The European Commission - DG EAC - Directorate General for Education and Culture - has dedicated programs and funds for HEPA - Health Enhancing Physical Activity projects[134] within its Horizon 2020 and Erasmus+ program, as research showed that too many Europeans are not physically active enough. Financing is available for increased collaboration between players active in this field across the EU and around the world, the promotion of HEPA in the EU and its partner countries and the European Sports Week. The DG EAC regularly publishes a Eurobarometer on sport and physical activity.

If you haven’t strength trained regularly, muscle loss may now reach critical levels, interfering with balance, gait, and other daily activities. But if you take up strength training, those changes are reversible: A number of studies including adults in their 70s have found that progressive strength training two or three times per week can lead to such improvements as increased muscle mass, more ease with everyday activities like climbing stairs and carrying groceries, and reduced joint pain.

Start in a low lunge position with right foot forward, left foot back, and fingertips touching the ground for balance. In one smooth movement, bring left foot forward and, as you stand on right foot, continue to lift left knee toward chest and hop up on right foot. Land lightly on right foot and immediately slide left foot behind you to return to starting position. Repeat for half the time then switch to the other side.

Often, when you watch someone lifting weights in a gym, you’ll notice they’re essentially “throwing” the weights up and “dropping” the weights down more than actually “lifting” or “lowering” the weights. They’re allowing certain aspects of physics (momentum, inertia, and gravity) to do much of the work for them instead of truly engaging, and therefore stimulating their muscles. Unfortunately their “perceived” goal is to make the weight move, but the real goal in weight training isn’t just moving the weight; the goal is to fatigue and challenge the targeted muscles. Depending on the specific exercise and range of movement involved, we instruct our clients to take approximately 10 seconds to lift the weight and another 5-10 seconds to lower the weight. By moving slowly, you’re not allowing inertia to carry the weight up or using gravity to let the weight crash down during the lowering phase of the movement. This enhanced and more complete muscle fiber stimulation ensures that you’re not simply “spinning your wheels.” This high-quality exercise stimulus will lead to greater results far quicker than more traditional lifting methods.


Contrary to popular belief, most injuries in a gym or not caused by “too much weight” (although it is certainly possible). Most gym-related injuries are caused by too much FORCE, not too much weight. Remember: F=MxA (Force = Mass x Acceleration). If you can reduce the Acceleration, you will reduce the Force that your body is exposed to. This greatly reduces the risk of injury. It isn’t necessarily the weight that causes injury, but the person’s “behavior” with the weight that determines the level of safety. With slow motion exercise, we lift and lower weight so deliberately, so slowly, our protocol is one of the safest resistance training programs available.

Remember when the only thing your cell phone did was make phone calls? Now, you can waste all kinds of time with smartphone apps that allow you to do everything from playing Scrabble to exercising. Smartphones, iPads and MP3 players are excellent resources for home exercisers, particularly if you find yourself getting bored from doing the same old thing, day after day. With the right apps, you can find guided workouts, paced music, timers and more, all of which can add variety and fun to your home workouts.
An essential move to any workout. Keep in mind that if doing a push-up on your toes is too tough, you can always start on your knees. It’s still a very effective strengthening move. HOW TO DO IT: Begin the push-up in a plank position with your hands on the ground under your shoulders and with your feet together, toes driving into the ground. Your body should be in one straight line with your core locked. Slowly lower yourself down to the ground so that your chest touches the ground, then push yourself back up to the starting position without collapsing your lower back. MUSCLES USED: Shoulders, triceps, biceps and core.
Cross-training means mixing in different workouts and training methods rather than focusing on just one type of workout. Not only does this help create a well-balanced fitness plan, but it can help you reach specific goals, too. For example, if you’re getting ready to run a race, you’ll want to cross-train with strength and yoga workouts, which will complement your running and help improve your performance and decrease the chance of injury by building muscle and increasing flexibility. “If you only include one form of training, you may be holding yourself back from the results you deserve,” says Lefkowith.
One remedy for the exercise doldrums is to keep exploring new types of movement, even if you’re already committed to a particular form of exercise. Novel activities — dance, martial arts, outdoor exercise — can work wonders for your brain, your mood, and your fascia. Massage, Rolfing, Feldenkrais, foam rolling, and other bodywork modalities can keep these tissues supple, too, so you can continue to move well, and without pain, for decades to come.

