LSR, SBS, HV, NPA, JEI, UW and DS contributed to the conception and design of the study. LSR, SBS, HV and DS were responsible for the collection of the Generation 100 data in cooperation with colleagues at the Cardiac Exercise Research Group at the Norwegian University of Science and Technology, Norway. LSR, SBS and XT provided the data for analysis. LSR undertook the data analysis and drafted the manuscript. All authors provided critical insight and revisions to the manuscript. All authors read and approved the final version of the manuscript submitted for publication.
Findings indicated that exercise is beneficial for reducing pain and improving function in individuals with RCIS. The effects of exercise might be augmented with implementation of manual therapy. In addition, supervised exercise might not be more effective than a home exercise program. Many articles had methodologic concerns and provided limited descriptions of specific exercises, which made comparing types of exercise among studies difficult. Based on the results, Kuhn generated a physical therapy protocol using evidence-based exercise that could be used by clinicians treating individuals with impingement syndrome. This evidence-based protocol can serve as the criterion standard to reduce variables in future cohort and comparative studies to help find better treatments for patients with this disorder.

The goal with exercise is to work WITH our bodies and slowly condition over time. This is not a quick process because creating a “heal-thy” lifestyle takes diligence and consistency. The best way to avoid Post Exercise Malaise is to increase both duration and intensity SLOWLY over time and include adequate rest breaks and recovery time in between workouts.
Training to Failure. During most lifts with a moderately heavy weight, the set is completed before failure is reached. Muscles feels taxed, the sweating has begun, a few more sets are rocked, and we move on to the next exercise. This is a great way to get stronger, but is taking a set to failure an even better way? Yes and no Muscle Activation strategies during strength training with heavy loading vs. repetitions to failure. Sundstrup, E., et al. 1 National Research Center for the Working Environment, Copenhagen, Denmark 2, Institute of Sport Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark 3Department of Occupational and Environmental Medicine, Bispebjerg University Hospital, Copenhagen, Denmark. Journal of Strength and Conditioning Research. 2012 Jul;26(7):1897-903.. While training to failure — lifting until the body can't do a single more rep — recruits more muscle and triggers the body to release more strength-building hormones, it’s most effective if a very high percentage of a one rep max can be performed The application of training to failure in periodized multiple-set resistance exercise programs. Willardson, J.M. Physical Education Department, Eastern Illinois University, Charleston, Illinois 61920, USA. Journal of Strength and Conditioning Research; 2007 May;21(2):628-31. The mechanisms of muscle hypertrophy and their application to resistance training. Schoenfeld BJ. Global Fitness Services, Scarsdale, New York, USA. Journal of Strength and Conditioning Research; 2010 Oct;24(10):2857-72.. Also, sets to failure increase the opportunity for overtraining and injury, so it’s best to use this technique only occasionally and with a spotter.
Also, my favorite workouts might not be yours. “It's like asking someone for the best musician, or the best craft beer,” says Daniel Freedman, co-founder of online fitness site, BurnAlong. He recommends trying several of the apps out to see which one works best for you. “Who is going to inspire you?” Freedman says, “find who you'll stick with week in and week out.”
How much space do you have to exercise? – Do you have plenty of space to move around freely without hitting or running into anything? If you get kickboxing style exercise videos will you be able to follow the moves without taking out a living room lamp? Knowing how much space you will have to work out will help you match the exercise videos your purchase to the space you will be using to watch them and follow along.
Individuals can increase fitness following increases in physical activity levels.[15] Increases in muscle size from resistance training is primarily determined by diet and testosterone.[16] This genetic variation in improvement from training is one of the key physiological differences between elite athletes and the larger population.[17][18] Studies have shown that exercising in middle age leads to better physical ability later in life.[19]
^ Jump up to: a b Wilkinson DJ, Hossain T, Hill DS, Phillips BE, Crossland H, Williams J, Loughna P, Churchward-Venne TA, Breen L, Phillips SM, Etheridge T, Rathmacher JA, Smith K, Szewczyk NJ, Atherton PJ (June 2013). "Effects of leucine and its metabolite β-hydroxy-β-methylbutyrate on human skeletal muscle protein metabolism" (PDF). J. Physiol. 591 (11): 2911–2923. doi:10.1113/jphysiol.2013.253203. PMC 3690694. PMID 23551944. Retrieved 27 May 2016.

