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Physical Activity Guidelines for Americans From the US Department of Health and Human Services: Cardiovascular Benefits and Recommendations
Open accessAbstract
he American Heart Association focuses on reducing factors known to increase risk for heart disease and stroke through Life's Simple 7. By focusing on these factors, American Heart Association seeks to both improve the cardiovascular health of all Americans and reduce deaths from cardiovascular disease and stroke by 20% by the year 2020. 1 Physical activity has a strong and positive impact on several of these factors-blood pressure, blood glucose, and body weight, in addition to overall risk for cardiovascular disease incidence and mortality.With the recent release of the second edition of the Physical Activity Guidelines for Americans (PAG), 2 more is known about the benefits of physical activity, and the news is good-benefits start even earlier and are easier to obtain than was previously thought.The PAG is based on the work of a 17-member Advisory Committee that conducted an extensive review of the literature on physical activity and health.The Advisory Committee graded the evidence as strong, moderate, limited, or grade not assignable and summarized its findings in the 2018 Physical Activity Guidelines Advisory Committee Scientific Report.3 Evidence graded as strong or moderate was used as the basis for the PAG.Some of the strongest evidence was on risk factors for cardiovascular disease that can be modified by physical activity, including blood pressure, blood glucose, blood lipids, and body weight.The PAG recommends that adults do at least 150 to 300 minutes of moderate-intensity aerobic physical activity a week, or 75 to 150 minutes of vigorousintensity activity, or an equivalent combination of moderate-and vigorous-intensity activity.The key guidelines for adults are described in Table 1.Intensity can be measured in different ways but generally can be determined using the talk test.During moderate-intensity activity, a person can talk, but not sing.During vigorous-intensity activity, a person cannot say more than a few words without pausing for a breath.Adults should also do muscle-strengthening activities of moderate or greater intensity, and that involve all major muscle groups on ≥2 days a week.Currently, only 22% of adults meet the combined aerobic and muscle-strengthening targets, whereas 36% report doing no leisure-time physical activity.4 LESS PHYSICAL ACTIVITY IS NEEDED THAN PREVIOUSLY THOUGHT TO OBTAIN BENEFITSAlthough meeting the PAG should be the goal, the threshold at which health benefits begin to accrue is less than 150 minutes a week for most outcomes.The biggest bang for your buck is moving from being inactive to doing some physical activity each week.There is no lower limit to the benefits of physical activity in reducing cardiovascular disease risk.The amount of physical activity recommended in the PAG takes into account the wide range of health outcomes associated with
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“Although meeting the PAG should be the goal, the threshold at which health benefits begin to accrue is less than 150 minutes a week for most outcomes.”
§ Physical Activity Guidelines for Americans From the US Department of Health and Human Services Cardiovascular Benefits and Recommendations > Abstract
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“The positive relationship between overall cardiovascular health and regular physical activity is well established.”
§ Physical Activity Guidelines for Americans From the US Department of Health and Human Services Cardiovascular Benefits and Recommendations > PHYSICAL ACTIVITY PREVENTS CARDIOVASCULAR DISEASE
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“On the other end of the spectrum, additional physical activity confers additional benefits, and health risk does not seem to increase with high amounts of physical activity, even beyond 3 to 5 times the 150 minutes a week recommendation.”
§ Physical Activity Guidelines for Americans From the US Department of Health and Human Services Cardiovascular Benefits and Recommendations > Abstract
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In the paper
“This means parking farther away from the store or walking up the stairs instead of taking the elevator-even if it is only a few minutes of activity-contributes to overall benefits.”
§ Physical Activity Guidelines for Americans From the US Department of Health and Human Services Cardiovascular Benefits and Recommendations > ACHIEVING PHYSICAL ACTIVITY BENEFITS IS EASIER
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“Compared with inactive adults, meeting the PAG is associated with a 14% reduced risk of developing coronary heart disease.3”
§ Physical Activity Guidelines for Americans From the US Department of Health and Human Services Cardiovascular Benefits and Recommendations > PHYSICAL ACTIVITY PREVENTS CARDIOVASCULAR DISEASE
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“Research has not identified an upper limit of activity, above which additional health benefits cease to occur.”
§ Physical Activity Guidelines for Americans From the US Department of Health and Human Services Cardiovascular Benefits and Recommendations > PHYSICAL ACTIVITY PREVENTS CARDIOVASCULAR DISEASE
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In the paper
“A significant update with the PAG is that any amount of physical activity counts toward the weekly total.”
§ Physical Activity Guidelines for Americans From the US Department of Health and Human Services Cardiovascular Benefits and Recommendations > ACHIEVING PHYSICAL ACTIVITY BENEFITS IS EASIER
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In the paper
“This same relationship exists for cardiovascular disease mortality and is similar to the relationship between physical activity and allcause mortality.”
§ Physical Activity Guidelines for Americans From the US Department of Health and Human Services Cardiovascular Benefits and Recommendations > PHYSICAL ACTIVITY PREVENTS CARDIOVASCULAR DISEASE
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“Interestingly, people with prehypertension gain greater benefits from physical activity.Blood pressure is lowered more for people with prehypertension than people with normal blood pressure.”
§ Physical Activity Guidelines for Americans From the US Department of Health and Human Services Cardiovascular Benefits and Recommendations > PHYSICAL ACTIVITY PREVENTS CARDIOVASCULAR DISEASE
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In the paper
“A strong inverse dose-response relationship was observed between physical activity and the incidence of cardiovascular disease, including stroke and heart failure.”
