“Cardiovascular health is defined by your capacity to exert yourself,” says Nicole Belkin, MD, an orthopedic surgeon at NewYork-Presbyterian/ Columbia University Medical Center. “Regular physical activity trains the cardiovascular system to expand the level of demand and increase its capacity. This results in increased blood flow and blood volume to the heart.”
A single activity can include elements of both aerobic and anaerobic exercise. For example, interval training, where you alternate cycles of low-intensity (aerobic) and high-intensity (anaerobic) work during the same workout, has elements of both. So does a game of tennis where you might sprint at one moment (anaerobic) and then move less aggressively for several minutes (aerobic) as you hit ground strokes from the baseline.
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The fountain of youth exists—but you’re going to have to walk to find it. And we mean that literally. People who walk regularly not only look younger than their age (as long as you’re remembering your sunscreen!) but they may also be younger on a cellular level, according to research published in PLOS One. The scientists found that cardiovascular exercise, like walking, can preserve or even lengthen your telomeres, the parts of our DNA that shorten as we age. Who’s worried about wrinkles now?
The canon of walking literature has centred, almost entirely, on the infinite charms of an activity that nobody has ever tried to be good at. But the human body has charms of its own, and when its movements go from wrong to right, you recognise it like a melody. Maybe it’s possible to be dynamic and contemplative. Either way, there’s no looking back.
But once you could do it instinctively, I can’t imagine why you’d go back to your regular walk. This is not a fitness walk; this is an everyday walk that happens to make you fit. As Hall lists the evidence in its favour, with the zeal of a person who loves to solve problems, WalkActive sounds further and further away from the amble, the mosey, the saunter.

‘Aerobic’ exercise refers to exercise that requires the consumption of substantially more oxygen than at rest. It is of a light to moderate intensity, and can be undertaken for a prolonged duration (many minutes to several hours) without excessive fatigue. Examples of aerobic exercise include walking, jogging, swimming or cycling at a steady pace. Another example would be dancing or ‘aerobics’ classes.Regular exercise causes your body to make adjustments that result in improved health and physical functioning. Continuing with regular exercise enables your body to maintain these benefits. Regularly doing the right types of exercise at the correct intensity, and for an appropriate duration, results in the most benefit.The benefits of aerobic exercise can be broadly categorised as either ‘fitness’ (physical capacity) or ‘health’. Fitness and health are linked, and most forms of aerobic exercise will help you achieve both.Fitness — including increased cardiorespiratory fitness and endurance (stamina)Regular aerobic exercise improves your cardiovascular fitness by increasing your capacity to use oxygen. It does this by increasing your heart’s capacity to send blood (and hence oxygen) to the muscles. This is mainly achieved through an increase in the size of the heart’s pumping chambers (ventricles), which means that your heart doesn’t have to beat as fast to deliver the same amount of blood. This is evident in a slower resting heart rate, and a slower heart rate for the same exercise intensity.As you get ‘fitter’, particular activities (such as walking or jogging at a specified speed) will become easier.You’ll also be able to undertake the activity for longer (known as endurance), and/or at a higher intensity (e.g. jogging at a faster speed). The same applies to activities such as cycling or swimming, but it should be noted that fitness tends to be specific. So jogging will provide only limited benefits to your swimming fitness and vice versa. However, a side-benefit you may notice is that you also have increased stamina for the everyday activities of life, not just for exercise.Other fitness improvements occur in the exercising muscles, and are specific to those muscles being used in the mode of exercise (e.g. walking, running, cycling, or swimming). These include an increased capacity for the muscles to take up and use the additional oxygen being delivered by the heart.Reduced risk of certain health problemsRegular aerobic exercise has been shown to reduce the risk of heart disease, high blood pressure, type 2 diabetes, colon cancer and breast cancer. It can lower blood pressure and improve your blood cholesterol by reducing the levels of LDL-cholesterol (so-called ‘bad’ cholesterol) and increasing the amount of HDL-cholesterol (so-called ‘good’ cholesterol). It can also reduce anxiety, stress and depression, as well as instilling a general sense of well-being. Regular aerobic exercise has even been shown to have the potential to increase your lifespan.Low-impact aerobic exercise such as swimming is valuable for improving general health and fitness in people who have arthritis or other conditions that limit their ability