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  • Industry-Presented Webinar Q&A 2 | Skeletal Muscle Adaptations to Concentric and Eccentric Loading

    by David Barr | Dec 26, 2019

    Technogym Biostrength ACSM Eccentric

    Technogym and ACSM recently hosted an industry-presented webinar with Marco Narici, Ph.D., entitled Skeletal Muscle Adaptations to Concentric and Eccentric Loading. This is Part II of the Q&A.

    ACSM Technogym Webinar


    Watch the full webinar here

    Read Part 1 of the Q&A here.
    Several questions were asked by attendees during the webinar and the answers pertaining to seniors, pennation angle and more are below. 


    Q: Would this Biostrength be beneficial to seniors? I work with older clients 70-95 years. Which of the 4 protocols would work best?

    Definitely, yes. Considering the available evidences, the overloaded eccentric should be the ideal training mode with the elderly. However, we think that the viscous mode is very promising. We will conduct studies on that.

     

    Q: Are there instances where you would recommend a different relative eccentric intensity other than 1.5x concentric, since 1.5x elicited equivalent EMG activation in VL?

    The reason why we choose the 1.5-fold increase is because we tried several coefficients from 1.1 to 1.7 and we found that with 1.5-fold of the concentric we could achieve the same EMG level of the concentric load. However, to obtain a lower EMG activation a different ‘coefficient’ of increment, or decrement, could be chosen; even an eccentric load which is lower than the concentric if you don’t want to overload a muscle in case of muscular injuries.

     

    Q: Increasing eccentric load in frail adults was mentioned as a benefit for this demographic. Is there any research supporting eccentric loading in reducing joint damage, for all human joints, regardless of age or ability?

    Several studies have shown that training with eccentric loading, unless there are already joint problems, may be performed safely in older people using intensities up to 70 % 1RM. However, training load at 60% 1RM seems sufficient for achieving maximum protein synthesis, and thus gains in muscle mass and strength, in older people.

     

    Q: During isotonic training, to what degree (if at all) is eccentric neural drive sustained (vs concentric levels) by lengthening the duration of the eccentric phase?

    Ideally, the duration of the eccentric phase and that of the concentric phase should be similar (similar time under tension). There is no added benefit for motor unit recruitment in prolonging the eccentric phase

     

    Q: Is there a higher fatigue perception using the higher eccentric loading? Is the subject able to push themselves to the same level or beyond normal concentric/eccentric movement?

    We have conducted a study a few year ago using the RPE perceptions during concentric and eccentric contractions. When the strength gains induced by concentric/eccentric and eccentric training regimes were compared, greater strength gains were observed in the eccentric group (range 32.4% to 43.1%). Importantly, this increase in strength in the eccentric group was accompanied by significantly lower RPE ratings throughout the training period.  

     

    Q: Has the ability to overload more "effectively/efficiently" on a Biostrength machine been shown to transfer over to strength in a traditional back squat or leg press? 

    This hypothesis should be tested, but if you improve on a Leg Press Biostrength, it is highly possible that there will be a transfer effect over a more traditional Leg Press machine.

     

    Q: Can you explain what “pennation” angle is?

    This is a very funny question. We did not talk about the ‘pinnation’ angle but the ‘pennation angle.’ The pennation angle is the angle between the longitudinal axis of the entire muscle and its fibers. The longitudinal axis is the force generating axis of the muscle and pennate fibers lie at an oblique angle. As tension increases in the muscle fibers, the pennation angle also increases.

     

    Q: The rowing machines that generate load via the water resisting paddles (instead of a fly wheel)—is that considered a "viscous load?" The water can be considered a viscous medium. However, water viscosity is very low and its variation with velocity is not significant from a training perspective.

     

    Q: In terms of athletes, would overloading the eccentric phase while training ultimately result in a lowering of injuries because of a better activation of the fibers needed to slow down during change of direction or deceleration?

    Training with eccentric overload would condition muscle and connective tissue to withstand greater breaking forces; this may potentially afford protection against injury. Recent evidence suggests that a single bout of eccentric exercise protects against muscle damage from subsequent eccentric bouts.

     

    Q: Studies say that external cueing creates less neuromuscular activity, but equal force output, to internal cueing. Would you recommend people perform external cueing for the concentric phase but internal cueing for eccentric phase of a movement pattern to maximize strength response?