Perhaps one of the best benefits of barre is that it’s fun! It incorporates the use of upbeat music and engaging choreography. When working out is fun and enjoyable, your chances of staying with the program greatly increase. The barre method also offers quick results. Barre helps strengthen and tone your muscles without increasing bulk, and it improves your posture. It also increases cardiovascular endurance and metabolism, which helps to quickly burn calories.
If you ask most busy people why they don’t exercise, by far the most common reason is that that they “don’t have time.” The effort of putting on workout clothes, going to the gym and showering is simply too onerous to fit in. Even the idea of a boring home workout or a 30-minute exercise tape can feel like too much of a commitment when we’re late for work or for a date.

One way repeated ANOVAs (time: isotime from first to seventh minute and exhaustion) were used to test the time course of EMG RMS for all muscles, leg RPE, leg muscle pain and heart rate. Significant effect of time was explored with planned comparison (1st minute vs other time points, exhaustion vs other time points) adjusted with Holm-Bonferonni correction.


Figure 7 Saw. Randell, reproduced with kind permission of Wellcome Library26 Wellcome Library [Internet]. Rodway H. Training for childbirth - and after (1940). 2015 Sep 24 [cited 2015 Oct 3]. Available from: http://wellcomelibrary.org/player/b16729006#?asi=0&ai=0. [Google Scholar] and Morris, reproduced with kind permission of Elsevier.33 Morris M. Basic physical training. London: Heinemann; 1937. [Google Scholar]
Rock climbing is one of the most physically challenging sports, testing strength, endurance, flexibility, and stamina. To improve in the sport, climbers must build and maintain each of these assets. Written by veteran climber and performance coach, Eric Hörst, The Rock Climber's Exercise Guide provides climbers of all ages and experience with the knowledge and tools to design and follow a comprehensive, personalized exercise program. Enhance your skills, maximize your potential, and become the best climber you can be!
Jump up ^ Gomez-Pinilla F, Hillman C (January 2013). "The influence of exercise on cognitive abilities". Compr. Physiol. 3 (1): 403–428. doi:10.1002/cphy.c110063. ISBN 9780470650714. PMC 3951958. PMID 23720292. Abundant research in the last decade has shown that exercise is one of the strongest promoters of neurogenesis in the brain of adult rodents (97, 102) and humans (1,61), and this has introduced the possibility that proliferating neurons could contribute to the cognitive enhancement observed with exercise. In addition to BDNF, the actions of IGF-1 and vascular endothelial growth factor (VEGF) (54) are considered essential for the angiogenic and neurogenic effects of exercise in the brain. Although the action of exercise on brain angiogenesis has been known for many years (10), it is not until recently that neurovascular adaptations in the hippocampus have been associated with cognitive function (29). Exercise enhances the proliferation of brain endothelial cells throughout the brain (113), hippocampal IGF gene expression (47), and serum levels of both IGF (178) and VEGF (63). IGF-1 and VEGF, apparently produced in the periphery, support exercise induced neurogenesis and angiogenesis, as corroborated by blocking the effects of exercise using antibodies against IGF-1 (47) or VEGF (63).
One almost overall finding, at least in endurance and strengthendurance athletes having OTS, is a diminished maximal lactate concentration, whereas submaximal values remain unchanged or slightly reduced.10 12 This is confirmed in the present study where OTS patients did not reach maximal lactate concentrations above 8 mmol l−1. Two out of the four NFO patients did not reach [La]max of 8 mmol l−1 at the first exercise test either (for one patient [La]max was missing). Thus, although low [La]max has frequently been described as a diagnostic marker for OTS, from these results, it does not seem sensitive enough to distinguish OTS from NFO.