to do weight-bearing exercise.Importantly, whereas fitness tends to be quite specific, many health benefits can be gained from any form of aerobic exercise. Additionally, the health gains can be achieved from relatively moderate amounts of exercise — moving from a lifestyle involving no exercise to one that involves some exercise can lead to substantial improvements in health.Weight controlAerobic exercise burns up energy (calories). Regular sessions of 30 to 60 minutes of low to moderate intensity aerobic exercise (at around 55 to 70 per cent of maximum heart rate) can be an important part of a weight loss or weight management programme that is also mindful of the energy (calories) consumed as food.However, many of the health benefits associated with aerobic exercise occur independently of weight loss. Evidence from large studies has shown that active, overweight people do not have a greater risk of many diseases than inactive people who are not overweight. From a health perspective, it is of course best to be both active and a healthy weight, but if weight reduction is a problem, it doesn’t mean that the exercise is having no benefit.Improved bone and muscle healthYour risk of osteoporosis (excessive bone thinning as you age) can be reduced by regular weight-bearing aerobic exercise such as brisk walking.By stimulating the growth of tiny blood vessels in your muscle tissues, aerobic exercise has also been shown to lessen the pain experienced by people who have fibromyalgia or chronic low back pain, as the oxygen supply to the muscles is improved and waste products are removed more efficiently.Social benefitsRegular aerobic exercise can have social benefits too, whether you walk with a friend, play tennis with workmates, or form a social cycling team. Exercising with friends can also be the most effective way of ensuring that you do it regularly.Aerobic exercise precautionsAs with any form of exercise, be aware of over-exercising, either by doing aerobic exercise too hard, for too long or too often. This approach can lead to injury, and abandoning of your fitness programme. Remember to build up gradually from your current activity level, and not to progress too rapidly. If you are new to regular aerobic exercise, several weeks of low to moderate intensity aerobic exercise are usually advised before introducing more vigorous aerobic exercise sessions.If you have existing health problems, are at high risk of cardiovascular disease, or have muscle, bone or joint injuries, check with your doctor before undertaking an aerobic exercise programme. Also, men aged over 40 years and women aged over 50 years who have not exercised regularly in the recent past should check with a doctor before undertaking a programme of vigorous physical activity. Last Reviewed: 11 January 2010


The fountain of youth exists—but you’re going to have to walk to find it. And we mean that literally. People who walk regularly not only look younger than their age (as long as you’re remembering your sunscreen!) but they may also be younger on a cellular level, according to research published in PLOS One. The scientists found that cardiovascular exercise, like walking, can preserve or even lengthen your telomeres, the parts of our DNA that shorten as we age. Who’s worried about wrinkles now?

Walking, unlike running and lifting weights, keeps your cortisol (stress hormone) levels low. A stressful job and life combined with strenuous workouts could be the reason why the scale isn’t budging. Now, that doesn’t mean you should quit your strength training plan or running routine, but try to include more stress-reducing activities like walking in your life and your body will thank you.
Walking also fixes: hangovers, heartbreak, low grade colds; boredom, loneliness, that nagging sensation that you haven’t really achieved anything much today. It has a smattering of downsides. You will get rained on (but not as often as you think, and that’s nothing a sturdy brolly can’t help with). You’ll need to carry posh shoes in a separate bag, and cyclists can be a nightmare, far more troublesome, in my experience, than cars: wayward, melodramatic and happy to mount pavements/ speed the wrong way down one-way streets.
This one may seem obvious, but it's certainly a happy benefit for those who start walking regularly, says Dr. Jampolis. "As you continue to walk, you may notice your pants begin to fit more loosely around your midsection, even if the number on the scale isn't moving much," she says. "That's because regular walking can help improve your body's response to insulin, which can help reduce belly fat." Ariel Iasevoli, a personal trainer at Crunch gyms in New York City, adds that walking every day is one of the most effective low-impact ways to mobilize fat and positively alter body composition. "Daily walking increases metabolism by burning extra calories and by preventing muscle loss, which is particularly important as we get older," says Iasevoli. The best part? You don't have to slog it out on a treadmill at the gym to see these benefits. "One of my clients reduced her body fat by 2% in just one month by walking home from work each day, which was just under a mile," she says.
