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HindustanTimes Wed,23 Apr 2014

Working on longevity

Gretchen Reynolds, The New York Times   November 17, 2012
First Published: 23:19 IST(17/11/2012) | Last Updated: 02:53 IST(18/11/2012)

It's well known by now that active people typically live longer than those who are sedentary. But precisely what types or amounts of exercise most affect life span has not been clear. Several new studies, though, are beginning to provide some clarity, suggesting that certain activities may be better than others.

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Perhaps the most memorable of the new studies was conducted by researchers in Europe with a large database of health information about civil servants in England. The workers, aged 35 to 55 at the start, were followed for a decade or so, during which time they filled out repeated health questionnaires.

The topics included one's physical activity during the previous month. The questionnaires asked about the number of hours that the volunteers had spent walking, gardening, performing housework, playing sports (swimming, cycling, golf or soccer) and puttering around the house completing yardwork and do-it-yourself repair projects.

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Each activity was designated as "mild" - like washing dishes and cooking; "moderate" - like weeding and brisk walking; or "vigorous" - like swimming and mowing the yard. The researchers also checked death records for the civil servants.

Activity adds to life
In general, physical activity of any kind was associated with longer life. But the association was much stronger among people whose activities were relatively intense. Those who regularly repaired their houses or walked briskly enjoyed more protection against premature death than those who washed dishes, even if they spent more hours engaged in "mild" activities.

That finding agrees with a study published this year in The European Journal of Preventive Cardiology, in which scientists in Copenhagen followed 5,106 adult recreational cyclists for about 18 years, asking their volunteers to report how many hours and how strenuously they were riding their bikes. The researchers also tracked deaths among the group.

It turned out that the men and women who reported riding relatively hard (although none were racers) lived longer than those who rode at an easy pace, even if they weren't pedaling for as many hours. On average, cyclists who regularly rode hard lived about four or five years longer.

"Our general recommendations to all adults would be that brisk cycling is preferable to slow," the authors conclude.

Quantity over quality
But not all researchers are convinced that intense exercise is essential, if your goal is a longer life. The general consensus "is that it is the total amount of energy expended that is important," and not whether you huff and strain during that expenditure, says I-Min Lee, a professor of medicine at Harvard Medical School, an author of a major new examination of exercise and life expectancy.

In that study, published last week in PLoS Medicine, Lee and colleagues from the National Cancer Institute compiled physical activity, body mass and death data for more than 650,000 American adults who'd participated in National Cancer Institute studies over the years.

The researchers compared activity levels against the governmental recommendation of 150 minutes of moderate activity per week. They found that those who met the recommendation lived on average 3.4 years longer. Those who doubled the recommended amount of exercise enjoyed additional gains in life span, but at a noticeably diminishing rate, typically living 10 months or so longer than those who just met the guidelines. Even people who were overweight or obese lived longer if they exercised moderately, whether or not they lost weight.

Do it whenever you can
Interestingly, the association between physical activity and longer life held true also for those who reported exercising only occasionally. "A very low level of activity, equivalent to 10 minutes per day of walking, was associated with a gain of almost two years of life expectancy," says Steven Moore, a research fellow with the National Cancer Institute, who led the study.

In fact, he says, "maximum longevity was reached at a physical activity level equivalent to 65 minutes per day of walking, with no evidence for gains above this level of activity."

What all of this suggests, Lee says, is "that physical activity, even at a modest level, can increase life expectancy."

But it's also probable, although not yet definitively proven, she continues, that "intense exercise gives additional benefit above the risk reduction afforded by energy expenditure alone."

In other words, pushing yourself during your next walk, bike ride or home-repair project might amplify the activity's longevity-enhancing benefits, says Lee. But if you cannot increase the intensity of your exercise, don't sweat it.

The largest gain in terms of adding years to someone's life, she says, comes in that space between "doing nothing to achieving the lower end of the activity scale," which makes even the usually tedious prospect of washing this morning's breakfast dishes more palatable.


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