Do the national exercise guidelines need a change? That’s a question raised by a new study by researchers at the National Cancer Institute and the National Institutes of Health.

Americans
are bombarded with mixed messages: Exercise only counts if you do it
this way or that way, or for a short time or a long time. Confused,
some
seem to be willing to sit down on the couch and wait till all the
recommendations are straightened out. But with the benefits of exercise
so important to health, this study hopes to bring some clarity and
reassure people that some is better than none -- and that it is linked
to curtailing premature death.
"Virtually all [studies] report that higher volume of [moderate or vigorous physical activity,
MVPA], whether performed intermittently or in sustained bouts, lowers
all-cause mortality," wrote Deborah Rohm Young and William L. Haskell in
an editorial accompanying research published in the Journal of the American Heart Association.
The
old benchmark of 150 minutes per week of moderate activity (or 75
minutes of vigorous activity) originated in 1995. The “rules”: Each time
you exercise, it should be for at least 10 minutes.
"For
about 30 years, guidelines have suggested that moderate-to-vigorous
activity could provide health benefits, but only if you sustained the
activity for 10 minutes or more," an author of the research, William E.
Kraus, M.D., of the Duke University School of Medicine, said in a press
release. "That flies in the face of public health recommendations, like
taking the stairs instead of the elevator, and parking farther from your
destination. Those don't take 10 minutes, so why were they
recommended?"

The
new study finds that the length of each bout or episode of exercise is
unrelated to the benefit seen in living longer. Five minutes of jogging,
researchers said, “counts” toward better health.
The
study used information from accelerometers, like those found in
cellphones and FitBit watches, which can measure certain types of
motion. Researchers utilized the ActiGraph AM-7164 and corresponding
information from the National Center for Health Statistics and the
National Health and Nutrition Examination Survey of 2003 to 2006.
To
be counted in the study, the people wearing the ActiGraph had to wear
it at least one day, for at least 10 hours, up to a maximum of a week.
Researchers followed almost 5,000 people over the age of 40 for more
than six years. They considered the people in two groups: Those who had
bouts of exercise approximately five minutes in length, and those whose
exercise lasted more than 10 minutes.
Getting
about 60 minutes per day of moderate-to-vigorous physical activity cut
the risk of death over the time period by half, while getting about 100
minutes per day cut the risk to approximately 75 percent -- and it was
the total time moving, not the length of exercise that mattered.
Those
exercising at the highest rate were rare. Young and Haskell cautioned
that "the majority of our sample did not accumulate any
[moderate-to-vigorous physical activity] in bouts of 10 minutes with
[the higher] threshold." The analysis cites “unpublished findings” that
they claim bolster their argument.
The
editorial warns that this study didn’t discriminate between intentional
exercise sets (going for a brisk walk) and unintentional physical
activity (walking around the house doing chores, or walking up a flight
of stairs).
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