    These techniques may be useful for rehabilitation of neurological patients, particularly if timing and speed of movement is a problem.

     

    Q: So based on what you said about speed, would you suggest that concentric training would be better for performance?

    Both CON and ECC training are needed for performance since many athletic disciplines involve repeated stretch-shortening cycles. Training only with CON contractions does not enable you to add contractile tissue longitudinally (addition of sarcomere in series). Instead, ECC training promotes longitudinal muscle growth, contributing to increased contraction speed.

     

    Q: In the case of nerve injury and muscle wasting, is this machine helpful for regaining muscle?

    Viscous training may be helpful to progressively recover muscle mass and function in this case provided that inflammation is under control and that movement does not exacerbate the pain symptoms.

     

    Q: Would the added work in the eccentric phase and lengthening the muscle cells have any noticeable benefits on flexibility?

    Some evidence seems to suggest that eccentric training is indeed an effective method of increasing lower limb flexibility but there is no firm evidence of this yet.

     

    Q: In a low resource clinical setting, we have successfully used an accentuated eccentric protocol, defined as a concentric phase with BOTH legs for leg press leg extension and leg curl machines, while the lowering part (eccentric) was executed with ONE SINGLE leg only. What would you hypothesize is the advantage use of this machine will have over this more traditional method for ECC+ training?

    The method you have used is clever and easy to be applied. However, the limitations of this method are:

    • You cannot modulate the percentage of the eccentric overload (it would be always twice that of the concentric phase).
    • You cannot apply this strategy to upper body movements (e.g., Lat Pull down, Shoulder Press, Chest Press, etc.) or to core muscle exercises (abdominal crunch, lower back).

     

    Q: Please could you identify the largest advantage viscous training can have over Keiser air resistance machines? (Or can air resistance machines be considered a version of viscous training?)

    Air is a viscous medium, but its viscosity is really very low and it is not dependent on movement speed. Moreover,  viscosity cannot be increased.

     

    Q: The Technogym leg press is great for strengthening the lower body. Is there a Technogym machine currently geared to strengthen the upper body?

    Yes, the complete line is constituted by 9 machines: Leg Press, Chest Press, Lat Pull Down, Leg Curl, Leg Extension, Shoulder Press, Abdominal Crunch, Lower Back, Low Row.

     

    Q: Does the increased muscle speed developed from eccentric training translate to speed in the concentric direction?

    In theory it should, but of course this would require performing the movement during training as fast as possible to maximize recruitment.

     

    Q: Just for clarification, why did you use a 3-second tempo for the concentric phase?

    We had to standardize the protocol, so we decided to use the same tempo of the concentric phase.

     

    Q: How are we going to get this machine easily accessible and usable throughout the fitness industry? Or will this be for rehabilitation mostly?

    I think that this technology is suitable for both the rehabilitation as well as the fitness industry.

     

    Q: You mentioned that faster velocity increases recruitment. How does this apply to eccentric, as opposed to dropping the weight? This applies mostly to the concentric phase only; it would instead be counterproductive to drop the weight in the eccentric phase.

     

    Q: How can you avoid derecruiting motor units without a Technogym Biostrength machine? For people not able to go to a Technogym, how can they do this?

    You should overload manually a standard machine before executing the eccentric phase. But it would be very complex to be done.

     

    Q: How can I achieve a similar effect as the Technogym with body weight or more standard gym equipment?

    There is no other equipment featuring all of those training modalities: isotonic, eccentric, viscous, elastic, overloaded eccentric.


    Presenter: Marco Narici, Ph.D.
    Marco Narici
    Prof. Narici directs the Neuromuscular Research Laboratory at the Department of Biomedical Sciences of the University of Padova (founded in 1222), Italy. He has more than 30 years’ experience in skeletal muscle research applied to training and detraining in young and older individuals.


    View Related Technogym Content


    Technogym Biostrength ACSM Webinar
    Skeletal Muscle Adaptations to Concentric and Eccentric Loading Q&A Part 1

  • Top 10 Sports Medicine Bulletin Active Voice Commentaries for 2019

    by Caitlin Kinser | Dec 26, 2019

    Each Tuesday afternoon ACSM members receive ACSM's Sports Medicine Bulletin (SMB) in their inbox. Featured at the top of each issue is an Active Voice commentary. The Active Voice commentary is written by authors of articles published in ACSM's journals. We present the Top 10 most read Active Voice Commentaries of 2019.

