Aerobic Exercise (cont.)
How much aerobic exercise do you need to do to gain the benefits?
There are
two physical activity guidelines in the Unites States. The first, the Surgeon
General's Report on Physical Activity and Health, is a lifestyle
recommendation. That is, you can modify it to fit into your daily routine and
activities of daily living. The recommendation is that all adults should
accumulate 30 minutes of moderate-intensity activity on most, if not all days of
the week. The key words are "accumulate" and "moderate-intensity." Accumulate
means that you can do 10-15 minutes at a time and repeat that a couple of times
throughout the day; for example, 10 minutes in the morning, 10 minutes at lunch,
and 10 minutes around dinner. Moderate intensity is equivalent to feeling "warm
and slightly out of breath" when you do it.
The second recommendation is from
the American College of Sports Medicine. The ACSM recommends 20-60 minutes of
continuous aerobic activity (biking, walking, jogging, dancing, swimming, etc.),
three to five times a week, at 60%-90% of maximum heart rate, and two to three days of resistance
training. This is a more formal, "workout" recommendation, although you can also
accumulate the more intense workout in bouts of 10-15 minutes throughout the day
if you like.
Which one you choose is a personal choice. They are not intended to
compete with each other, but rather provide options, and maybe even complement
each other. For instance, the Surgeon General's recommendation may be more
practical for individuals who are unwilling, or unable, to adopt the more formal ACSM recommendation. Of course, there's no downside to working out regularly
with aerobic exercise and also becoming more physically active as per the
Surgeon General (take more stairs, mow the lawn by hand, park far away from the
store and walk).
How do I go about getting started with aerobic exercise?
My suggestion for
getting started is almost always the same. Keep it simple, keep it practical,
keep it convenient, keep it realistic, keep it specific, and don't try to make
up for years of inactivity all at once. Select any activity and amount of time
where the probability of sticking with it is high. You may not love walking, but
if you can do it right outside your door, and it requires no special equipment,
and you already know how to do it (you've been walking your entire life!), then
walking might be your best bet for getting started because it's so convenient.
What I mean by "be specific" pertains to setting exercise plans. Planning is
helpful for behavior change, and I suggest that you set goals each week. I
suggest writing down what day(s) of the week you'll exercise, what time of day,
minutes of activity, location, and the activity that you'll do. Be as specific
and realistic as possible, and remember that it's not how much you do when you
get started but that you simply get started (getting started is usually the
hardest part).
A sample plan might look like this:
Monday: Take a 20-minute brisk walk
at 7 a.m. around the block four times.
Tuesday: Do the same as on Monday.
Wednesday: Take a 20-minute
walk at 6:30 p.m. (right before dinner) around the block.
Thursday: Take the day off.
Friday:
Take a 20-minute walk at 7 a.m. around the block.
Saturday: Walk with your family at 10 a.m.
for 45 minutes in park.
Sunday: Bike ride with your spouse for 60 minutes in park at
noon. Mom will baby-sit.
I suggest keeping records of your weekly progress by writing down what
happens, or at least checking off that you followed through, and then setting
your weekly plan every week for at least three months. Then at three months you can
evaluate your progress and see if any changes need to be made. Also ask yourself
at that time if you believe you will be exercising regularly in six more months.
If the answer is "I'm not sure," or "no," then you ought to continue to set
weekly goals. If you are confident that you can maintain the behavior and will
be exercising in six months, then you may not need to set weekly goals, but at the
fist sign of slipping, you ought to go back to it.
Next: How do I calculate my target heart rate during aerobic exercise? »