§ Physical Activity Guidelines for Americans From the US Department of Health and Human Services Cardiovascular Benefits and Recommendations > PHYSICAL ACTIVITY PREVENTS CARDIOVASCULAR DISEASE
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In the paper
“Those who meet the PAG will achieve about 75% of the maximal risk reduction in all-cause mortality and approximately a 40% reduction in cardiovascular disease mortality.3”
§ Physical Activity Guidelines for Americans From the US Department of Health and Human Services Cardiovascular Benefits and Recommendations > PHYSICAL ACTIVITY PREVENTS CARDIOVASCULAR DISEASE
What the sources say
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“Evidence shows that getting a minimum bout (previously 10 minutes in duration in the first edition of the PAG) is no longer necessary to accumulate the benefits of physical activity; the total amount is what matters.”
§ Physical Activity Guidelines for Americans From the US Department of Health and Human Services Cardiovascular Benefits and Recommendations > ACHIEVING PHYSICAL ACTIVITY BENEFITS IS EASIER
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In the paper
“Physical activity has a strong and positive impact on several of these factors-blood pressure, blood glucose, and body weight, in addition to overall risk for cardiovascular disease incidence and mortality.”
§ Physical Activity Guidelines for Americans From the US Department of Health and Human Services Cardiovascular Benefits and Recommendations > Abstract
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In the paper
“The Advisory Committee highlighted its confidence in the relationship, noting the strength of the evidence is unlikely to be modified by additional studies on this topic.”
§ Physical Activity Guidelines for Americans From the US Department of Health and Human Services Cardiovascular Benefits and Recommendations > PHYSICAL ACTIVITY PREVENTS CARDIOVASCULAR DISEASE
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In the paper
“In both populations, the blood pressure reductions associated with regular physical activity can reduce the risk of coronary heart disease by 4% to 5% and stroke by 6% to 8%. 3”
§ Physical Activity Guidelines for Americans From the US Department of Health and Human Services Cardiovascular Benefits and Recommendations > PHYSICAL ACTIVITY PREVENTS CARDIOVASCULAR DISEASE
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In the paper
“Some of these benefits may be attributable to physical activity's impact on circulation.”
§ Physical Activity Guidelines for Americans From the US Department of Health and Human Services Cardiovascular Benefits and Recommendations > CONCLUSIONS
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In the paper
“A new area of study for the Advisory Committee was brain health, which showed acute benefits of physical activity in reducing anxiety and improving cognition.”
§ Physical Activity Guidelines for Americans From the US Department of Health and Human Services Cardiovascular Benefits and Recommendations > CONCLUSIONS
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In the paper
“Among adults with hypertension, physical activity can reduce blood pressure, reduce the risk of increased blood pressure over time, and thereby slow the progression of cardiovascular disease.”
§ Physical Activity Guidelines for Americans From the US Department of Health and Human Services Cardiovascular Benefits and Recommendations > PHYSICAL ACTIVITY SLOWS THE PROGRESSION OF CARDIOVASCULAR DISEASE
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In the paper
“Although this article focuses on cardiovascular health, the benefits of physical activity are extensive and affect many aspects of health, both physical and mental.”
§ Physical Activity Guidelines for Americans From the US Department of Health and Human Services Cardiovascular Benefits and Recommendations > CONCLUSIONS
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In the paper
“Long-term physical activity is linked with reducing risk of dementia, risk of depression, and improving quality of life.”
§ Physical Activity Guidelines for Americans From the US Department of Health and Human Services Cardiovascular Benefits and Recommendations > CONCLUSIONS
What the sources say
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In the paper
“Sedentary behavior is strongly associated with increased risk of cardiovascular disease mortality, cardiovascular disease, high blood pressure, and type 2 diabetes mellitus.”
§ Physical Activity Guidelines for Americans From the US Department of Health and Human Services Cardiovascular Benefits and Recommendations > Decreased incidence of hypertension.
What the sources say
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In the paper
“Among adults with type 2 diabetes mellitus, physical activity can reduce hemoglobin A1C, blood pressure, body mass index, and blood lipids, all indicators of type 2 diabetes mellitus progression.”
§ Physical Activity Guidelines for Americans From the US Department of Health and Human Services Cardiovascular Benefits and Recommendations > PHYSICAL ACTIVITY SLOWS THE PROGRESSION OF CARDIOVASCULAR DISEASE
What the sources say
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In the paper
“Adults should also do muscle-strengthening activities of moderate or greater intensity, and that involve all major muscle groups on ≥2 days a week, as these activities provide additional health benefits.”
§ Physical Activity Guidelines for Americans From the US Department of Health and Human Services Cardiovascular Benefits and Recommendations > PHYSICAL ACTIVITY PREVENTS CARDIOVASCULAR DISEASE
What the sources say
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In the paper
“Combining this evidence with the benefits of physical activity, the PAG concludes that all Americans can benefit from moving more and sitting less throughout the day.”
§ Physical Activity Guidelines for Americans From the US Department of Health and Human Services Cardiovascular Benefits and Recommendations > Decreased incidence of hypertension.
What the sources say
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In the paper
“Physical activity can also improve physical function and the risk of falling, as well as the risk of injury if a fall occurs.”
§ Physical Activity Guidelines for Americans From the US Department of Health and Human Services Cardiovascular Benefits and Recommendations > CONCLUSIONS
What the sources say
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In the paper
“Physical activity can attenuate weight gain over time, helping to delay or reduce the risk of becoming overweight or obese.”
§ Physical Activity Guidelines for Americans From the US Department of Health and Human Services Cardiovascular Benefits and Recommendations > PHYSICAL ACTIVITY PREVENTS CARDIOVASCULAR DISEASE
What the sources say
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In the paper
“Risk of type 2 diabetes mellitus is greatly reduced with physical activity, and this benefit is observed irrespective of body weight.”
