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John W. Shuman, M.D.
JAMA. 1925;85(7):536. doi:10.1001/jama.1925.02670070056030.
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To the Editor:  —Your editorial (The Journal, July 25, p. 270) advocating "graded constant calisthenics, exercise, athletics and outdoor life" and decrying "competitive athletics" reads as if written by a nonathletic pacifist, who graced the bleachers (if he attended athletics at all) during and after his college life and who takes his exercises from a phonograph, radio or sport page."Care-of-the-body," "keeping-fit" and "survival of the fittest" are all hashed-over, time-honored subjects. The spirit of progress demands speed and endurance. Monotony and tedious routine do not yield happiness (the ultimate aim of life) to the average human being; variety, competition, victory and defeat do. The trained man in medicine who was a trained athlete finds few instances wherein athletics strenuously done produced any ill effects, especially in reference to the heart. On the other hand, he does find many persons, especially women (who were never athletes in any sense of


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