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Not Exercising Worse For Your Health Than Smoking, Diabetes and Heart Disease, Study Reveals (cnn.com)

An anonymous reader quotes a report from CNN: We've all heard exercise helps you live longer. But a new study [published in the journal JAMA Network Open] goes one step further, finding that a sedentary lifestyle is worse for your health than smoking, diabetes and heart disease. Researchers retrospectively studied 122,007 patients who underwent exercise treadmill testing at Cleveland Clinic between January 1, 1991 and December 31, 2014 to measure all-cause mortality relating to the benefits of exercise and fitness. Those with the lowest exercise rate accounted for 12% of the participants. Dr. Wael Jaber, a cardiologist at the Cleveland Clinic and senior author of the study, said the other big revelation from the research is that fitness leads to longer life, with no limit to the benefit of aerobic exercise. Researchers have always been concerned that "ultra" exercisers might be at a higher risk of death, but the study found that not to be the case. "There is no level of exercise or fitness that exposes you to risk," he said. "We can see from the study that the ultra-fit still have lower mortality."

20 of 213 comments (clear)

  1. Worked for me by MikeDataLink · · Score: 5, Interesting

    I had high blood pressure, borderline blood sugar levels, anxiety, and a big belly.

    I started an evening exercise routine, lost 30 lbs. Blood pressure is perfect, blood sugar normal, anxiety gone, and my pants fit again.

    --
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    1. Re:Worked for me by MikeDataLink · · Score: 5, Informative

      What was your exercise program like ?

      Super simple.

      I walk-jog about 30-45 minutes at least 3-4 days a week.
      I do very light weight training with dumbells 3-4 days a week.

      Nothing more. I also significantly reduced my calorie intake by cutting junkfood mostly.

      --
      Mike @ The Geek Pub. Let's Make Stuff!
    2. Re:Worked for me by F.Ultra · · Score: 3, Interesting

      I also significantly reduced my calorie intake by cutting junkfood mostly.

      Not that it's not great that you exercise but the real answer to you feeling better is what you did here. Weight loss (which mostly comes from calorie restriction and not exercise, however exercise is great for many other things) is THE major indicator for improving health vitals in all studies.

    3. Re:Worked for me by alvinrod · · Score: 5, Interesting

      I've heard the opposite and that it actually takes pathetically little effort to get a large amount of benefit, as in 15 minutes of brisk walking each day and it's going to have an impact. This has even been previously covered on Slashdot.

      If you want to look like Mr. Universe or something like that, obviously you'll need to do a substantial daily workout, but basic health benefits don't require all that much. Just because you don't look like a gym rat doesn't mean that you're completely unhealthy. The minimum amount of exercise might not let you run a marathon in anything approaching a good time, but it will mean you live longer and will probably be happier as well.

    4. Re:Worked for me by arth1 · · Score: 4, Informative

      I only went from 30 BMI to a 28 BMI, which doesn't sound like much and still puts me as obese

      No, 30+ is obese. 25-30 is "merely" overweight.
      I'd still recommend that you start moving more and get more fit and lean. Glad you're on the right track with food, but that's not the whole equation, as I'm sure you know.

    5. Re:Worked for me by arth1 · · Score: 5, Insightful

      Weight loss (which mostly comes from calorie restriction and not exercise, however exercise is great for many other things)

      I hear this a lot, and it's false. People look for easy solutions and excuses, and it's a heck of a lot easier to do a diet than change your lifestyle, and this is an excuse for doing just that. But it's not true.
      Calorific deficit is what causes weight loss.
      If you do it through diet, chances are you lose both fat and muscle, and the deficit cannot be all that large or you'll get other deficiency problems. And at any rate, you cannot eat less than zero.
      If you do it through exercise, you'll only lose fat, not muscle, and the deficit can be as high as you push it.

      The reason I can state with certainty that you can lose weight (and more importantly, fat) through exercise and not calorie restriction is that I did it. It was simple maths: I burned around 1500 kcal a day if doing nothing, and no safe diet would be under 1000 kcal a day (and even that's pushing it). So that would be a 500 kcal deficit per day. But if I started exercising, burning 3000 kcal a day, without changing my calorie intake, that would be a 1500 kcal deficit per day.
      The path was clear, and it worked beautifully.

      The main problem was all the times people asked what diet I was on, and how they wouldn't believe me when I told them "none", because of the old wives' tale that weight loss starts in the kitchen and is 80% diet. It's a bloody lie that people use as an excuse for not getting off the couch.

      Now I am lean and no longer lose weight, but I continue exercising and simply eat more to keep my weight.

    6. Re:Worked for me by e3m4n · · Score: 3

      cardio doesn't directly help you lose weight by burning calories. Mathematically the 600 calories you burn in a workout doesn't add up to the weight you lose each week. However, it does increase your metabolism so that your basic metabolic rate increases, thereby burning more calories when your not working out also. Similarly by increasing your muscle mass also helps increase your BMR.

    7. Re:Worked for me by e3m4n · · Score: 3

      drinking 6, 16.9oz(500ml), bottles of water (even flavored with mio) every day really helps flush the extra salts out of your body.

    8. Re:Worked for me by Powercntrl · · Score: 3, Interesting

      Face it, our biology did not develop over tens of thousands of years for sitting around most of the time.

      You'd think this would be something they could fix with genetic engineering by looking at feline DNA. Cats are lazy as fuck and seem no worse for it.

      --

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    9. Re:Worked for me by nightfire-unique · · Score: 3, Insightful

      Sorry - that may have sounded too accusatory.

