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Physical Activity and Public Health-Reply FREE

Russell R. Pate, PhD
JAMA. 1995;274(7):535-535. doi:10.1001/jama.1995.03530070031018
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In Reply.  —These letters raise important issues pertinent to the previously published recommendation on physical activity and public health. Dr Mauer correctly notes that from a biological standpoint, physical activity performed in the occupational setting is expected to be as beneficial as that performed during leisure time.1,2 Because the trend toward decreasing occupational physical activity is profound and seems unlikely to reverse, the panelists chose to emphasize strategies for promotion of leisure-time physical activity. Increasing the physical activity level of our society will require an array of social and physical environmental changes that collectively have the effect of making physical activity more attractive and accessible. While occupational physical activity is beneficial, we suspect that future increases in physical activity will occur primarily during leisure time.Mr Pugh and colleagues appropriately point out that higher levels of physical activity are associated with higher rates of musculoskeletal injury.3,4 Our panelists

REFERENCES

Morris JN, Heady JA, Raffle PAB, Roberts CG, Parks JW.  Coronary heart disease and physical activity of work. Lancet . 1953;;2:1053-1057.
Paffenberger RS, Hale WE.  Work activity and coronary heart mortality. N Engl J Med . 1975;;292:545-550.
Sandelin J, Santavirta S, Lattila R, Vuolle P, Sarna S.  Sports injuries in a large urban population: occurrence and epidemiological aspects. Int J Sports Med . 1988;; 9:61-66.
Matheson GO, Macintyre JG, Taunton JE, Clement DB, Lloyd-Smith R.  Musculoskeletal injuries associated with physical activity in older adults. Med Sci Sports Exerc . 1989;;21:379-385.
American College of Sports Medicine.  Position stand on the recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness in healthy adults. Med Sci Sports Exerc . 1990;;22:265-274.

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Morris JN, Heady JA, Raffle PAB, Roberts CG, Parks JW.  Coronary heart disease and physical activity of work. Lancet . 1953;;2:1053-1057.
Paffenberger RS, Hale WE.  Work activity and coronary heart mortality. N Engl J Med . 1975;;292:545-550.
Sandelin J, Santavirta S, Lattila R, Vuolle P, Sarna S.  Sports injuries in a large urban population: occurrence and epidemiological aspects. Int J Sports Med . 1988;; 9:61-66.
Matheson GO, Macintyre JG, Taunton JE, Clement DB, Lloyd-Smith R.  Musculoskeletal injuries associated with physical activity in older adults. Med Sci Sports Exerc . 1989;;21:379-385.
American College of Sports Medicine.  Position stand on the recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness in healthy adults. Med Sci Sports Exerc . 1990;;22:265-274.
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To understand the clinical management of acute heart failure syndromes.
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