Did you know that there are actually four types of exercise, all of which serve varied purposes? Everyone knows that routine exercise is very important for healthy adults for varied functions, including bone and muscle strength, weight-loss or weight maintenance, heart health and even cognitive health. But there are four different types of exercise: Aerobic (or endurance), strength, flexibility and balance.
The neurobiological effects of physical exercise are numerous and involve a wide range of interrelated effects on brain structure, brain function, and cognition.[33][34][35][36] A large body of research in humans has demonstrated that consistent aerobic exercise (e.g., 30 minutes every day) induces persistent improvements in certain cognitive functions, healthy alterations in gene expression in the brain, and beneficial forms of neuroplasticity and behavioral plasticity; some of these long-term effects include: increased neuron growth, increased neurological activity (e.g., c-Fos and BDNF signaling), improved stress coping, enhanced cognitive control of behavior, improved declarative, spatial, and working memory, and structural and functional improvements in brain structures and pathways associated with cognitive control and memory.[33][34][35][36][37][38][39][40][41][42] The effects of exercise on cognition have important implications for improving academic performance in children and college students, improving adult productivity, preserving cognitive function in old age, preventing or treating certain neurological disorders, and improving overall quality of life.[33][43][44]

When performed at high intensity until exhaustion, OLDE has been shown to induce both peripheral and central fatigue [11, 17, 18]. However, as the exercise performed in these studies did not take place on the same ergometer where neuromuscular function was tested, the extent of peripheral and central fatigue remained unclear. To avoid the need to transfer the participant from the exercising ergometer to the dynamometer (to assess muscle fatigue), we recently developed in our laboratory a OLDE protocol on a dynamometer, reducing the time delay between cessation of the exercise and start of neuromuscular testing [8]. In this study, we demonstrated that both peripheral and central fatigue significantly recovered between exhaustion and after three minutes, but also that high intensity OLDE alters cortical and spinal excitability. Previous studies [8, 11, 17, 18] describing muscle fatigue induced by high intensity OLDE focused only on isometric muscle fatigue (i.e. muscle fatigue measured during isometric contractions) and did not describe the extent of isokinetic muscle fatigue (i.e. muscle fatigue measured during isokinetic contractions) and its recovery. Consequently, an additional aim of this study was to describe the isokinetic muscle fatigue and its recovery induced by high intensity OLDE.
Anaerobic exercise differs from aerobic exercise in that it is comprised by short bursts of a high-intensity activity such as that repeated during strength training. While aerobic exercise uses oxygen for fuel (an early definition of aerobic is, after all, "living only in the presence of oxygen"), anaerobic exercise draws its fuel from carbohydrates. Anaerobic exercise also produces lactic acid, unlike aerobic exercise. To get started with some anaerobic exercises, check out this list of anaerobic exercises you can do anywhere. While anaerobic exercise does not burn as many calories as aerobic exercise burns, it will still help to improve respiratory and cardiovascular fitness. Additionally, because anaerobic exercise depletes energy more quickly than the blood can replenish the muscles' oxygen, the body's anaerobic metabolism kicks in, burning glucose as fuel. Even after the the anaerobic activity has stopped, the metabolism remains increased for up to several hours. If anaerobic exercise is repeated often, it will even have an effect on your resting metabolic rate. This will cause your body to burn more calories in general—even when you're sleeping.
Lie on your back with the knees bent and feet hip-width apart. Place arms at your side and lift up the spine and hips. Only the head, feet, arms, and shoulders should be on the ground. Then lift one leg upwards, keeping the core tight. Slowly bring the leg back down, then lift back up. Try to do 10 reps per leg, then bring the knee in place and spine back on the floor.
In just 30 minutes a day, you can get definition you’ve always wanted with Tony Horton’s P90X3 Base kit. You will enjoy unprecedented moves that bust your muscles on a daily basis and you won’t have to work out for hours at a time. These workouts are great for really challenging the user to push their limits and stick with a program that will get massive results. Included in the P90X3 workout are 16 30 minutes workouts, a Fitness Guide, a Nutrition Plan, Workout Calendar, “How to Accelerate” DVD and 24/7 support online. One of the things that make these exercise videos so popular is that there is a different workout every single day so boredom is a thing of the past.