Who says you have to jump, grunt, strain and punish your body to get amazing results from your workout? Not with PiYo. PiYo combines the muscle-sculpting, core-firming benefits of Pilates with the strength and flexibility advantages of yoga. And, we crank up the speed to deliver a true fat-burning, low impact workout that leaves your body looking long, lean and incredibly defined.

By 1925, Margaret Morris had already integrated remedial exercises within her newly established dance school, Margaret Morris Movement (MMM). Her philosophy claimed that natural dance moves should be healthy and constructive for the body and mind, rather than the deleterious moves dancers were expected to practice and perform at the time. Morris saw the connections between breathing, stamina, range of motion, posture, health, vitality, and how these freed the body to dance and the mind to be creative.49 Morris M. My life in movement. London: Peter Owen Publishers; 1969. [Google Scholar] This philosophy extended itself to the use of natural dance moves as remedial exercises and a healthy active lifestyle. During 1925 and 1926, Morris presented her method to doctors and midwifes in England, France, and Switzerland, among them the St Thomas team. As a result of this meeting, Morris enrolled to study physiotherapy under Randell and graduated in 1933 with distinction.30 Margaret Morris Movement (MMM) [Internet]. Margaret Morris - Biography. 2015 Aug 30 [cited 2015 Aug 30]. Available from: http://www.margaretmorrismovement.com/MargaretMorris. [Google Scholar] Throughout her decade of collaboration with Randell and the St Thomas Project, Morris continued to educate and run MMM with great appreciation from top-tier dancers, students, and artistic critiques. By 1939, her teachers developed movement education and dance centers in 10 countries, most still active today (Figures 7–9).30 Margaret Morris Movement (MMM) [Internet]. Margaret Morris - Biography. 2015 Aug 30 [cited 2015 Aug 30]. Available from: http://www.margaretmorrismovement.com/MargaretMorris. [Google Scholar]
Our method is an extremely important addition to any childbirth class or current fitness method that you love being a part of. We believe that by adding our methodology to your pregnancy, we can keep you doing what you love in the safest and most effective way possible. This method was developed with all stages of pregnancy in mind and our clients continue to see endless benefits from incorporating The Bloom Method into their regular fitness routine, for life.

Interval training is a type of training, which consists of alternating periods of high and low-intensity workouts interspersed with rest or relief periods. The high-intensity parts can be close to or in the anaerobic zone while the rest and relief periods involve lower intensity exercise. Interval training gets your rate up and burns more fat in less time than less intense forms of exercise. Here’s an example of an interval training routine:
Many exercise protocols are in use in clinical cardiology, but no single test is applicable to the wide range of patients' exercise capacity. A new protocol was devised that starts at a low workload and increases by 15% of the previous workload every minute. This is the first protocol to be based on exponential rather than linear increments in workload. The new protocol (standardised exponential exercise protocol, STEEP) is suitable for use on either a treadmill or a bicycle ergometer. This protocol was compared with standard protocols in 30 healthy male volunteers, each of whom performed four exercise tests: the STEEP treadmill and bicycle protocols, a modified Bruce treadmill protocol, and a 20 W/min bicycle protocol. During the two STEEP tests the subjects' oxygen consumption rose gradually and exponentially and there was close agreement between the bicycle and the treadmill protocols. A higher proportion of subjects completed the treadmill than the bicycle protocol. Submaximal heart rates were slightly higher during the bicycle test. The STEEP protocol took less time than the modified Bruce treadmill protocol, which tended to produce plateaux in oxygen consumption during the early stages. The 20 W/min bicycle protocol does not take account of subjects' body weight and consequently produced large intersubject variability in oxygen consumption. The STEEP protocol can be used on either a treadmill or a bicycle ergometer and it should be suitable for a wide range of patients.
Rest-Pause Sets. The body is an amazing machine, with the right amount of rest it can surprise us with its tenacity. With a weight near your 3 or 5 rep maximum, perform as many reps as possible, then re-rack. Rest for 10 to 15 seconds, then grab it again and go at it. Make sure to keep correct form, and go/rest until you can't budge the bar. Make sure to only do this once.

