Exercise trends
Encyclopedia
Worldwide there has been a large shift towards less physically demanding work. This has been accompanied by increasing use of mechanized transportation, a greater prevalence of labor saving technology in the home, and less active recreational pursuits. At least 60% of the world's population does not get sufficient exercise. This is true in almost all developed and developing countries, and among children.

These exercise trends are contributing to the rising rates of chronic diseases including: obesity
Obesity
Obesity is a medical condition in which excess body fat has accumulated to the extent that it may have an adverse effect on health, leading to reduced life expectancy and/or increased health problems...

, heart disease
Heart disease
Heart disease, cardiac disease or cardiopathy is an umbrella term for a variety of diseases affecting the heart. , it is the leading cause of death in the United States, England, Canada and Wales, accounting for 25.4% of the total deaths in the United States.-Types:-Coronary heart disease:Coronary...

, stroke
Stroke
A stroke, previously known medically as a cerebrovascular accident , is the rapidly developing loss of brain function due to disturbance in the blood supply to the brain. This can be due to ischemia caused by blockage , or a hemorrhage...

 and high cholesterol. Active transport ( walking, bicycling, etc. ) has been found to be inversely related to obesity in Europe, North America, and Australia. Thus exercise has been associated with a decrease in mortality.

Causes of lack of exercise

One of the causes most prevalent in the developing world is urbanization. As more of the population moves to cities, population over-crowding, increased poverty, increased levels of crime, high-density traffic, low air quality and lack of parks, sidewalks and recreational sports facilities leads to a less active lifestyle.

Physical inactivity is increasing or high among many groups in the population including: young people, women, and the elderly.

A number of factors has been associated with physical inactivity at a population level including: female gender, older age, living with a partner, smoking, little schooling and poverty.

Studies in children and adults have found an association between the number of hours of television watched and the prevalence
Prevalence
In epidemiology, the prevalence of a health-related state in a statistical population is defined as the total number of cases of the risk factor in the population at a given time, or the total number of cases in the population, divided by the number of individuals in the population...

 of obesity. A 2008 meta analysis found that 63 of 73 studies (86%) showed an increased rate of childhood obesity with increased media exposure, and rates increasing proportionally to time spent watching television.

Symptoms

Noncommunicable diseases, partly due to a lack of exercise, are currently the greatest public health
Public health
Public health is "the science and art of preventing disease, prolonging life and promoting health through the organized efforts and informed choices of society, organizations, public and private, communities and individuals" . It is concerned with threats to health based on population health...

 problem in most countries around the world. Each year at least 1.9 million people die as a result of physical inactivity, which makes inactivity one of the leading preventable causes of death
Preventable causes of death
The World Health Organization has traditionally classified death according to the primary type of disease or injury. However, causes of death may also be classified in terms of preventable risk factors—such as smoking, unhealthy diet, and sexual behavior—which contribute to a number of different...

 worldwide.

Australia

Australian children between 1961 and 2002 have had a marked decline in their aerobic fitness.

Canada

Obese people are less active than their normal weight counterparts. In Canada, 27.0% of sedentary men are obese as opposed to 19.6% of active men. Lean people are more fidgety than their obese counterparts; this relationship is maintained even if normal weight people eat more or the obese person loses weight.

National data indicates that only 10% of Canadian youth are meeting the guideline for screen time of less than 2 hours per day. As well, although 2/3 of families live close enough for their children to bike or walk to school, only 1/3 report actually walking to school and 80% report never having cycled to school.

Asia and China

A study from China found urbanization
Urbanization
Urbanization, urbanisation or urban drift is the physical growth of urban areas as a result of global change. The United Nations projected that half of the world's population would live in urban areas at the end of 2008....

 reduces daily energy expenditure by about 300–400 kcal and going to work by car or bus reduced it by a further 200 kcal.

A rapid decline in physical activity has occurred between the 1980s and the 2000s. The decline in physical activity is attributed to increasing technology in the workplace and changing leisure activities. In 1989 65% of Chinese had jobs that required heavy labor. This decreased to 51% in the year 2000.

Among Asian children between 1917 and 2003 little change has been seen in power and speed however endurance has decreased substantially in the last 10–15 years.

Denmark

Between 1986 and 1998 school boys in Denmark have become less fit and more fat. This change was not observed among the girls.

Finland

In Finland
Finland
Finland , officially the Republic of Finland, is a Nordic country situated in the Fennoscandian region of Northern Europe. It is bordered by Sweden in the west, Norway in the north and Russia in the east, while Estonia lies to its south across the Gulf of Finland.Around 5.4 million people reside...

 leisure-time physical activity has increased, while occupational and commuting physical activity has decreased from 1972 to 2002. Leisure-time physical activity increased from 66% (1972) to 77% (2002) in men and from 49% (1972)to 76% (2002) in women. Physically demanding work decreased from 60% (1972) to 38% (2002) in men and from 47% (1972) to 25% (2002) in women. Daily commuting activity decreased from 30% (1972) to 10% (2002) in men and from 34% (1972) to 22% (2002) in women.