§ Physical Activity Guidelines for Americans From the US Department of Health and Human Services Cardiovascular Benefits and Recommendations > PHYSICAL ACTIVITY PREVENTS CARDIOVASCULAR DISEASE
What the sources say
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In the paper
“Some physical activity is better than none, and more physical activity is even better.”
§ Physical Activity Guidelines for Americans From the US Department of Health and Human Services Cardiovascular Benefits and Recommendations > CONCLUSIONS
What the sources say
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In the citing paper
“For those with a VT below 3.4-4.5METs, conducting common ADLs (e.g., household chores, self-care, low-intensity physical activity) would constitute exercise typical of what might be prescribed (36,37).”
From Ventilatory Threshold Related to VO2reserve, Heart Rate Reserve, and Rating of Perceived Exertion in a Large Varied Sample (2023) · cites this paper as [36]
Experimental — accuracy not yet measured
Citations
Cites
The Physical Activity Guidelines for Americans
Piercy, K. L., Troiano, R. P., Ballard, R. M., Carlson, S. A., Fulton, J. E., Galuska, D. A., George, S. M., & Olson, R. D. (2018) · JAMA · doi:10.1001/jama.2018.14854 · Cited by 9,755
Self-citation
Research works printed but not linked: 1
- 2018 Physical Activity Guidelines Advisory Committee. 2018 Physical Activity Guidelines Advisory Committee Scientific Report. Washington, DC: U.S. Department of Health and Human Services; 2018.
Cited by
Sorted by citations
Hampl, S. E., Hassink, S. G., Skinner, A. C., Armstrong, S. C., Barlow, S. E., Bolling, C. F., Avila Edwards, K. C., Eneli, I., Hamre, R., Joseph, M. M., et al. (2023) · Pediatrics · doi:10.1542/peds.2022-060640 · Cited by 1,389
Stamatakis, E., Ahmadi, M. N., Gill, J. M. R., Thøgersen-Ntoumani, C., Gibala, M. J., Doherty, A., & Hamer, M. (2022) · Nature Medicine · doi:10.1038/s41591-022-02100-x · Cited by 336
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Strasser, B. (2012) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.2012.06785.x · Cited by 304
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The Evolution of Technology and Physical Inactivity: The Good, the Bad, and the Way Forward
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“Moreover, national and international guidelines and recommendations for minimum levels of physical activity have been established in both the government and health sectors of numerous nations (19, 24).”
BackgroundKlok, F. A., Ageno, W., Ay, C., Bäck, M., Barco, S., Bertoletti, L., Becattini, C., Carlsen, J., Delcroix, M., van Es, N., et al. (2021) · European Heart Journal · doi:10.1093/eurheartj/ehab816 · Cited by 198
Nature and Children’s Health: A Systematic Review
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“The 2018 Physical Activity Guidelines for Americans recommend at least 60 min of physical activity daily, for children and adolescents, and 150 min of moderate-intensity aerobic activity or 75 min of vigorous-intensity aerobic activity combined with 120min of muscle-strengthening activities per week for adults.(14) In…”
Exercise and cardiovascular health: A state-of-the-art review
Isath, A., Koziol, K. J., Martinez, M. W., Garber, C. E., Martinez, M. N., Emery, M. S., Baggish, A. L., Naidu, S. S., Lavie, C. J., Arena, R., et al. (2023) · Progress in Cardiovascular Diseases · doi:10.1016/j.pcad.2023.04.008 · Cited by 176
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“Even with the restrictions of limited space or lack of special equipment, reaching the WHO recommendations of 150min of moderate-intensity or 75min of vigorous-intensity PA per week (World Health Organization, 2010; Piercy and Troiano, 2018) is still achievable even at home during self-isolation.”
BackgroundLong-Term Physical Activity Trends in Breast Cancer Survivors
Mason, C. E., Alfano, C. M., Smith, A. W., Wang, C., Neuhouser, M. L., Duggan, C. R., Bernstein, L., Baumgartner, K. B., Baumgartner, R., Ballard-Barbash, R. R., et al. (2013) · Cancer Epidemiology Biomarkers & Prevention · doi:10.1158/1055-9965.epi-13-0141 · Cited by 167
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“For the exercise moderators, we referred to the guidelines of American College of Sports Medicine (Piercy et al., 2018; Piercy and Troiano, 2018) and previous relevant reviews (Huang et al., 2022; Chen et al., 2020a; Norton et al., 2010; Chen et al., 2020b) to code the details of the exercise prescriptions into catego…”
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“Similar reductions in blood pressure have been previously reported after exercise training, although the effect of exercise was not specifically assessed in subjects with overweight or obesity.(79) Interestingly, we”
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Schüttler, D., Clauss, S., Weckbach, L. T., & Brunner, S. (2019) · Cells · doi:10.3390/cells8101128 · Cited by 117
“least 150 minutes of moderate-intensity aerobic activity or 75 minutes of vigorous aerobic activity or a combination of both per week as well as a moderate- to high-intensity muscle-strengthening activity on at least 2 days per week [4].”
BackgroundAras, M., Tchang, B. G., & Pape, J. (2021) · Nursing Clinics of North America · doi:10.1016/j.cnur.2021.07.008 · Cited by 122
AIFit: Automatic 3D Human-Interpretable Feedback Models for Fitness Training
Fieraru, M., Zanfir, M., Pirlea, S. C., Olaru, V., & Sminchisescu, C. (2021) · IEEE Computer Society Conference on Computer Vision and Pattern Recognition/Proceedings - IEEE Computer Society Conference on Computer Vision and Pattern Recognition/Proceedings · doi:10.1109/cvpr46437.2021.00979 · Cited by 112
“[15, 1, 23, 19, 32] that fitness and exercising have a high impact on the physical and mental health of humans, motivating the need for methodologies and scientific studies to evaluate the correctness of physical exercises and to provide feedback.”