Mental health got me walking in the first instance. I was in my late twenties, and beginning to understand that the love of my life (London) was also my chief tormentor. The stress of the city and the stress of my job as a journalist, got the better of me and I became claustrophobic, which meant I could no longer stand to travel around London’s endless sprawl by Underground. (I’ve since discovered this is incredibly common in Londoners, and God, how transparent we all are! The thing that ferries us to work, aka ground zero on much of our stress; the thing that speeds relentlessly round our city - its logistical arteries - is also the thing we’re likely to fall apart on, and ultimately: resist and refuse.) So I ditched the tube for the bus.

Walking doesn't burn calories as quickly as a number of other aerobic exercises, including jogging, swimming or riding a bicycle. Walking, however, is a low-impact exercise that is ideal for a wide range of people, including those who contend with joint pain and aren't physically able to perform more up-tempo exercises. If you choose to use walking as your main source of aerobic exercise, set your weekly schedule to allow for a minimum of 2.5 hours of walking.
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myDrReferences 1. American College of Sports Medicine Position Stand: The recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness, and flexibility in healthy adults. Med Sci Sports Exerc 1998; 30: 975-91. Available at: http://journals.lww.com/acsm-msse/Fulltext/1998/06000/ACSM_Position_Stand__The__Recommended_Quantity_and.32.aspx
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These electrons have powerful antioxidant effects that can protect your body from inflammation and its many well-documented health consequences. For example, one scientific review published in the Journal of Environmental and Public Health concluded that grounding (walking barefoot on the earth) could improve a number of health conditions, including the following:14
Walking, unlike running and lifting weights, keeps your cortisol (stress hormone) levels low. A stressful job and life combined with strenuous workouts could be the reason why the scale isn’t budging. Now, that doesn’t mean you should quit your strength training plan or running routine, but try to include more stress-reducing activities like walking in your life and your body will thank you.
Aerobic exercise is indicated for patients who lack the ability to sustain activity for a desired period of time because of decreased cardiovascular efficiency. Oftentimes, these patients have complaints of fatigue with a given level of exercise. Aerobic exercise increases the body’s capacity to absorb, deliver, and utilize oxygen. However, there are some limitations to being able to use aerobic conditioning for older adults. Joint pain and/or muscle weakness may preclude a patient from being able to perform the multiple contractions needed to provide a cardiovascular stimulus. In those cases, strengthening exercises may be needed prior to attempting aerobic exercise. For example, when an individual who is not on β-blockers walks 200 m on the 6MWT, but the heart rate only increases 10 beats per minute (bpm), the assumption can be made that the individual was not able to exert enough effort to increase heart rate and that a lack of muscle strength may exist.30
I’m thinking your calculator is a bit high, either that or I’m not using it right, so I’d like some advice on how to use it. I entered my gender, age, height and weight, and then I entered 24 hours worth of a particular day’s activities, including sleeping. It calculated 3259.2940 calories. Only 255 calories were for my mild 1-hour gym workout. I’m male, 66, 6’2″, 177lbs. On a 50 carbs, 30 fat, 20 protein, I’d still need over 150 grams of protein/day which my doctor says is too much for a man my age’s kidneys. You didn’t have a “sit relaxed and reclined with a laptop doing different things on the computer” entry where I spend about 8 hours/day so I used “studying” which calculated to 1298 calories. I’m really only mildly active during the day, just a couple of short walks a day and the usual errands and life-maintaining activities. I would think I’m an average 2,000 calorie/day guy. I don’t understand why it’s calculating so high (high in my opinion). Any thoughts? Thanks.