There are tons of exercise videos for sale on the market today. That makes finding one that you will enjoy and use both overwhelming but entirely possible since so many are out there. Following the information in these exercise videos buyer’s guide will help you narrow down your choices based on your needs and fitness goals and choose one that you will enjoy and benefit from as well. Knowing what to look for is the most important step in making the right choice for your needs. With so many styles and choices available you can even decide to buy several so you have a good variety to choose from. Boredom is one of the biggest reasons people stop their workouts, so giving yourself choices can alleviate this problem completely.
The benefits of exercise have been known since antiquity. Dating back to 65 BCE, it was Marcus Cicero, Roman politician and lawyer, who stated: "It is exercise alone that supports the spirits, and keeps the mind in vigor."[143] Exercise was also seen to be valued later in history during the Early Middle Ages as a means of survival by the Germanic peoples of Northern Europe.[144]
* Exercise isn't supposed to be fun or enjoyable (that's what recreation is for). Exercise is a means-to-an-end. It shouldn't be something you look forward to, nor should you dread doing it; it should just be part of your lifestyle... like eating or sleeping. If you DO look forward to it, and even crave it, you could be hooked on the endorphin rush you get from doing an activity that is considered by the body to be over-doing it. And since the body would rather you not do this, it would be prudent to respect the body's wishes.
No one said it was going to be easy.........There is no doubt however, it could have been a lot easier , had it not been for the likes of Clegg, Blair and Heseltine trying to interfere and prevent the process of our leaving.......They have repeatedly tried , to put one obstacle after another in the way of Britain's departure, in a blatant attempt to stop the process......Clegg and his pals,would not recognise real democracy if they fell over it in the street..........
Let’s just call this the accelerated beginner’s guide to bodybuilding. In this plan, your first month of training will be demanding, but not so demanding as to cause injury (or worse yet, burnout), and progressive in the sense that each week you’ll graduate to different exercises, higher volume, more intensity or all of the above. After four weeks you’ll not only be ready for the next challenge but you’ll have built a significant amount of quality muscle. In other words, one month from now you’ll look significantly better with your shirt off than you look now. (How’s that for results?)
This is a two-fold explanation: 1) how long it takes to train per session and 2) how frequently we recommend training. We believe – and basic muscle physiology principles state – that the best way to stimulate a muscle is by short, intense bouts of exercise. Not in long, drawn-out workouts, which simply can’t be as intense. Ideally, a resistance training workout should only last 20 to 30 minutes. Longer workouts are typically less intense and can release catabolic hormones (which we don’t want). When it comes to exercise, “more” is not necessarily “better.” Working out is merely a method of stimulating your results. Your actual gains or improvements occur when your body “recovers” from the exercise. If you exercise before your muscles are completely recovered from a bout of exercise, you’re just … beating a dead horse. You need to find the right “dose” of exercise for you. Too little exercise limits your progress, but too much or too frequent exercise doesn’t allow your body to recover properly and may hinder your progress as well. The ideal frequency of your training may change over time based on things like your specific genetics or how intensely you train. Our clients typically train only once or twice per week, with only a handful ever training more frequently than that. The best way to know how frequently you should train is through very detailed and accurate record keeping. Your personal trainer at SMX will always monitor your training. Once a fair amount of data is compiled by your trainer, we can dial in and fine-tune how frequently and what intensities are ideal for you to maximize your results.
6.  If an exercise can be done for more than 90 seconds, increase the resistance so that momentary muscular failure occurs within 45 - 90 seconds (this is considered "high-intensity" exercise). If you can do sit-ups for ten minutes, the intensity is insufficient to cross that threshold mentioned above, and you're just wasting valuable physiological resources. If you can't do even one rep, reduce the resistance (i.e. if doing a push-up, change from being on your toes to on your knees, or start from the top and slowly lower yourself; if using a machine, choose a lower setting; if using free-weights, pick a lower weight; if doing a chin-up, use a chair to boost yourself up to the top, then take your feet off the chair and slowly lower yourself).