Auswirkungen von Bewegung auf die Gesundheit
Miko, H.-C., Zillmann, N., Ring‐Dimitriou, S., Dorner, T. E., Titze, S., & Bauer, R. (2020) · Das Gesundheitswesen · doi:10.1055/a-1217-0549 · Cited by 118
“Personen mit Diabetes mellitus Typ 2 können bereits mit einer Stun-de Bewegung in der Woche ihr Risiko, frühzeitig an einer Herz-Kreis-lauferkrankung zu sterben, um 35 % senken [20].”
BackgroundGut microbiota impacts bone via Bacteroides vulgatus-valeric acid-related pathways
Lin, X., Xiao, H.-M., Liu, H.-M., Lv, W.-Q., Greenbaum, J., Gong, R., Zhang, Q., Chen, Y.-C., Peng, C., Xu, X.-J., et al. (2023) · Nature Communications · doi:10.1038/s41467-023-42005-y · Cited by 101
“The threshold of exercise was 2.5 h per week based on a published guideline 58 .”
MethodInfluentialPhysical inactivity from youth to adulthood and adult cardiometabolic risk profile
Kallio, P., Pahkala, K., Heinonen, O. J., Tammelin, T., Pälve, K. S., Hirvensalo, M. H., Juonala, M., Loo, B.-M., Magnussen, C. G., Rovio, S., et al. (2021) · Preventive Medicine · doi:10.1016/j.ypmed.2021.106433 · Cited by 98
Batsis, J. A., Petersen, C. L., Clark, M. M., Cook, S. B., Kotz, D. F., Gooding, T., Roderka, M. N., Al-Nimr, R. I., Pidgeon, D., Haedrich, A., et al. (2021) · BMC Geriatrics · doi:10.1186/s12877-020-01978-x · Cited by 85
“[36] Hence, the total duration of study-related activities – aerobic, resistance, flexibility, balance – amounted to 375 min per week [36, 37, 39].”
BackgroundChanges in Alzheimer Disease Blood Biomarkers and Associations With Incident All-Cause Dementia
Lü, Y., Pike, J. R., Chen, J., Walker, K. A., Sullivan, K., Thyagarajan, B., Mielke, M. M., Lutsey, P. L., Knopman, D. S., Gottesman, R. F., et al. (2024) · JAMA · doi:10.1001/jama.2024.6619 · Cited by 85
Mekary, R. A., & Ding, E. L. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16050797 · Cited by 79
“We recommended against the use of the density model in physical activity epidemiology because unlike nutrition intake, which could be given in relative amounts or percentages, physical activity guidelines are given in absolute amounts [7] (e.”
BackgroundMethodPhysical activity and exercise to improve cardiovascular health for adults living with HIV
Ozemek, C., Erlandson, K. M., & Jankowski, C. M. (2020) · Progress in Cardiovascular Diseases · doi:10.1016/j.pcad.2020.01.005 · Cited by 71
Galle, S. A., Deijen, J. B., Milders, M. V., Greef, M. H. G. D., Scherder, E., van Duijn, C. M., & Drent, M. L. (2023) · Alzheimer s Research & Therapy · doi:10.1186/s13195-022-01123-3 · Cited by 94
Hallgren, M. Å., Nguyen, T.-T.-D., Owen, N. G., Vancampfort, D., Smith, L., Dunstan, D. W., Andersson, G. B. J., Wallin, P., & Ekblom‐Bak, E. (2020) · Translational Psychiatry · doi:10.1038/s41398-020-0810-1 · Cited by 78
Franco, I., Bianco, A., Mirizzi, A., Campanella, A., Bonfiglio, C., Sorino, P., Notarnicola, M., Tutino, V., Cozzolongo, R., Giannuzzi, V., et al. (2020) · Nutrients · doi:10.3390/nu13010066 · Cited by 73
“In addition, different forms of exercise have been shown to have similar effects on liver fat [22,23] if physical activity (PA) guidelines recommendations are followed [24].”
