Cited by 191Physical Activity and HealthCardiovascular and exercise physiologyExercise and Physiological Responses

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Accumulated versus Continuous Exercise for Health Benefit: A Review of Empirical Studies

Murphy, Marie H., Blair, Steven N., Murtagh, Elaine M.·2009·Sports Medicine

DOI 10.2165/00007256-200939010-00003

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Abstract

Current physical activity guidelines endorse the notion that the recommended amount of daily physical activity can be accumulated in short bouts performed over the course of a day. Although intuitively appealing, the evidence for the efficacy of accumulated exercise is not plentiful. The purpose of this review was to compare the effects of similar amounts of exercise performed in either one continuous or two or more accumulated bouts on a range of health outcomes. Sixteen studies met the selection criteria for inclusion in the review, in which at least one outcome known to affect health was measured before and after continuous and accumulated exercise training interventions. Where improvements in cardiovascular fitness were noted, most studies reported no difference in the alterations between accumulated and continuous patterns of exercise. In the few studies where a normalization of blood pressure was observed from baseline to post-intervention, there appear to be no differences between accumulated and continuous exercise in the magnitude of this effect. For other health outcomes such as adiposity, blood lipids and psychological well-being, there is insufficient evidence to determine whether accumulated exercise is as effective as the more traditional continuous approach. Seven short-term studies in which at least one health-related outcome was measured during the 0- to 48-hour period after a single continuous bout of exercise and a number of short bouts of equivalent total duration were included in the review. Many of the studies of such short-term effects considered the plasma triglyceride response to a meal following either accumulated short or continuous bouts of exercise. Collectively, these studies suggest that accumulated exercise may be as effective at reducing postprandial lipaemia. Further research is required to determine if even shorter bouts of accumulated exercise (<10 minutes) confer a health benefit and whether an accumulated approach to physical activity increases adherence among the sedentary population at whom this pattern of exercise is targeted.

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Authors: Murphy, M. H., Blair, S. N., & Murtagh, E. M.
Affiliations: University of Ulster (GB)
University of South Carolina (US)
University of Limerick (IE)
Corresponding author: Murphy, Marie H.
ORCID: Murphy, Marie H.
Blair, Steven N.
Murtagh, Elaine M.
Venue: Sports Medicine
Publisher: Springer Science and Business Media LLC
Published: 2009
Volume: 39
Issue: 1
Pages: 29-43
ISSN: 0112-1642 (ISSN-L)
DOI: 10.2165/00007256-200939010-00003
OpenAlex: W2024919025
Cited by: 191
References: 48
Citations by year: 2026: 4 · 2025: 5 · 2024: 6 · 2023: 7 · 2022: 4 · 2021: 9 · 2020: 12 · 2019: 9 · 2018: 11 · 2017: 15 · 2016: 9 · 2015: 14 · 2014: 16 · 2013: 18 · 2012: 12
FWCI: 1.44
Type: journal article
Language: en
Open access: closed
Locations: Sports Medicine (publishedVersion)
PubMed (publishedVersion)
Mary Immaculate Research Repository (Mary Immaculate College) (submittedVersion)
Scholar Commons (University of South Carolina) (submittedVersion)
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 › Physiology (medical) › Exercise and Physiological Responses
Keywords: continuous exercise, physical activity guidelines, cardiorespiratory fitness, blood pressure, adiposity, serum lipids, psychological well-being, postprandial lipemia, plasma triglycerides, exercise adherence, sedentary populations
MeSH terms: Body Composition, Exercise Therapy, Health Status, Humans, Hyperlipidemias, Lipids, Motor Activity, Physical Fitness, Time Factors, Exercise, Adiposity

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Accumulated versus Continuous Exercise for Health Benefit: A Review of Empirical Studies

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