Exercise was defined as planned, structured activities, for instance going for walks, skiing, swimming and doing sports, but also as unplanned activities that the participants experienced as exercise. The participants were asked to fill in exercise logs immediately after each exercise session they performed throughout the year and send them to the research center either in prepaid envelopes monthly, or to use internet-based forms following each exercise session [21]. Exercise frequency was calculated as the mean number of sessions reported per week during the year. To assess intensity of exercise the participants reported their subjective RPE on a Borg scale ranging from 6 to 20 [20]. The participants were asked to report the mean intensity level during the exercise session. Ratings from 6 to 10 were classified as low intensity, 11 to 14 as moderate intensity, and 15 to 20 as high intensity. Duration of exercise was measured with a 4-point scale: less than 15 min, 15–29 min, 30 min to 1 h, and more than 1 h. Less than 15 min and 15–29 min was combined due to a low response rate on these response options (1.1 and 8.7% of the total number of exercise sessions, respectively).
Overweight children who participate in physical exercise experience greater loss of body fat and increased cardiovascular fitness. According to the Centers for Disease Control and Prevention in the United States, children and adolescents should do 60 minutes or more of physical activity each day.[133] Implementing physical exercise in the school system and ensuring an environment in which children can reduce barriers to maintain a healthy lifestyle is essential.
Workouts are an extremely efficient experience for our clients. You will be in and out in less than 30 minutes. You will come in no more than twice per week. Don't worry, that's all the time we need to target all major muscle groups and the cardiovascular system. Our instructors set up the equipment, keep detailed notes, and guide our clients through every step of the workout.
The St Thomas method, however, did not survive World War II, besides the mentioned indications of use in Australia a decade later, and Randell’s work has since been forgotten. Various factors might attribute to this, including the tragic loss in 1940 when two bombs hit St Thomas hospital killing four physiotherapists including Thomas;29 Sydney Morning Herald [Internet]. Thomas BM: Obituary (1940). 2014 Oct 23 [cited 2015 Aug 30]. Available from: http://www.tiveyfamilytree.com/Barbara-Mortimer-Thomas-Death-Article-SMH-11-9-1940.htm. [Google Scholar] and the promotion of rival London obstetric group, led by Grantly Dick-Read and Physiotherapist Helen Heardman, with the concept of natural childbirth. This movement gained favor with the healthcare establishments, chartered physiotherapists and the general public at the ultimate expense of the St Thomas Project.23 Raphael AJ. Natural childbirth in twentieth century England; PhD thesis. London: Queen Mary University of London; 2010. [Google Scholar] Randell left St Thomas physiotherapy school in 1945, just before the Chartered Society of Physiotherapy imposed a new syllabus.37 The National Archives [Internet]. Saint Thomas’ hospital: physiotherapy school. 2009 Aug 12 [cited 2015 Sep 23]. Available from: http://discovery.nationalarchives.gov.uk/details/rd/bdb0366b-f3e1-45d3-a685-887f9f9bc8ac. [Google Scholar] She received the royal title of OBE and extended her career interest with a focus on gynecological cases; in 1948, she co-founded the Obstetric Association of Chartered Physiotherapists, was awarded an honorary fellowship of the Chartered Society of Physiotherapists and was later remembered as the pioneer of modern women’s health physiotherapy (Figures 1, 5–7).38 Pelvic Obstetric and Gynaecological Physiotherapy [Internet]. A brief history. 2015 Aug 30 [cited 2015 Aug 30]. Available from: http://pogp.csp.org.uk/brief-history-acpwh. [Google Scholar]
I'm a professional weight loss coach and was chosen as "Canada's Top Fitness Professional." Each of my workouts found at makeyourbodywork.com will challenge your entire body and will include elements of cardio, strength, and core conditioning. The uniqueness of these workouts are the "difficulty levels" that provide up to four distinct options for every single move. This makes each workout very accessible for newbies, yet challenging for super-fit users.