BackgroundKoch, C. A., Sharda, P., Patel, J., Gubbi, S., Bansal, R., & Bartel, M. J. (2021) · Hormone and Metabolic Research · doi:10.1055/a-1533-2861 · Cited by 75
Emotional Outlook on Life Predicts Increases in Physical Activity Among Initially Inactive Men
Baruth, M., Lee, D.-C., Sui, X., Church, T. S., Marcus, B. H., Wilcox, S., & Blair, S. N. (2011) · Health Education & Behavior · doi:10.1177/1090198110376352 · Cited by 65
Lewey, J., Murphy, S., Zhang, D., Putt, M., Elovitz, M. A., Riis, V. M., Patel, M. S., & Levine, L. D. (2022) · JAMA Cardiology · doi:10.1001/jamacardio.2022.0553 · Cited by 72
Wilund, K. R., Viana, J. L., & Perez, L. M. (2019) · Exercise and Sport Sciences Reviews · doi:10.1249/jes.0000000000000209 · Cited by 62
Churchill, S. L., Lansing, J. E., Brower, C. S., McDowell, C. P., Herring, M. P., & Meyer, J. D. (2021) · Frontiers in Public Health · doi:10.3389/fpubh.2021.619129 · Cited by 58
Inactivity induces resistance to the metabolic benefits following acute exercise
Akins, J. D., Crawford, C. K., Burton, H. M., Wolfe, A. S., Vardarli, E., & Coyle, E. F. (2019) · Journal of Applied Physiology · doi:10.1152/japplphysiol.00968.2018 · Cited by 59
Omura, J. D., Carlson, S. A., Brown, D. R., Hopkins, D. P., Kraus, W. E., Staffileno, B. A., Thomas, R. J., Lobelo, F., & Fulton, J. E. (2020) · Circulation · doi:10.1161/cir.0000000000000884 · Cited by 60
Parkinson's Disease: Risk Factor Modification and Prevention
Rajan, S. M., & Kaas, B. M. (2022) · Seminars in Neurology · doi:10.1055/s-0042-1758780 · Cited by 58
Tyler, J. R., Podaras, M., Richardson, B., Roeder, N. M., Hammond, N., Hamilton, J., Blum, K., Gold, M. S., Baron, D. A., & Thanos, P. K. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1257629 · Cited by 56
Li, X., Zhou, T., Ma, H., Liang, Z., Fonseca, V. A., & Qi, L. (2021) · Diabetes Care · doi:10.2337/dc21-0455 · Cited by 53
The Dynamic Interplay of Healthy Lifestyle Behaviors for Cardiovascular Health
Kris‐Etherton, P. M., Sapp, P. A., Riley, T. M., Davis, K. M., Hart, T. L., & Lawler, O. (2022) · Current Atherosclerosis Reports · doi:10.1007/s11883-022-01068-w · Cited by 54
Bidirectional Comorbid Associations between Back Pain and Major Depression in US Adults
Yang, H., Hurwitz, E. L., Li, J., de Luca, K. E., Tavares, P., Green, B. N., & Haldeman, S. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20054217 · Cited by 54
Moon, S. W., Lee, S. H., Woo, A., Leem, A. Y., Lee, S. H., Chung, K. S., Kim, E. Y., Jung, J. Y., Kang, Y. A., Park, M. S., et al. (2022) · Journal of Cachexia Sarcopenia and Muscle · doi:10.1002/jcsm.12946 · Cited by 53
“Sufficient physical activity was considered as performing intensive exercise ≥75 min/week and/or aerobic exercise ≥150 min/week according to the recommendations of WHO and AHA.27,28 All participants underwent BIA, pulmonary function tests, and laboratory tests including complete blood count, CRP, blood urea nitrogen,…”
MethodGerman, C. A., Baum, S. J., Ferdinand, K. C., Gulati, M., Polonsky, T. S., Toth, P. P., & Shapiro, M. D. (2022) · American Journal of Preventive Cardiology · doi:10.1016/j.ajpc.2022.100432 · Cited by 55
Agarwala, A., Satish, P., Rifai, M. A., Mehta, A., Cainzos‐Achirica, M., Shah, N. S., Kanaya, A. M., Sharma, G. V., Dixon, D. L., Blumenthal, R. S., et al. (2023) · JACC Advances · doi:10.1016/j.jacadv.2023.100258 · Cited by 52
“79 Education for patients and the healthcare team at large on navigating cultural, religious, social, geographic, and economic barriers is essential to delivering high-quality care.”
BackgroundNitschke, E., Gottesman, K., Hamlett, P., Mattar, L., Robinson, J., Tovar, A. P., & Rozga, M. (2022) · Nutrients · doi:10.3390/nu14091729 · Cited by 47
Moustafa, B., Trifan, G., Isasi, C. R., Lipton, R. B., Sotres‐Alvarez, D., Cai, J., Tarraf, W., Stickel, A. M., Mattei, J., Talavera, G. A., et al. (2022) · JAMA Network Open · doi:10.1001/jamanetworkopen.2022.21982 · Cited by 46
Yu, F., Salisbury, D., & Mathiason, M. A. (2021) · Journal of Sport and Health Science · doi:10.1016/j.jshs.2020.05.007 · Cited by 40
Liao, K., Wang, X., Han, M., Li, L.-L., Nassis, G. P., & Li, Y. (2021) · PLoS ONE · doi:10.1371/journal.pone.0259790 · Cited by 43
Lovasi, G. S., Schwartz‐Soicher, O., Neckerman, K. M., Konty, K., Kerker, B. D., Quinn, J. W., & Rundle, A. (2012) · Annals of Behavioral Medicine · doi:10.1007/s12160-012-9416-z · Cited by 44
Moderate‐intensity exercise performed in the evening does not impair sleep in healthy males
Miller, D. J., Sargent, C., Roach, G. D., Scanlan, A. T., Vincent, G. E., & Lastella, M. (2019) · European Journal of Sport Science · doi:10.1080/17461391.2019.1611934 · Cited by 43
Cheatham, C. L., Nieman, D. C., Neilson, A. P., & Lila, M. A. (2022) · Frontiers in Neuroscience · doi:10.3389/fnins.2022.833202 · Cited by 45
Children and Adolescents Dietary Habits and Lifestyle Changes during COVID-19 Lockdown in Italy
Farello, G., D’Andrea, M., Quarta, A., Grossi, A., Pompili, D., Altobelli, E., Stagi, S., & Balsano, C. (2022) · Nutrients · doi:10.3390/nu14102135 · Cited by 48
“7% of children between 5 and 11 years followed the Physical Activity Guidelines recommendations, according to which they should practice 60 min or more of moderate-tovigorous physical activity daily [36].”