    Not an ACSM member but would like to read the weekly Active Voice Commentary in SMB? Become an ACSM member today.

    SMB header

    1. Evening Vs. Morning Aerobic Training - Which Is Better for Hypertension Treatment?

    By John R. Halliwill, Ph.D., FACSM; Leando C. Brito, Ph.D.; Cláudia L. M. Forjaz, Ph.D.

    From June 25: High or elevated blood pressure (hypertension) affects one billion people worldwide and is one of the most important risk factors for development of cardiovascular disease. Current clinical guidelines highlight the use of aerobic training as a useful intervention, either alone or in combination with antihypertensive medication and other lifestyle changes to treat hypertension. However, benefits of exercise training, such as its ability to reduce blood pressure, appear to vary across studies and across individuals. Thus, an important research focus is to discover ways to potentiate exercise's hypotensive effect. Read more. 

    2. You Might Want to Sit Down for This!

    By Gregg Afman, Ed.D., and James A. Betts, Ph.D., FACSM

    From May 14: The colloquial phrase “take a load off your feet” reflects the universal recognition that sitting requires less effort than standing. This makes perfect sense when considering the active musculature required in each posture. We were aware of recent campaigns and technologies to promote standing on the basis that prolonged sitting is closely linked to obesity and poor health. Yet, we also were surprised to find that the fundamental difference in energy cost between sitting and standing naturally had never been measured. Read more.

    3. Lighting Up the Brain During Exercise

    By Gavin D. Tempest, Ph.D. 

    From July 2: The cognitive and behavioral benefits of exercise are well known. What is less known are the direct effects of exercise on the brain. Common neuroimaging technologies are not suitable for use during exercise. However, near infrared spectroscopy (NIRS) is relatively robust in reducing motion artifacts and can be used in less restrictive and natural settings. Read more. 

    4. Does Statin-Associated Muscle Pain Affect Physical Performance?

    By Thomas Morville, M.D., Ph.D. 

    From Aug. 27: Statins are cholesterol-lowering medications and, currently, some of the most prescribed drugs worldwide. By now, the benefits of reduced cardiovascular mortality and morbidity are well established, yet great debate remains concerning the reports of possible side effects. These include increased risk of diabetes and, most commonly, increased risk of muscle pain. Despite many attempts to explain this phenomenon of statin-associated muscle pain, no consensus presently exists on the matter. Unfortunately, discontinuation of statin treatment may be the only way to alleviate the muscle symptoms, and this clearly presents a dilemma for both patients and physicians. Read more.

    5. Exercise is NOT a Single Medicine - Targeted Prescription Ameliorates Muscle and Bone Loss in Patients with Prostate Cancer

    By Robert U. Newton, Ph.D., AEP, CSCS*D, FESSA, FNSCA 

    From June 4: As a profession, we must become much more sophisticated in the way we prescribe exercise for the management of various chronic diseases. While any physical activity is likely to be beneficial, patients experiencing considerable morbidity and potential mortality from chronic diseases such as cancer need, and certainly deserve, access to the optimal exercise prescription. It should be tailored to provide the greatest physical and psychological health benefits. Exercise is not a single medicine — instead it ought to be viewed as a medical intervention with a myriad of mode and dosage combinations having highly differentiated effects on the body systems. Read more.

    6. Can HIIT Training Improve Function of the Diabetic Heart?

    By J. Chris Baldi, Ph.D., FACSM

    From July 16: The incidence of type 2 diabetes continues to increase. Moreover, the prolonged management of the disease is crippling health care systems worldwide. Large prospective trials show that improved glycemic control and lifestyle changes result in reduced symptoms of neuropathy, retinopathy and nephropathy, thus improving outcomes for people with diabetes. Unfortunately, reductions in cardiovascular morbidity/mortality have not been realized in these patients, and their cardiovascular disease risk factors remain elevated. Read more.