A Polar (www.polar.fi) heart rate monitor (belt and watch) is used to measure heart rate continuously. A transmitter belt is fastened around the chest while the watch is held by a nearby observer. If at any time during the experiment the heart rate exceeds the predetermined ceiling (85% of age-predicted max heart rate) the experiment should be stopped immediately.
You’re also extremely adaptable, so it’s a great time to explore, play, and learn new physical skills. “Younger people can handle new elements in their workouts every few weeks,” says Anderson, who trains teen athletes as well as octogenarians. Strong bones and muscles, fewer injuries, quick recovery, and naturally high levels of anabolic hormones allow you to make faster progress than at any other point in your life.
Raphael AJ. Natural childbirth in twentieth century England; PhD thesis. London: Queen Mary University of London; 2010.  To create the method, Randell, (whose brother Francis William Randell and wife Jessie experienced two failed births in 1907 and 1913)24 Wildings & Thurleys, Cantophers & McConnells [Internet]. Hatches, matches and dispatches only. 2008 Nov 11 [cited 2015 Sep 23]. Available from: http://website.lineone.net/~hstjw/p32.htm#i549. [Google Scholar] was inspired by Ling’s philosophy and exercises of preventative medicine.22 Polden M, Mantle J. Physiotherapy in obstetrics and gynaecology. 2nd ed. Oxford: Butterworth Heinemann; 2004. [Google Scholar] Her repertoire included full-body movement exercises in the lying, sitting, and standing positions.25 Randell M. Training for childbirth from a mother's point of view. 4th ed. London: J. & A. Churchill Ltd.; 1949. [Google Scholar] The objectives of the pre-natal exercises were ‘to improve the physical and mental well being of the patient – encourage a cheerful and confident outlook towards her confinement and so to help herself effectively during labour’. Pre-natal training included education, stretching, relaxing, and deep breathing with many free arm movements to improve circulation. The daily home exercises were designed to improve muscle tone, increase flexibility, and control of movement. The post-natal exercises were designed to improve the condition of relaxed muscles, in particular the abdominal muscles, so that the figure is restored to normal after confinement.26 Wellcome Library [Internet]. Rodway H. Training for childbirth - and after (1940). 2015 Sep 24 [cited 2015 Oct 3]. Available from: http://wellcomelibrary.org/player/b16729006#?asi=0&ai=0. [Google Scholar] As a reflection of the women’s suffrage movement, Randell encouraged female students to use their knowledge and healthy physical ability to gain self-empowerment and help others to do the same. She encouraged women to teach spouses to perform and to teach the exercises calmly and confidently; to reinforce the teamwork between parents and to be of practical assistance during childbirth.25 Randell M. Training for childbirth from a mother's point of view. 4th ed. London: J. & A. Churchill Ltd.; 1949. [Google Scholar]

Exercise Videos and DVDs are a popular way people work out every day. There are a massive amount of exercise videos available that target all kinds of fitness goals. Trying to figure out which exercise videos are the best can be a real challenge. Our information can help. With all of the choices available is very easy to get overwhelmed and frustrated when you’re trying to figure out which videos are going to give you the results you are looking for. We’ve done a lot of research on the internet and studied professional fitness individuals and have compiled an exercise videos review that will take the guesswork out of which videos are the best and will help you narrow down the choices and decide on videos that will help you reach your goals.
18.  If you experience pain while working out, STOP! Although moving slowly drastically decreases the probability of injury, common sense dictates that if you feel pain, stop and try again a week later. Maybe you weren't hydrated enough, and maybe you need to reduce the resistance. And pain is not to be confused with a "burn". The expression, "No pain, no gain" is misleading. Pain is a warning to stop. A burning sensation simply means you've worked the muscle very intensely.
In line with Martin and colleagues [29] we found that women more often engaged in walking, swimming and dancing compared to men, while men more often performed jogging, cycling and winter sports. Our data also showed that men performed a higher amount of sessions with domestic activities and combined endurance and resistance training compared to women. The sex differences were the same in both training groups, indicating that disparities in type of exercise between older women and men are independent of the exercise intensity they are instructed to perform.

