key definitions and concepts 7‑8
rates 1, 2-3, 4, 5, 6, 7-10, 14, 15-17, factors impacting 11‑12
18-19 cultural 11, 17, 19
types of 36‑37 environmental 11, 15, 17, 25
individual 11
G social 11-12
Global Recommendations on Physical socioeconomic 7-8, 17
Activity for Health 20‑21, 24-25 popular types of 14, 49
5-17 years 20, 24 vigorous-intensity 1, 4, 7, 15, 16, 21,
18-64 years 20‑21 22, 23, 24, 25, 43
65 years old and above 21, 25 work-based 26-27
physical inactivity 1, 4, 5, 7-12, 15,
H 20-21, 24-25, 26-27, 33 see also
heart disease 1, 2, 3, 4, 5, 10, 22-23, 25, sedentary behaviour
26, 28, 30, 38, 42, 45, 47, 49 see also health risks of 1, 2-3, 4, 5, 8, 10, 12,
cardiovascular disease 15, 20-21, 22-23, 25, 26-27, 28-29,
heart rate 4, 37, 42, 46 30-31, 33, 36, 38, 42, 47
measuring your 42-43
high intensity interval training 44‑45 R
hypertension 2, 3, 5, 10, 25, 30, 44, 47 running 1, 7, 14, 22, 35, 36-38, 39, 42, 47