    7. Is Weightlifting Good for Your Heart? If Yes, How Much Is Enough?

    By Duck-chul Lee, Ph.D., FACSM

    From April 16: It is well documented that aerobic exercise, such as running, is good for the heart and prevents cardiovascular disease (e.g., heart attack or stroke); thus, it is commonly called “cardio” exercise. In contrast, resistance exercise has been traditionally considered beneficial for improving sports performance in athletes. More recent studies have suggested potential benefits with resistance exercise for type 2 diabetes, bone health and functional capacity in older adults.However, there is still limited evidence to demonstrate whether weightlifting is good for the heart and prevents heart attack or stroke ̶ a major cause of death in the general population. Read more.

    8. Endocannabinoids and Feeling Differently Post-Exercise — Uncovering Relationships in Depressed Women

    By Jacob D. Meyer, Ph.D., and Kevin M. Crombie, M.S.

    From Oct. 15: It’s a common phenomenon: After walking, jogging or running, people typically report mood improvements for minutes-to-hours after the exercise has ended. Although popular culture has ascribed this “feel-good” effect of exercise to endorphins, studies that experimentally blocked endorphins from binding to their receptors have led to mixed results. Some still showed mood improvements, even when endorphins were blocked. Despite considerable research examining endorphins and other neuromolecular systems, the mechanisms responsible for positive feelings following exercise remain largely unknown. Recent research suggests that a neuromodulatory system known as the endocannabinoid (eCB) system may play a significant role. Read more.

    9. Activity Trackers to Promote and Monitor Physical Activity in Research — Is It Too Good to Be True?

    By Jessica McNeil, Ph.D., FACSM, CSEP-CEP 

    From June 11: Commercially available activity trackers have become increasingly popular for use as intervention and assessment tools in health promotion and chronic disease prevention research. As an intervention tool, these devices offer prompt and automated feedback on sedentary time and physical activity (PA) participation directly to the consumer. Research teams and fitness professionals can also use these devices and some of their features (e.g., heart rate monitoring) to educate and prescribe PA of various intensities to study participants or clients, allowing the exercise prescription to be personalized. As an assessment tool, these devices allow the research team to monitor PA participation more accurately within a home-based setting throughout an entire intervention, instead of relying on self-reported diaries or “snap shots” of activity monitoring pre- and post-intervention. Read more.

    10. Do Skillful and Fit Kids Have Smarter Brains?

    By Eero A. Haapala, Ph.D., and Timo A. Lakka, M.D., Ph.D. 

    From May 7: In a Systematic Review published in 2016, ACSM suggested a positive association between physical fitness, cognitive functions and academic achievement in children. Although interest has increased in whether improving movement skills, increasing aerobic fitness and decreasing body fat percentage may enhance cognitive functions, most studies on this topic have been cross-sectional and do not allow firm conclusions about cause and effect regarding these relationships. Read more.

  • Top 5 ACSM Downloads of 2019 | Resources

    by David Barr | Dec 23, 2019

    It's the best of the best - the top 5 most-downloaded ACSM resources published in 2019.


    ACSM 7 Minute Workout 

    #5 The 7 Minute Workout

    By popular demand, the 7 minute workout is available as a download.



    ACSM Downloads Children Plyometrics 

    #4 Client Resource Download | Plyometric Training for Children and Adolescents

    Download to discover the potential benefits of plyometric training for school-age youth - for yourself or your clients.



    Risk Stratification ACSM Download Update 

    #3 ACSM Risk Stratification Chart | Download

    Download ACSM's essential risk stratification chart. Updated for risk classification and preparticipation screening.



    Healthy Eating Resource Download 

    #2 Client Resource Download | Creating a Healthy Eating Pattern

    Download the Creating a Healthy Eating Pattern pdf resource for yourself or clients.



     ACSM Resistance Training Guidelines Strength Training

    #1 ACSM Guidelines for Strength Training | Featured Download

    Authors: Fiataraone Singh, Maria; Hackett, Daniel; Schoenfeld, Brad; Vincent, Heather K.; Wescott, Wayne

    Essential Download: ACSM's guidelines for strength training infographic.

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  • Industry-Presented Webinar Q&A 2 | Secrets to Enhancing Shoulder Strength and Function

    by David Barr | Dec 19, 2019

    FMS Shoulder Webinar QnA

    Functional Movement Systems (FMS) and ACSM recently hosted an industry-presented webinar with Lee Burton, PhD, ATC, entitled Secrets to Enhancing Shoulder Strength and Function. This is Part II of the Q&A.