^ Jump up to: a b c Schuch FB, Vancampfort D, Rosenbaum S, Richards J, Ward PB, Stubbs B (July 2016). "Exercise improves physical and psychological quality of life in people with depression: A meta-analysis including the evaluation of control group response". Psychiatry Res. 241: 47–54. doi:10.1016/j.psychres.2016.04.054. PMID 27155287. Exercise has established efficacy as an antidepressant in people with depression. ... Exercise significantly improved physical and psychological domains and overall QoL. ... The lack of improvement among control groups reinforces the role of exercise as a treatment for depression with benefits to QoL.
When you upgrade to the paid version, you can also track your weight and visualize your progress, which might help you stay motivated. It also shows a calendar of all of your workouts and lets you see them at a glance. I’ve had this app for three years now and they do a great job of updating it regularly to add new exercises and respond to user requests.
Exercising looks different in every country, as do the motivations behind exercising.[2] In some countries, people exercise primarily indoors, and in others, people primarily exercise outdoors. People may exercise for personal enjoyment, health and well-being, social interactions, competition or training, etc. These differences could potentially be attributed to geographic location, social tendencies, or otherwise.
Ashley and the team of Strong and Sexy incorporate moves like standing ab pumps, side crunches, and side-to-side leans into fun dance moves that’ll leave you feeling like a professional dancer — even if your abs are burning. As an added bonus, the dancer on the right side of the screen shows you how to perform lower-intensity versions of each dance move.
With today’s demanding lifestyles, many individuals find it difficult to stick with a regular exercise program. The most common barriers to regular physical activity include lack of time and motivation. Other reported challenges include fear of injury, feelings of self-consciousness or not being athletic enough, and memories of perceived failure with prior exercise programs. Fortunately, many fitness studios offer free trials, flexible class times and even downloadable or streamed classes, so it’s easier than ever to commit.
^ Jump up to: a b Denham J, Marques FZ, O'Brien BJ, Charchar FJ (February 2014). "Exercise: putting action into our epigenome". Sports Med. 44 (2): 189–209. doi:10.1007/s40279-013-0114-1. PMID 24163284. Aerobic physical exercise produces numerous health benefits in the brain. Regular engagement in physical exercise enhances cognitive functioning, increases brain neurotrophic proteins, such as brain-derived neurotrophic factor (BDNF), and prevents cognitive diseases [76–78]. Recent findings highlight a role for aerobic exercise in modulating chromatin remodelers [21, 79–82]. ... These results were the first to demonstrate that acute and relatively short aerobic exercise modulates epigenetic modifications. The transient epigenetic modifications observed due to chronic running training have also been associated with improved learning and stress-coping strategies, epigenetic changes and increased c-Fos-positive neurons ... Nonetheless, these studies demonstrate the existence of epigenetic changes after acute and chronic exercise and show they are associated with improved cognitive function and elevated markers of neurotrophic factors and neuronal activity (BDNF and c-Fos). ... The aerobic exercise training-induced changes to miRNA profile in the brain seem to be intensity-dependent [164]. These few studies provide a basis for further exploration into potential miRNAs involved in brain and neuronal development and recovery via aerobic exercise.
The 1980s also brought the grueling workouts from Buns of Steel with Greg Smithey. In Buns of Steel, Smithey guided viewers in a series of rigorous exercises aimed to tone their rears and thighs. Despite the rigor and intensity of the workout, or perhaps because of it, over one million copies of the VHS tape were sold. That said, I can't help but wonder how much of Smithey's—also called the Bunmaster— success is due to his uncomfortably vivid and surreal line: "Don't forget to squeeze those cheeseburgers out of those thighs!" Wait, what? Smithey comes off as pretty sleazy throughout his tapes, but don't let that stop you. The workout is, after all, titled Buns of Steel.
Video Abstract for the ESSR 46.2 article “Potential Role of MicroRNA in the Anabolic Capacity of Skeletal Muscle With Aging” from author Donato Rivas. Age-induced loss of skeletal muscle mass and function, termed sarcopenia, may be the result of diminished response to anabolic stimulation. This review will explore the hypothesis that alterations in the expression of microRNA with aging contributes to reduced muscle plasticity resulting in impaired skeletal muscle adaptations to exercise-induced anabolic stimulation.

