A higher effort-based paradigm in physical activity and exercise for public health: making the case for a greater emphasis on resistance training

BMC Public Health

Debate

David Nunan¹  Paul Estabrooks²  Andrew Vigotsky³  Dave Smith⁴  Stuart Phillips⁵  Simon Jobson⁶  Garry Tew⁷  Richard Winett⁸  Alan M. Batterham⁹  Jamie M. O’Driscoll^1,10  Chris Beedie^1,11  Chris Dunn^1,12  James Steele^1,12  Martin Skivington^1,12  Josh Arnold^1,12  James Fisher^1,12  Steven Mann^1,13 

[1] Centre for Evidence-Based Medicine, Nuffield Department of Primary

[2] Care Health Sciences, University of Oxford, OX2 6GG, Oxford, UK;College of Public Health, University of Nebraska Medical Centre, Omaha, NE, USA;Department of Biomedical Engineering, Northwestern University, Evanston, IL, USA;Department of Exercise and Sport Science, Manchester Metropolitan University, CW1 5DU, Crewe, UK;Department of Kinesiology, McMaster University, Hamilton, ON, Canada;Department of Sport & Exercise, University of Winchester, SO22 4NR, Winchester, UK;Exercise and Health Sciences Department: Sport, Exercise and Rehabilitation, Northumbria University, NE1 8ST, Newcastle, UK;Psychology Department, Virginia Tech, Blacksburg, VA, USA;School of Health and Social Care, Teesside University, TS1 3BA, Middleborough, UK;School of Human and Life Sciences, Canterbury Christ Church University, CT1 1QU, Kent, UK;School of Human and Life Sciences, Canterbury Christ Church University, CT1 1QU, Kent, UK;UK Active Research Institute, UK Active, WC1R 4HE, London, UK;School of Sport, Health, and Social Science, Southampton Solent University, SO14 0YN, Southampton, UK;UK Active Research Institute, UK Active, WC1R 4HE, London, UK;

关键词: Physical activity;    Exercise;    Fitness;    Cardiorespiratory;    Strength;    Muscle;    Public health;    Morbidity;    Mortality;   

DOI  :  10.1186/s12889-017-4209-8

 received in 2016-11-26, accepted in 2017-03-31,  发布年份 2017

来源: Springer

【 摘 要 】

It is well known that physical activity and exercise is associated with a lower risk of a range of morbidities and all-cause mortality. Further, it appears that risk reductions are greater when physical activity and/or exercise is performed at a higher intensity of effort. Why this may be the case is perhaps explained by the accumulating evidence linking physical fitness and performance outcomes (e.g. cardiorespiratory fitness, strength, and muscle mass) also to morbidity and mortality risk. Current guidelines about the performance of moderate/vigorous physical activity using aerobic exercise modes focuses upon the accumulation of a minimum volume of physical activity and/or exercise, and have thus far produced disappointing outcomes. As such there has been increased interest in the use of higher effort physical activity and exercise as being potentially more efficacious. Though there is currently debate as to the effectiveness of public health prescription based around higher effort physical activity and exercise, most discussion around this has focused upon modes considered to be traditionally ‘aerobic’ (e.g. running, cycling, rowing, swimming etc.). A mode customarily performed to a relatively high intensity of effort that we believe has been overlooked is resistance training. Current guidelines do include recommendations to engage in ‘muscle strengthening activities’ though there has been very little emphasis upon these modes in either research or public health effort. As such the purpose of this debate article is to discuss the emerging higher effort paradigm in physical activity and exercise for public health and to make a case for why there should be a greater emphasis placed upon resistance training as a mode in this paradigm shift.

【 授权许可】

CC BY   
© The Author(s). 2017