BackgroundBiddle, S., Bennie, J. A., Cocker, K. A. D., Dunstan, D. W., Gardiner, P. A., Healy, G. N., Lynch, B. M., Owen, N. G., Brakenridge, C. L., Brown, W. J., et al. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16234762 · Cited by 41
Radaelli, R., Trajano, G. S., Freitas, S. R., Izquierdo, M., Cadore, E. L., & Pinto, R. S. (2023) · Sports Medicine · doi:10.1007/s40279-022-01758-0 · Cited by 38
Alcaraz‐Ibáñez, M., Paterna, A., Sicilia, Á., & Griffiths, M. D. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18020585 · Cited by 45
Pecoits‐Filho, R., Larkin, J. W., Poli‐de‐Figueiredo, C. E., Cuvello-Neto, A. L., Barra, A. B. L., Gonçalves, P. B., Sheth, S., Guedes, M. H., Han, M., Cálice-Silva, V., et al. (2020) · Nephrology Dialysis Transplantation · doi:10.1093/ndt/gfaa173 · Cited by 43
Ponnada, A., Wang, S. D., Chu, D., Do, B., Dunton, G. F., & Intille, S. S. (2021) · JMIR Formative Research · doi:10.2196/32772 · Cited by 39
“0 as their only personal mobile phone with no intention to switch to a non-Android smartphone, (2) did not wear a smartwatch already, (3) were aged 18-29 years and living in the United States, (4) were currently engaged in recommended levels of PA (or intended to within the next 12 months) [55], (5) spoke and read Eng…”
Li, X., Ma, H., Zhou, T., & Qi, L. (2022) · Mayo Clinic Proceedings · doi:10.1016/j.mayocp.2022.06.031 · Cited by 36
Ptomey, L. T., Vidoni, E. D., Montenegro‐Montenegro, E., Thompson, M. A., Sherman, J. R., Gorczyca, A. M., Greene, J. L., Washburn, R. A., & Donnelly, J. E. (2019) · Journal of Aging and Physical Activity · doi:10.1123/japa.2018-0298 · Cited by 33
“In the current trial, caregiver’s baseline levels of minutes of MPA met the established PA guideline of 150 minutes a week (Piercy & Troiano, 2018), which is in contrast to what others have shown (Burton et al., 1997; Fredman et al., 2006; Hirano, Suzuki, Kuzuya, Onishi, Hasegawa, et al., 2011;…”
Franco, I., Bianco, A., Bonfiglio, C., Sorino, P., Mirizzi, A., CAMPANELLA, A., Buongiorno, C., Liuzzi, R., & Osella, A. R. (2021) · The Journal of Sports Medicine and Physical Fitness · doi:10.23736/s0022-4707.20.11536-6 · Cited by 37
Physical Activity and Sedentary Behavior in Relation to Cancer Survival: A Narrative Review
Jochem, C., & Leitzmann, M. F. (2022) · Cancers · doi:10.3390/cancers14071720 · Cited by 34
Shi, J., Liang, Z., Zhang, X., Ren, S., Cheng, Y., Liu, Y., & Zhang, M. (2023) · Environmental Health and Preventive Medicine · doi:10.1265/ehpm.23-00016 · Cited by 37
Zhu, Y., & Wang, Z. (2024) · BMC Public Health · doi:10.1186/s12889-024-18346-8 · Cited by 44
“Participants were classified as physically inactive individuals (600 Met minutes/week, less than PA recommended) and physically active individuals ( ≥ 600 Met minutes/week, PA recommended) [32].”
BackgroundHsu, P.-J., Chou, H.-S., Pan, Y.-H., Ju, Y., Tsai, C.-L., & Pan, C.-Y. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18095033 · Cited by 33
Laddu, D., Biggs, E., Kaar, J. L., Khadanga, S., Alman, R., & Arena, R. A. (2022) · Progress in Cardiovascular Diseases · doi:10.1016/j.pcad.2022.11.017 · Cited by 36
“According to federal monitoring data by the National Institute of Health, only 25% of healthymen and 19% of healthy women meet these guidelines for PA.54 Additionally, sedentary behavior (SB), which includes sitting or lying down beyond sleep, is a distinct entity from physical inactivity and has been found to be an i…”
InfluentialPeven, J. C., Jakicic, J. M., Rogers, R. J., Lesnovskaya, A., Erickson, K. I., Kang, C., Zhou, X., Porter, A., Donofry, S. D., Watt, J. C., et al. (2020) · Nutrients · doi:10.3390/nu12102988 · Cited by 38
Lämmle, L., Wöll, A., Mensink, G., & Bös, K. (2013) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph10072944 · Cited by 32
Cardiovascular risk reduction following metabolic and bariatric surgery
English, W. J., Spann, M. D., Aher, C. V., & Williams, D. B. (2020) · Annals of Translational Medicine · doi:10.21037/atm.2020.01.88 · Cited by 30
“Studies show that performing more than 150 minutes of moderate physical activity, or 75 minutes of vigorous physical activity, every week can achieve a 30% CVD risk reduction, and walking at least two hours a week reduced the incidence of premature death from CVD by about 50% (23,24).”
BackgroundBeyond cardiomyocytes: Cellular diversity in the heart's response to exercise
Trager, L. E., Lyons, M., Kuznetsov, A., Sheffield, C., Roh, K., Freeman, R., Rhee, J., Guseh, J. S., Li, H., & Rosenzweig, A. (2022) · Journal of sport and health science/Journal of Sport and Health Science · doi:10.1016/j.jshs.2022.12.011 · Cited by 35
Ristolainen, L., Toivo, K., Parkkari, J. P., Kokko, S. P., Alanko, L., Heinonen, O. J., Korpelainen, R., Savonen, K. P., Selänne, H., Vasankari, T. J., et al. (2019) · BMC Musculoskeletal Disorders · doi:10.1186/s12891-019-2417-3 · Cited by 31
Díaz‐Gutiérrez, J., Ruiz-Estigarribia, L., Bes‐Rastrollo, M., Ruiz‐Canela, M., Martin-Moreno, J. M., & Martínez‐González, M. Á. (2019) · Preventive Medicine · doi:10.1016/j.ypmed.2019.03.026 · Cited by 31
Arey, D. L., Blatt, A., & Gutman, T. (2022) · Frontiers in Psychology · doi:10.3389/fpsyg.2022.935702 · Cited by 33
“Despite robust evidence supporting the beneficial effects of PA on overall health, roughly 22% of individuals in developed nations engage in the minimum amount of PA recommended for public health benefits (Piercy and Troiano, 2018).”