These may be your go-to lower-body moves, but if you do them mindfully—and with dumbbells—squats can double as an ab-firming opportunity. "When you lower into a squat, you have to draw the navel in and activate your pelvic floor to protect the lower back, and then you squeeze the glutes to rise, which are part of your core as well," says celebrity trainer Kira Stokes, creator of the Stoked Method workouts. Up the ante by holding weights or a bar overhead or across your shoulders in front of your body. (Kick your squats into high gear with these 16 booty-boosting squats.)
Within the MMB philosophical approach, the body’s nutritional and movement systems were integral. The key to maintaining a healthy digestive system and reducing fat percentage lay in regular exercise practice and a balanced diet. Checkley ridiculed fad diets, claiming they were unnecessary and irrelevant to a long-term solution.9 Checkley E. A natural method of physical training. New York (NY): William C. Bryant & Co.; 1890. [Google Scholar] Müller claimed that ‘When your digestive system has been invigorated through physical exercise you can safely eat almost every kind of food’.15 Müller JP. My system. London: Link House; 1904. [Google Scholar] Pilates recommended ‘to eat only enough food to restore the fuel consumed by the body’.46 Pilates J, Miller WJ. Return to life through Contrology. Nevada: Presentation Dynamics; 1945. [Google Scholar]
I read "Superslow: The Ultimate Exercise Protocol" back in 2000. Then relatively new to learning about exercise and bodybuilding I found it to be a truly fascinating and very challenging read. Not only was the material challenging in the intellectual sense but also in a philosophical sense. It was turning much of what I believed about "exercise" upside down. So meatheads and gym-rats be warned, "Superslow" is a highly technical book that the typical bodybuilder or exercise enthusiast would find "boring" (see other reviews here on Amazon) because it isn't full of ridiculous promises about gigantic, ripped muscles and marketing jargon for selling supplements. What it is is a very thorough analysis of the variety of benefits one can derive (regardless of their limited genetics) from properly performed exercise and the many proven pitfalls associated with a low-intensity and high workload/volume. The book also provides an in-depth history lesson on the continually evolving refinements to Arthur Jones' Nautilus principles. Hutchins' dogged determination to continually seek a safer and more effective way for people to exercise is admirable and shows his devotion to sound scientific principles.
This online exercise and equipment guide is an interactive reference tool that describes how to perform all pieces of resistance training exercise equipment in the ARC with proper technique and form. It provides descriptions on how to correctly perform other basic resistance exercises which involve dumbbells and free weights. To use this “muscle map” you may search using the name of the exercise, the anatomical muscle group, or the body part. You may also search by location of interest, including the Fitness Lab, Wellness Lab, and the Circuit upstairs.

Squat Jacks are a surefire way to tone your legs and butt ,as well as your inner and outer thighs and provide a serious cardio blast and calorie burn in just 30 seconds. Marks says to do the following: Begin in a squat position, with your feet slightly wider than hip-width and place your hands behind your head, elbows wide. Keeping your core engaged, jump your feet in together, while maintaining a squat position. Quickly jump your feet back wide to the starting position. Be sure to keep your knees behind your toes the entire time.


Rather than doing your meetings over coffee, why don’t you invite people to go for a walking meeting? Steve Jobs, Winston Churchill and many U.S. Presidents have been huge advocates of this practice for both health and camaraderie purposes. Even if you’re just taking a phone call, use it as an opportunity to take a walk around the block or to your next destination.
Jane Fonda’s Original Workout. The original. The classic. The one and only. Jane Fonda! Throwback your fitness routine (and break out the leg warmers!) with a workout video from this ‘80s exercise genius. Fonda will take you through aerobics, strength, and flexibility movements with options for beginners and advanced. The video is available for $9.99.
Trainer Sara Haley loves 30 seconds a day of a core building exercise called resistance fight, which is especially great for those who’ve had children. “Lie on your back and lift one leg up to tabletop so that your knee is in line with your hip. Take your opposite hand and push against your thigh,” she says. “As you try to push your leg away with your hand, resist by pushing your leg into your hand in opposition. While all this is happening, you should be focusing on pulling your navel towards your spine and closing your rib cage. You may feel your body start to shake.” Be sure to hold for 15 seconds on each side. If your ears perked up at the mention of this being a great move for moms, then make sure you also look out for your kiddos with our report on 13 Scary Ingredients in Your Kid’s Lunch Box, Exposed!.
Notice in the workouts below that your first set calls for eight reps, your second set 10 reps and your third set 12. This is referred to in bodybuilding circles as a “reverse pyramid” (a standard pyramid goes from higher to lower reps), where you decrease the weight each set to complete the higher rep count. For example, if on your first set of lat pulldowns you used 140 pounds for eight reps, try using 120 or 130 pounds on set two and 100–120 pounds on set three.