The Netherlands

In The Netherlands, walking
Walking
Walking is one of the main gaits of locomotion among legged animals, and is typically slower than running and other gaits. Walking is defined by an 'inverted pendulum' gait in which the body vaults over the stiff limb or limbs with each step...

 and cycling
Cycling
Cycling, also called bicycling or biking, is the use of bicycles for transport, recreation, or for sport. Persons engaged in cycling are cyclists or bicyclists...

 as a means of transport is stable since 1994. The average Dutch citizen in the year 2007 walks 240 km (149.1 mi) and cycles 908 km (564.2 mi) per year.

South America

Over 60% of the population of Brazil
Brazil
Brazil , officially the Federative Republic of Brazil , is the largest country in South America. It is the world's fifth largest country, both by geographical area and by population with over 192 million people...

, Chile
Chile
Chile ,officially the Republic of Chile , is a country in South America occupying a long, narrow coastal strip between the Andes mountains to the east and the Pacific Ocean to the west. It borders Peru to the north, Bolivia to the northeast, Argentina to the east, and the Drake Passage in the far...

, and Peru
Peru
Peru , officially the Republic of Peru , is a country in western South America. It is bordered on the north by Ecuador and Colombia, on the east by Brazil, on the southeast by Bolivia, on the south by Chile, and on the west by the Pacific Ocean....

 do not meet the recommended levels of physical activity needed to maintain health. A study of a southern Brazilian population found that >80% of the population was physically inactive.

Sweden

A study of Swedish males found a significant decrease in total physical exercise even though recreational exercise has increased. This was due to a decrease in work place exercise and physical exercise in transportation.

United States

Americans have become less physically active
Physical exercise
Physical exercise is any bodily activity that enhances or maintains physical fitness and overall health and wellness. It is performed for various reasons including strengthening muscles and the cardiovascular system, honing athletic skills, weight loss or maintenance, as well as for the purpose of...

 overall between 1955 and 2005. While the rate of leisure-time physical activity has not changed significantly there has been a decrease in work-related activity, human powered transportation, activity in the home, and increasing sedentary activity. During 2000 and 2005 the number of adults who were never physically active increased from 9.4% to 10.3% while the number who were engaged in the highest level of physical activity decreased from 18.7% to 16.7%. Pertaining to leisure-time physical activity, people involved in no activity increased from 38.5% to 40.0% while those who spent most of their day sitting increased from 36.8% to 39.9%.

In 2000 the CDC estimated that more than 40% of the US population was sedentary, another 30% was active but not sufficiently and less than 30% had an adequate level of physical activity. There has been a trend toward decreased physical activity in part due to increasingly mechanized forms of work, changing modes of transportation, and increasing urbanization. Obesity rates have increased in relation to expanding suburbs. This has been attributed to increased time spent commuting, leading to less exercise and less meal preparation at home. Driving one's children to school
School run
The School Run is a modern phenomenon associated with parents taking their children to school by car. Outside most British schools parents park cars near the school gates and drop off and pick up their children at the appropriate times....

 has become increasingly popular. In the USA the proportion of children who walk or bike to school declined between 1969 (42%) and 2001 (16%) resulting in less exercise.

UK

In England both walking
Walking
Walking is one of the main gaits of locomotion among legged animals, and is typically slower than running and other gaits. Walking is defined by an 'inverted pendulum' gait in which the body vaults over the stiff limb or limbs with each step...

 and cycling
Cycling
Cycling, also called bicycling or biking, is the use of bicycles for transport, recreation, or for sport. Persons engaged in cycling are cyclists or bicyclists...

 have declined since 1975 being replaced by motorized transport. The average British citizen in the year 2005 walks 317 km (197 mi) per year, a fall of 106 km (65.9 mi) since 1975. Similar trends are seen in the United States. In 1983 9% of all trips were on foot. This decreased to 7% in 1990.

Children

Physical activity among children in activities from self propelled transport, to school physical education, and organized sports is declining in many countries. A 2008 meta analysis found that 63 of 73 studies (86%) showed an increased rate of childhood obesity with increased media exposure, and rates increasing proportionally to time spent watching television.

Public health measure

Many measures have been attempted to address low levels of physical activity. Some of these include: Walking bus
Walking bus
A walking bus is a form of student transport for schoolchildren who, chaperoned by two adults walk to school, in much the same way a school bus would drive them to school...

, Riding school bus
Riding school bus
A riding school bus is a group of schoolchildren supervised by one or more adults, riding pedal cycles along a set route, picking kids up at "bus stops" along the way until they all arrive at school. Riding school buses are similar to walking bus programs...

, Mall walking
Mall walking
Mall walking is a form of exercise in which people walk or jog through the usually long corridors of shopping malls. Many malls open early so that people may mall walk, however stores and other such facilities generally do not open at this time...

, and Girls on the Run
Girls on the Run
Girls on the Run is a North American non-profit program that works to encourage pre-teen girls to develop self-respect and healthy lifestyles through participation in running programs...

.
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