Video Abstract for the ESSR 46.1 article “Sedentary Behaviors and Adiposity in Young People: Causality and Conceptual Model” from author Stuart Biddle. Research on sedentary behavior and adiposity in youth dates back to the 1980s. Sedentary behaviors, usually screen time, can be associated with adiposity. While the association is usually small but significant, the field is complex, and results are dependent on what sedentary behaviors are assessed, and may be mediated and moderated by other behaviors.

The Push Press is a move that incorporates your entire body. While the strict press focuses only on the upper body, the push press incorporates the lower body to drive the bar up overhead. This synchronic movement is great for building power and pure strength. HOW TO DO IT: Start with the bar across your shoulders. Your hands position on the bar should be just slightly outside of your shoulders, and your feet should be shoulder-width apart. Brace your core, dip slightly into a quarter squat and squeeze your glutes while driving the bar up overhead. Complete the movement with your arms in the lockout position overhead. There is only one dip in the push press, and that is when you push the bar overhead. There should not be a second dip at the top of the bar path or that movement would be called a “jerk.” MUSCLES USED: Glutes, quads, hamstrings, shoulders and core.


Park further away. I know a lot of us have developed the (bad) habit of trying to get the parking spot absolutely closest to our destination—I know this because I have both cut-off and been cut-off by some aggressive drivers who really wanted to park 50 feet closer—but this is dumb. Spare yourself the road rage and do your body a favor by parking further away and getting in some extra walking.
In a studio, you can try the Pilates hundred on a reformer, a spring-based resistance machine. Lie on your back with your legs in table-top position or extended at a 45-degree angle. Pull the straps down next to your abdomen. Curl the head and shoulders up and pulse your arms up and down. Breathe in for five and out for five until you reach 100 pulses. If any move doesn't feel right, check with a fitness professional.

Tracy Anderson: The Method For Beginners. Choose from a handful of workout DVDs from this celebrity trainer. She’ll have you working up a sweat doing cardio or more targeted moves for the arms, legs, and core. Anderson’s queue of videos range from about $2.99 to $9.99. Considering that Anderson has her own collection of studios across the globe that run about $45 per class, this is a steal!