BackgroundJain, P., Bellettiere, J., Glass, N., LaMonte, M. J., Di, C., Wild, R. A., Evenson, K. R., & LaCroix, A. Z. (2020) · The Journals of Gerontology Series A · doi:10.1093/gerona/glaa227 · Cited by 29
Nguyen, T.-T. P., Jacobs, P. G., Castle, J. R., Wilson, L. M., Kuehl, K. S., Branigan, D. L., Gabo, V. B., Guillot, F. H., Riddell, M. C., Haidar, A., et al. (2020) · American Journal of Physiology-Endocrinology and Metabolism · doi:10.1152/ajpendo.00534.2020 · Cited by 31
Sueldo, M. D., Rivera, M. A. M., Sanchez-Zambrano, M. B., Zilberman, J. M., Múnera, A. G., Paniagua, M., Campos-Alcántara, L., Almonte, C., Paix-Gonzales, A., Anchique-Santos, C. V., et al. (2022) · Archivos de cardiología de México · doi:10.24875/acm.22000071 · Cited by 40
Kim, J., Park, C., Fish, M., Kim, Y. J., & Kim, B. (2023) · World Leisure Journal · doi:10.1080/16078055.2023.2222701 · Cited by 34
“Public health guidelines emphasize “ at least 150 – 300 min of moderate-intensity aerobic physical activity a week, or 75 – 150 min of vigorous-intensity activity, or an equivalent combination of moderate-and vigorous-intensity activity ” (Piercy & Troiano, 2018, p. 1).”
BackgroundPfeiffer, K. A., Clevenger, K. A., Kaplan, A. S., Camp, C. A. V., Strath, S. J., & Montoye, A. H. K. (2022) · Physiological Measurement · doi:10.1088/1361-6579/ac89ca · Cited by 32
“…activity is linkedwith several positive health outcomes and reduced risk ofmultiple diseases and conditions (USDepartment ofHealth andHuman Services 2018), such as cardiovascular disease (Piercy and Troiano 2018, Kraus et al 2019), cancer (McTiernan et al 2019), and diabetes (Wahid et al 2016).”
BackgroundShen, W.-D., Xu, L., Li, H., Li, B., Qiu, X., Lv, W., Zhu, X.-Z., Greenbaum, J., Liu, R.-K., Shen, J., et al. (2022) · International Journal of Obesity · doi:10.1038/s41366-022-01137-9 · Cited by 29
“5 h per week based on a published guideline [16].”
MethodLines, R. L. J., Ducker, K. J., Ntoumanis, N., Thøgersen‐Ntoumani, C., Fletcher, D., & Gucciardi, D. F. (2021) · Psychophysiology · doi:10.1111/psyp.13846 · Cited by 35
Kazemi, S. S., Heidarianpour, A., & Shokri, E. (2023) · Lipids in Health and Disease · doi:10.1186/s12944-023-01940-x · Cited by 30
“The consistent practice of physical activity can lead to weight loss, decreased blood pressure, and improved lipid profile by promoting the elevation of high density lipoprotein (HDL)-cholesterol and the decrease in triglycerides [9, 10].”
BackgroundPerceived Chronic Traumatic Encephalopathy and Suicidality in Former Professional Football Players
Grashow, R. G., Terry, D. P., Iverson, G. L., DiGregorio, H., Dairi, I., Brown, C., Atkeson, P. S., Whittington, A. J., Reese, L. E., Kim, J. H., et al. (2024) · JAMA Neurology · doi:10.1001/jamaneurol.2024.3083 · Cited by 33
Ding, C., Feng, G., Yuan, F., Gong, W., Yao, Y., Ma, Y., Zhang, Y., & Liu, A. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17010158 · Cited by 28
Healthy Community Design, Anti-displacement, and Equity Strategies in the USA: A Scoping Review
Serrano, N., Realmuto, L., Graff, K., Hirsch, J., Andress, L., Sami, M., Rose, K., Smith, A., Irani, K., McMahon, J., et al. (2022) · Journal of urban health · doi:10.1007/s11524-022-00698-4 · Cited by 23
Walking as an Opportunity for Cardiovascular Disease Prevention
Omura, J. D., Ussery, E. N., Loustalot, F. V., Fulton, J. E., & Carlson, S. A. (2019) · Preventing Chronic Disease · doi:10.5888/pcd16.180690 · Cited by 28
Physical Activity Interventions for Colorectal Cancer Survivors
Jung, Y., Chung, J., & Son, H. (2020) · Cancer Nursing · doi:10.1097/ncc.0000000000000888 · Cited by 29
Low muscle mass, low muscle function, and sarcopenia in the urban and rural elderly
Moon, S. W., Kim, K.-J., Lee, H. S., Yun, Y. M., Kim, J., Chun, Y. J., & Kim, C. O. (2022) · Scientific Reports · doi:10.1038/s41598-022-18167-y · Cited by 29
Yu, T., Xu, H., Sui, X., Zhang, X., Pang, Y., Yu, T., Lian, X., Zeng, T., Wu, Y., Leng, X., et al. (2023) · Journal of Medical Internet Research · doi:10.2196/42845 · Cited by 26
“As a core component and core competency of CR programs [5], physical activity is one of the best lifestyle risk factor management strategies for patients to reduce the progression of CVD or death from CVD [6].”