    ACSM FMS Webinar series Shoulder

    Watch the full webinar here

    Read Part I of the Q&A here.
    Several questions were asked by attendees during the webinar and the answers pertaining to the rotator cuff, thoracic spine mobility, and more are below.


    Q: What kind of exercises do you recommend for somebody with Scheuermann's  kyphosis?

    Utilize the quadruped rotations that were shown in the presentation, focus on the tighter side. The key would be to also focus on other patterns like squatting, lunging and ensure they are not getting worse. So not just focusing on the mid-back, but also making sure other movements are at least acceptable and can work those patterns, like split squats and forward single arm presses.

     

    Q: What is the best exercise to strengthen an injured rotator cuff pre-surgery? Post?

    Keep it simple, push-ups, pull-ups, deadlifts (single-arm) and farmer’s walks.

     

    Q: How do you apply this to the older adult population (65+) who are not able to perform a lot of these movements/screenings?

    There are a variety of ways to incorporate some of these activities with older adults. For example, a simple idea would be to try using a matt table.

     

    Q: What are your thoughts on overhead exercises where you're sitting on the floor with your feet out front like with a Z-press for correcting shoulder dysfunctions?

    I believe you should avoid loaded presses in a seated position, these are better performed standing or half-kneeling.

     

    Q: If we detect an upper crossed syndrome and thoracic stiffness, do we have to eliminate all overhead movements until the problem is fixed?

    Not necessarily, just focus on more one arm activities or half-kneeling/standing split stance push/pull activities with a cable system.

     

    Q: What do you do to work on kyphosis?

    Start on the ground doing crawling, quadruped rotations, etc. focus on the tighter side.

     

    Q: What do you do for functional movement with someone with double knee replacement that can’t bend down?

    There are quite a few things that can be done. For example, try working on single-leg balance toe-touching, deadlifting, etc.

     

    Q: Are there benefits to static stretching for shoulder health, if so, what are they?

    Sure, static stretching for shoulder health is more based on the individual and what the underlying issues are.

     

    Q: Are there any benefits to doing rotator cuff exercises such as internal/external movements and which do you recommend for healthier shoulders?

    I don’t believe it is necessary unless there is a medical problem with the shoulder/rotator cuff. Focus more on stability activities such as deadlifts and farmer’s walks, these are better activities for stability.

     

    Q: What is the best method to improve shoulder external rotation?

    First focus on mid-back/t-spine mobility, which most often is the problem. Most people have limitations in shoulder internal rotation and not external rotation.

     

    Q: I'm a PT and know how to treat shoulder impingement in the clinic, but do you have any tricks to combat impingement in the gym (without the manual therapy for ex. Mobilizations)?

    Have people focus on getting and maintaining thoracic spine mobility through some of the techniques I reviewed and ensure good postural control when performing lifts. Poor technique is the primary cause of shoulder problems when lifting.

     

    Q: How do you implement some of these movements with morbidly obese patients? What special considerations need to be taken?

    In my opinion, the focus should be on general mobility and body weight activities and not worrying about isolating any one thing. Working on increasing their overall activity level, keep it simple and slowly progress.

     

    Q: Are these breathing focused stretches OK for someone who has asthma, kyphosis and poor cervical and thoracic mobility?

    Yes, I definitely recommend breathing focused stretches for these individuals.  

     

    Q: What is the best way to train the rotator cuff muscles?

    Ensure the client has good mid-back mobility, postural control, and focus more on stability activities such as deadlifts and, farmer’s walks as these are better activities for stability.

     

    Q: With a client that has very poor movements but is also very overweight, what type of movements do you recommend, or do you have a strategy to correct both?

    In my opinion, the focus should be on general mobility and body weight activities and not on worrying about isolating any one thing. Working on increasing the client’s overall activity level is key. Keep it simple and slowly progress.

     

    Q: You mentioned that the overall role for the rotator cuffs was to stabilize the joint. Should you focus on strengthening the muscle specifically in order to protect the shoulder?

    I don’t believe it is necessary unless there is a medical problem with the shoulder/rotator cuff. Focus more on stability activities such as deadlifts and farmer’s walks as these are better activities for stability.