      Remember that: the calorie readout on gym machines is fake (and generally includes your BMR). Averages include rest days. People always underestimate how much they eat, and overestimate how much they burn.

      --
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  2. Why is this on Slashd... by 93+Escort+Wagon · · Score: 5, Funny

    Oh.

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  3. turns out I was right all along by c6gunner · · Score: 5, Funny

    I've thought about quitting smoking, but I always figured my lack of exercise would kill me long before the smoking did. Now I have scientific proof that my theory was sound! Thank you, JAMA, for setting my mind at ease!

  4. What if I don't WANT to have a long life? by IGnatius+T+Foobar · · Score: 3, Interesting

    Seriously ... what if I don't *want* to have a long life? There are a lot of old people out there who are bored, lonely, and too healthy to have any hope of dying anytime soon. That's a worse fate than having a decent life and then dying before it starts to suck. I'm 47 now, and everything is fantastic -- family, career, home, etc. Ideally, I would like to die at 52, but I'd like to have unlimited 5-year extensions available. I don't want to find myself sitting around at 80 with nothing to do and wishing I was dead. I'd rather *be* dead.

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    1. Re:What if I don't WANT to have a long life? by Misagon · · Score: 4, Interesting

      The point is not to become old.
      The point is to be healthy when you have become old.

      It is when you have realised that you will never be able to do the things that you want to do that you wish you'd rather be dead.

      --
      "We mustn't be caught by surprise by our own advancing technology" -- Aldous Huxley
    2. Re:What if I don't WANT to have a long life? by arth1 · · Score: 3, Insightful

      Just don't run up my insurance premiums with your self-destructive habits, ok?

      If he dies young, he probably won't. The health insurance payout per person per year grows exponentially with age, and your premium is high chiefly because of those who live long disease-ridden lives and spend years at nursing facilities.

      I think every person who retires should be given a Dodge Demon and a case of Scotch, paid for by the health insurance company. It would be cheaper.

  5. It's your fault by DogDude · · Score: 5, Insightful

    The world is an infinitely interesting place that you and I will never have any idea of understanding a fraction of it. If you're bored, that's your problem. Pick something to do and quit being such a pussy.

    --
    I don't respond to AC's.
  6. "no leve" that exposes you to risk, lol please by Anonymous Coward · · Score: 3, Insightful

    "There is no level of exercise or fitness that exposes you to risk,"

    Spoken like a true statistician. However, the statement is provably false. Rhabdomyolysis in the Crossfit community is a thing. There are levels of exercise that expose you to risk, however extreme they might be. The fact that putting yourself into a "group" that is statistically healthier does not mean you are risk-free. That statement just strikes me as completely moronic, though I didn't RTFA so maybe he qualified it at some point, I don't know.

    This is not an argument against fitness. I absolutely believe in being fit and it's obvious that being fit improves and extends life, in general. But to make a blanket statement like ""There is no level of exercise or fitness that exposes you to risk" is just naïve or lazy.

  7. correlation is not causation by mamba-mamba · · Score: 3, Informative

    This study does not prove what it purports to prove. Namely, that people who are currently sedentary will live longer and be healthier if they change their habits to get more exercise.

    In order to show that, you would need to recruit sedentary people, then create an experimental group and a control group, and randomly assign participants to one group or the other. The control group would simply be monitored. The experimental group would receive an intervention that (ideally) caused them to exercise more. All participants would be tracked until death and then you could see whether the intervention was successful.

    The flaw in the current study is the assumption that sedentary habits are the CAUSE of high mortality. But it may simply be that some underlying trait (such as diet or a metabolic disorder) is responsible for both the sedentary habit AND the higher mortality. In other words, maybe healthy people are more likely to go exercise in the first place, because they have more energy and feel good.

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  8. Yes, but what about booze and drugs? by petes_PoV · · Score: 3, Interesting

    a sedentary lifestyle is worse for your health than smoking, diabetes and heart disease.

    What I need is a list of options. How to balance the things I like with the things that will prolong my life to a reasonable extent (so I can continue enjoying myself).

    While it might be nice to live to a grand old age, for most people their ability to be happy in old age is limited by available cash, friends / relatives who still survive (I.e. a support network) and the physical and mental faculties to enable independent thought and movement.

    Another important point, not mentioned, is that of diminishing returns, At what point does the extra time required for exercise, including preparation, travel, showering, laundry, etc. take up more of a person's life than it is likely to extend it by? If someone spends an hour at the gym, 4 days a week (plus another hour for travelling, showering, etc) that is 400 hours a year. That is hours taken not from your *life* but from your quality time: after sleeping, chores, work, commuting, etc. That could easily be 25% of all your discretionary leisure time. So over 40 years of working, that amount of exercise would need to extend your life by an additional 10 years just to make up for the "lost" quality time you spent doing it.

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  9. Re:Check funding by unimacs · · Score: 3, Insightful

    Did you really check the funding? I saw the study was done by the Cleveland Clinic which is pretty well respected but it wasn't apparent what the funding source was.

    The fitter your body, the better it is able to handle strain on your system. That level of fitness is improved by exercise (straining your system), but in degrees. Equally important to improving fitness are adequate rest and recovery along with proper nutrition.

    There is of course such a thing as over training which will decrease your fitness. The study didn't measure how much people exercised. It measured how fit they were. The fitter people were, the longer they lived and there did not seem to be a point at which improved fitness didn't improve their chances at a longer life.

    The study didn't say that there was no upper limit on how fit a person could be. My guess is that there's a certain level of fitness a person can achieve beyond which it becomes very difficult to become any fitter.