Are you new to the gym and not sure where to start? Looking to add more variety into your workout? Or are you wanting to master a move to perfection? Then look no further. Learn how to perform exercise moves safely and effectively with our exercise database, which includes top tips from our qualified trainers, video demonstrations, and a step by step guide.
The Stiff-Legged Deadlift is a deadlift variation that specifically targets the posterior chain. Little to no knee movement occurs in this exercise to ensure hamstring, glute, and spinal erector activation. The bar starts on the floor and the individual sets up like a normal deadlift but the knees are at a 160° angle instead on 135° on the conventional deadlift.
It's no secret we love Denise Austin here at Woman's Day, and this DVD reinforces why. Her simple instructions and cheerful attitude help each of the three 15-minute routines zip by. She focuses on one area of the body per session — upper body, lower body or ab & core conditioning — so I can target a trouble zone (ahem, thighs) or get a great full-body workout.
Brooke Cates created The Bloom Method with a strong desire to empower women before, during and after their pregnancies. Using innovative methods specific to The Bloom Method, TBM provides group fitness classes, workshops and 1:1 training to mamas in Boulder, Co as well as distance and travel training. Brooke is a Pre & Postnatal Corrective Exercise Specialist, Diastasis Recti + Core Rehabilitation Specialist and Pre and Postnatal Holistic Health Coach. Through her methodology, Brooke strives to provide women with the tools to help support their current pregnancy, empower them during birth, prevent common pregnancy-related injuries such as Diastasis Recti, Pelvic Floor Incontinence, and Prolapse while allowing her clients to experience a quicker healing phase post-baby and a stronger journey into motherhood. The Bloom Method’s one of a kind core techniques are smart, innovative, effective, and easy for any modern mom to implement. The Bloom Method’s smart approach to fitness is quickly revolutionizing Pregnancy and Postbirth Exercise within the industry.
During the time to exhaustion tests, all perceptual and physiological measurements increased over time. The increase in heart rate is similar to a previous study using the same exercise on a different ergometer [18]. Furthermore, these authors demonstrated that the respiratory system is not a limiting factor for this exercise. Despite we did not measure the maximum heart rate of our subjects via a typical whole-body incremental test (e.g. cycling), it is clear that a heart rate of ~ 130 beats/min is faraway of the maximum heart rate capacity of our subjects. Therefore, taking all together, these results confirm that high intensity OLDE performed until exhaustion is not limited by the cardiorespiratory system.
A pair of small hand-weights adds punch to a Pilates workout at home. For this move, imagine you are twirling the weights like sparklers on the Fourth of July. Stand with the weights held at your thighs. Turn them slightly in to face each other and make eight small circles. Each circle should be a little higher until the hands are overhead. Make eight circles in the opposite direction as you lower the arms. Repeat 2-3 times.
It is well known that exercise in the older population may prevent several diseases [1–4]. Reduced physical activity impairs the quality of life in elderly people with Alzheimer's Disease [4], Parkinson's Disease [5], and Depressive Disorders [6]. Moreover, musculoskeletal, cardiopulmonary, and cerebrovascular decline are associated with poor physical fitness because of the cumulative effects of illness, multiple drug intake, fatigue, and bed rest [7, 8]. The effects of physical activity and exercise programs on fitness and health-related quality of life (HRQOL) in elderly adults have been widely studied by several authors [9–11]. De Vries et al. [11] conducted a meta-analysis focusing on elderly patients with mobility problems and/or multimorbidity. Eighteen articles describing a wide variety of actions were analyzed. Most used a multicomponent training program focusing on the combination of strength, balance, and endurance training. In 9 of the 18 studies included, interventions were supervised by a physical therapist. Intensity of the intervention was not reported and the duration of the intervention varied from 5 weeks to 18 months. This meta-analysis concluded that, considering quality of life, the exercise versus no-exercise studies found no significant effects. High-intensity exercise appears to be somewhat more effective in improving physical functioning than low-intensity exercise. These positive effects are of great value in the patient population but the most effective type of intervention remains unclear. Brovold et al. [7] recently examined the effects of high-intensity training versus home-based exercise programs using the Norwegian Ullevaal Model [12] on a group of over-65-year-olds after discharge from hospital. These authors based their study on the Swedish Friskis-Svettis model [13] which was designed by Johan Holmsater for patients with coronaropathy to promote their return to work and everyday activities and improve their prognoses. This model includes three intervals of high intensity and two intervals of moderate intensity, each one lasting for 5 to 10 minutes. Included in each is coordination. Exercises consist of simple aerobic dance movements and involve the use of both upper and lower extremities to challenge postural control [13]. Exercise intensity was adjusted using the Borg Rating of Perceived Exertion (RPE) Scale. Moderate intensity was set between 11 and 13, and high intensity was set between 15 and 17 on the Borg Scale.
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