Hawk, C., Amorin-Woods, L., Evans, M. W., Whedon, J. M., Daniels, C. J., Williams, R. D., Parkin-Smith, G. F., Taylor, D. N., Anderson, D. R., Farabaugh, R. J., et al. (2021) · The Journal of Alternative and Complementary Medicine · doi:10.1089/acm.2021.0184 · Cited by 29
MacDonald, C., Johansen, M. Y., Nielsen, S. M., Christensen, R., Hansen, K. B., Langberg, H., Vaag, A. A., Karstoft, K., Lieberman, D. E., Pedersen, B. K., et al. (2020) · Mayo Clinic Proceedings · doi:10.1016/j.mayocp.2019.09.005 · Cited by 26
“medication, n (%) 31 14 (45) 21 6 (29) 20 8 (40) 20 9 (45) Overall trend d .”
Hannan, M. F., Kringle, E. A., Hwang, C.-L., & Laddu, D. (2021) · Current Atherosclerosis Reports · doi:10.1007/s11883-021-00948-x · Cited by 25
Budak, M., Bayraktaroğlu, Z., & Hanoğlu, L. (2022) · Cognitive Neurodynamics · doi:10.1007/s11571-022-09818-x · Cited by 25
Martínez-Vizcaíno, V., Amaro-Gahete, F. J., Fernández-Rodríguez, R., Garrido-Miguel, M., Cavero-Redondo, I., & Pozuelo-Carrascosa, D. P. (2022) · Sports Medicine · doi:10.1007/s40279-021-01607-6 · Cited by 24
“physical activity levels have been related to higher highdensity lipoprotein cholesterol (HDL-c) and lower low-density lipoprotein cholesterol (LDL-c) and triglyceride (TG) levels [12, 13].”
BackgroundThe Role of Vitamin C in Two Distinct Physiological States: Physical Activity and Sleep
Otocka-Kmiecik, A., & Król, A. (2020) · Nutrients · doi:10.3390/nu12123908 · Cited by 28
“Yet, Physical Activity Guidelines for Americans, 2nd edition, shows that nearly 80% of adults are not meeting the key guidelines for both aerobic and muscle-strengthening activity, while only about half meet the key guidelines for aerobic physical activity [11].”
BackgroundYuan, J., Zhang, Y., Liu, S., & Zhu, R. (2023) · Research · doi:10.34133/research.0214 · Cited by 30
“Because of this, many guidelines and policies have been implemented to promote human physical activity [14].”
Nutrition Interventions for Pediatric Obesity Prevention: An Umbrella Review of Systematic Reviews
Rozga, M., & Handu, D. (2023) · Nutrients · doi:10.3390/nu15245097 · Cited by 29
Lee, G. B., Kim, H. C., Jeon, Y. J., & Jung, S. J. (2021) · SLEEP · doi:10.1093/sleep/zsab044 · Cited by 24
“[25].”
The benefits of physical activity in middle-aged individuals for cardiovascular disease outcomes
Shakoor, H. I., Platat, C., Ali, H. I., Ismail, L. C., Dhaheri, A. S. A., Bosevski, M., Apostolopoulos, V., & Stojanovska, L. (2022) · Maturitas · doi:10.1016/j.maturitas.2022.11.002 · Cited by 23
Rocliffe, P., O’Keeffe, B. T., Walsh, L., Stylianou, M., Woodforde, J., García‐González, L., O’Brien, W., Coppinger, T. C., Sherwin, I., McNamara, P., et al. (2023) · Adolescent Research Review · doi:10.1007/s40894-022-00200-w · Cited by 23
“Regular engagement in physical activity is cited as a powerful predictor of future health among adolescents (Kwon et al., 2015; Piercy & Troiano, 2018; Rollo et al., 2020).”
BackgroundYu, T., Parry, M. J. E., Yu, T., Xu, L., Wu, Y., Zeng, T., Leng, X., Tong, Q., & Li, F. (2024) · JMIR Serious Games · doi:10.2196/64410 · Cited by 23
Ferrari, G., Kovalskys, I., Fisberg, M., Gómez, G., Rigotti, A., Cortés, L. Y., García, M. C. Y., Pareja, R. G., Herrera‐Cuenca, M., Zimberg, I. Z., et al. (2019) · Journal of Transport & Health · doi:10.1016/j.jth.2019.100788 · Cited by 23
Metadata
- Authors
- Piercy, K. L., & Troiano, R. P.
- Affiliations
- Office of Disease Prevention and Health Promotion (US)
- National Institutes of Health (US)
- Venue
- Circulation: Cardiovascular Quality and Outcomes
- Published
- 2018-11
- Volume
- 11
- Issue
- 11
- Pages
- e005263-e005263
- ISSN
- 1941-7705 (ISSN-L)
- 1941-7713
- OpenAlex
- W2900521825
- Cited by
- 518
- References
- 1
- Citations by year
- 2026: 41 · 2025: 78 · 2024: 71 · 2023: 84 · 2022: 72 · 2021: 84 · 2020: 52 · 2019: 30
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Circulation Cardiovascular Quality and Outcomes (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Health Sciences › Medicine › Physiology (medical) › Cardiovascular and exercise physiology
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Clinical practice guidelines implementation
- Keywords
- physical activity guidelines, physical activity, cardiovascular health, exercise recommendations, sedentary behavior
- MeSH terms
- Adolescent, Adult, American Heart Association, Cardiovascular Diseases, Child, Expert Testimony, Humans, United States, United States Dept. of Health and Human Services, Exercise, Prevalence, Guidelines as Topic, Advisory Committees
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
A language model drew the claims from the paper on 2026-10-12, under version 3 of the claim definition (model deepseek-v4.1-flash, prompt extract-v3).
A second model labelled each claim on 2026-10-12 (model jev-1.13-20260917, definition revision gold-guideline-v0.2).
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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