    Presenter:
    Lee Burton FMS
    Dr. Lee Burton has an extensive background in sports medicine and strength and conditioning. He currently consults with a wide variety of professional sports organizations as well as leading health and fitness facilities on injury prevention and performance enhancement.  He lectures both nationally and internationally on various topics in the fields of sports medicine and strength and conditioning. Dr. Burton is a Certified Athletic Trainer, Certified Strength and Conditioning Specialist and one of the founding owners of Functional Movement Systems.


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  • Top ACSM Blog Posts of 2019

    by Caitlin Kinser | Dec 19, 2019

    The ACSM Blog has featured a number of topics in 2019. From physical activity guidelines to sports nutrition to advice for writing a journal article and everything in between, the ACSM Blog has shared numerous insights from ACSM members across all disciplines. We present the most read blog posts of 2019.

    header image top blogs of 2019

    1. Physical Activity and Function in Older Age: It’s Never too Late to Start!

    Loretta DiPietro, PhD, MPH, FACSM | September 10
    The 2018 PAGAC Scientific Report provides strong evidence that physical activity reduces the risk of fall-related injuries in older people by 32-40%. Dr. Loretta DiPietro discusses the research findings.

    2. High-Intensity Interval Training: For Fitness, for Health or Both?

    Kenneth Powell, M.D., MPH. FACSM | Aug 16, 2019
    In recent years, interest around high-intensity interval training (HIIT) has surged. The Physical Activity Guidelines Advisory Committee reviewed the current known data on HIIT. Dr. Powell shares some of their findings.

     

    3. Body Weight and Waist Circumference Trending Upward in Americans

    Renee J. Rogers, Ph.D. | Jan 22, 2019
    Recently, the U.S. Department of Health and Human Services published a National Health Statistics Report updating the trends in body weight, height, waist circumference and body mass index (BMI) in the U.S. population. This report shows continuing increases in weight, waist circumference and BMI.

     

    4. The Athlete's Kitchen: Sports Nutrition Myths BUSTED!

    Nancy Clark, MS, RD, FACSM | Jun 18, 2019
    Keeping up with the latest science-based sports nutrition recommendations is a challenge. Nancy Clark gives a summary of the PINES session at the ACSM 2019 Annual Meeting in which experts smashed nutrition industry myths.

     

    5. What’s New in the ACSM Pronouncement on Exercise and Hypertension?

    Linda Pescatello, PhD, FACSM | Jun 11, 2019
    Based upon the findings of the 2018 PAGAC Scientific Report and a new ACSM Pronouncement, the new ACSM FITT recommendations for hypertension are now available.

     

    6. New ACSM Pronouncements Make the Case, Find the Gaps

    Abby King, PhD, FACSM, and Kenneth Powell, MD, MPH, FACSM | May 15, 2019
    The American College of Sports Medicine has published a new collection of papers titled ACSM Scientific Pronouncements: Physical Activity Guidelines for Americans, 2nd Edition. The pronouncements are featured in a special issue of Medicine & Science in Sports & Exercise (MSSE) that published today. The 14 papers included in the collection originated from the work of the Physical Activity Guidelines Scientific Advisory Committee.

     

    7. Paradigm Shift in Physical Activity Research: Do Bouts Matter?

    Kyle Sprow, MPH, CSCS | Aug 02, 2019
    How long do bouts of physical activity need to last to see health benefits? Research suggests that ALL physical activity counts, regardless of duration.

     

    8. Early Movers: Can an Active Pregnancy Influence Baby’s Neuromuscular Development?

    Linda May, PhD, MS, FACSM | Oct 28, 2019
    Dr. Linda May summarizes her research in the area of the influence of physical activity during pregnancy on baby's neuromuscular development after birth.

     

    9. Heart Health & Brain Health Go Hand-in-Hand

    Jill Barnes, Ph.D., FACSM | Feb 22, 2019
    There are a number of connections between cardiovascular health and brain health. Dr. Jill Barnes shares the latest research updates.

     

    10. Physical Activity and Health: Does Sedentary Behavior Make a Difference?

    Peter Katzmarzyk, PhD, FACSM | Aug 30, 2019
    There is evidence that excessive time spent sitting is also associated with an increased risk of several significant diseases like diabetes and heart disease, as well as an increased risk of dying prematurely. The good news is that people who sit for a large portion of their day can benefit from being physically active. Dr. Peter Katzmarzyk discusses the recommendations from the Physical Activity Guidelines Advisory Committee.

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