The good-morning is a weight training exercise in which a barbell, two dumbbells, or no weight at all is held on the shoulders, behind the head. The person bends forward and bows at the hips and recovers to upright. The good-morning is so called because the movement resembles bowing to greet someone. It involves the hamstrings but is primarily used to strengthen the lower back; the degree of knee bend used will change the focus – nearly straight-legged involving the hamstrings most.
Regular aerobic exercise improves symptoms associated with a variety of central nervous system disorders and may be used as an adjunct therapy for these disorders. There is clear evidence of exercise treatment efficacy for major depressive disorder and attention deficit hyperactivity disorder.[43][48][52][53][54][55] The American Academy of Neurology's clinical practice guideline for mild cognitive impairment indicates that clinicians should recommend regular exercise (two times per week) to individuals who have been diagnosed with this condition.[56] Reviews of clinical evidence also support the use of exercise as an adjunct therapy for certain neurodegenerative disorders, particularly Alzheimer’s disease and Parkinson's disease.[57][58][59][60][61][62] Regular exercise is also associated with a lower risk of developing neurodegenerative disorders.[60][63] A large body of preclinical evidence and emerging clinical evidence supports the use of exercise therapy for treating and preventing the development of drug addictions.[64][65][66][67][68] Regular exercise has also been proposed as an adjunct therapy for brain cancers.[69]
Leg muscle pain, defined as “the intensity of hurt that a subject feel in his quadriceps muscles only” [26], was measured during the incremental test (at the end of each minute) and during the time to exhaustion tests (at the end of the warm-up and every 30 s) using the Cook scale [26]. Standardized instructions for the scale were given to each subject before the warm-up. Briefly, subjects were asked to rate the feelings of pain specifically in their quadriceps and not to report other pains they may have experienced (e.g., seat discomfort). Subjects were also asked to not use this rating as an expression of perceived effort [24].
A systematic review evaluated 45 studies that examined the relationship between physical activity and cancer survivorship. According to the review, "[there] was consistent evidence from 27 observational studies that physical activity is associated with reduced all-cause, breast cancer–specific, and colon cancer–specific mortality. There is currently insufficient evidence regarding the association between physical activity and mortality for survivors of other cancers."[29] Although there is only limited scientific evidence on the subject, people with cancer cachexia are encouraged to engage in physical exercise.[30] Due to various factors, some individuals with cancer cachexia have a limited capacity for physical exercise.[31][32] Compliance with prescribed exercise is low in individuals with cachexia and clinical trials of exercise in this population often suffer from high drop-out rates.[31][32]
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.
Video Abstract for the ESSR 44.3 article Peripheral Blood Flow Regulation in Human Obesity and Metabolic Syndrome from author Jacqueline K. Limberg. Both obesity and metabolic syndrome are important cardiovascular disease risk factors. In this review, we explore the hypothesis that young obese adults and adults with metabolic syndrome exhibit alterations in blood flow regulation that occur before the onset of overt cardiovascular dysfunction.
Super setting means pairing two exercises and doing them back-to-back, explains Lefkowith. There are a few ways to do these: You could save time by working two different muscle groups (like arms and legs) so you don’t need to rest in between exercises, because one muscle group is recovering while the other is working. Or, you could do two exercises that work the same area to completely fatigue one muscle group. Another option is to pair “push” and “pull” movements—for example, a push-up and a pull-up. “Super sets can be helpful if you are short on time and still want to focus on building strength,” explains says Lefkowith. And because you’re doing movements paired together, you’re likely to raise your heart rate, too.

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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