Exercise Is Medicine:
Let’s Pop A Pill!
Robyn Stuhr, MA, ACSM-RCEP
Department of Orthopaedic Surgery &
Sports Medicine
•Reduce your risk of heart disease by 40%?
•Lower your risk of stroke by 27%?
•Reduce the incidence of diabetes by almost 50%?
•Reduce the incidence of high blood pressure by almost 50%?
•Reduce mortality & risk of recurrent breast cancer by ~50%?
•Lower your risk of colon cancer by over 60%?
•Reduce your risk of developing Alzheimer’s disease by 33%?
•Decrease depression as effectively as Prozac or behavioral
therapy?
ACSM Exercise Is Medicine 2009
•Actions:
•Cost:
•Interactions
•Dosage:
•Precautions:
•Side effects:
Significant total body benefits
Affordable
Positive
Minimum dose 30 min/day
Proper training & equipment
MINIMAL! : Risk of
musculoskeletal injuries and
cardiac events (very low)
National Academy of Sciences,
Institute of Medicine
Diabetes, 56:2655-2667
Sui, M. JAMA 2007, 298:2507-16
Insulin resistance → disease
30
25
15
10
5
Hypertension
Cancer
CHD
Type 2 DM
Stroke
Number of events
20
0
Bottom 1/3
Middle 1/3
Top 1/3
Tertile of insulin sensitivity
Facchini et al. (2001), JCEM, 86:3574
Exercise ↑ Insulin Sensitivity
Acute exercise ↑ insulin sensitivity in obese individuals
*
Devlin & Horton (1985), Diabetes, 34:973
US Bureau of Labor Statistics, 2010
& 2010 Nielsen 3 Screen Report
U.S. Census Bureau 2007
LIMIT TV SCREEN TIME: 2 hrs/day!
Energy Expenditure kcal/kg/hr
Steeves, JA et al. Med Sci Sports Ex, Feb 2012
the very
best predictor of maintaining weight that was
lost
ACSM Message Points 2009
62% watch less than 10 hrs of TV/wk.
90% exercise, on average, 1 hour/day (mostly
walking)
NWCR Facts from studies reported on
NWCR website 6/09.
Do something else.
YES!
NO!
YES!
NO!
NO!
Encapsulation Style
Compression Style
…lead to enjoyment
Willis, J. & Frye Campbell, L. Exercise Psychology, 1992
rstuhr@ucsd.edu