As a general goal, aim for at least 30 minutes of physical activity a day. If you can't set aside that much time, try several short sessions of activity throughout the day. Any amount of activity is better than none at all. Even small amounts of physical activity are helpful, and accumulated activity throughout the day adds up to provide health benefit.
It all starts with breathing. The average healthy adult inhales and exhales about 7 to 8 liters of air per minute. Once you fill your lungs, the oxygen in the air (air contains approximately 20% oxygen) is filtered through small branches of tubes (called bronchioles) until it reaches the alveoli. The alveoli are microscopic sacs where oxygen diffuses (enters) into the blood. From there, it's a beeline direct to the heart.
Although the programme started in earnest in 2010, Hall was cooking it up from the time she had to have an appendix operation, while pregnant, four years before that: a graduate from Loughborough University’s famous sports science degree, pioneer of American corporate weight management programmes, she was suddenly in a wheelchair and steadily gaining weight. “It came from a very personal space to heal myself, improve my posture, safeguard my joints, keep my sanity,” she says. WalkActive grew, at first informally when she integrated it into personal training programmes, and then into a system on its own, for which there is now an app, a book and audio coaching, as well as licensed trainers all over the UK. It is full-time work, changing the way people walk.

In normal daily activity, adults cover about 2-3 miles. About 2,000 steps equal a mile. To make walking a beneficial activity, you would need to come up with at least another 4,000 steps in a day. You can find ways to add steps here and there, such as walking farther from parking lots, taking stairs when available instead of escalators and elevators, walking the long way to get somewhere in your office building, walking your children to school, having a walk/talk meeting instead of sitting down in a conference room, or planning a short walk around the block as a break.


Aerobic capacity is a measure of the ability to perform oxidative metabolism. Multiple systems are involved, including the pulmonary, cardiac, vascular, and musculoskeletal systems. Patients with MD have lower aerobic capacity, especially those patients with aggressive forms of MD (Sockolov et al., 1977; Edwards, 1980; Haller and Lewis, 1984; Lewis, 1984; Wright et al., 1996). Poor aerobic capacity results in reduced activity levels. Other organ dysfunction, such as decline in pulmonary status and cardiomyopathy, may further contribute to declining levels of aerobic capacity.
New research on the endocrine functions of contracting muscles has shown that both aerobic and anaerobic exercise promote the secretion of myokines, with attendant benefits including growth of new tissue, tissue repair, and various anti-inflammatory functions, which in turn reduce the risk of developing various inflammatory diseases. Myokine secretion in turn is dependent on the amount of muscle contracted, and the duration and intensity of contraction. As such, both types of exercise produce endocrine benefits.
All that oxygen being pumped by the blood is important. You may be familiar with the term "oxygen consumption." In science, it's labeled VO2, or volume of oxygen consumed. It's the amount of oxygen the muscles extract, or consume from the blood, and it's expressed as ml/kg/minute (milliliters per kilogram of body weight). Muscles are like engines that run on fuel (just like an automobile that runs on fuel); only our muscles use fat and carbohydrates instead of gasoline. Oxygen is a key player because, once inside the muscle, it's used to burn fat and carbohydrate for fuel to keep our engines running. The more efficient our muscles are at consuming oxygen, the more fuel we can burn, the more fit we are, and the longer we can exercise.
You can use the cue "warm and slightly out of breath" to gauge your aerobic activity, or you can get more precise and use heart rate. I recommend the heart rate reserve method for calculating a target heart rate. The formula and an example of the method for someone 27 years old, assuming a resting heart rate of 70 beats per minute (bpm), and a training range of 70%, may be found below. Aerobic exercise falls in the range from 40% to 85%. You can plug in your own values to find your aerobic range.
“You can just take this as blanket permission to touch me whenever you like,” I consider saying. It sounds a bit rude. I toy with some other formulations – “sure, mi casa es su casa” – and in the throes of that mental effort, my walk disintegrates entirely. Not only can I not do the new walk, I’ve forgotten how to do my old walk. When you first start to follow this technique, Hall’s advice is to do three 10-minute walks every day; any longer than that, and you won’t be able to concentrate.
A lot of people, thinking themselves on a “power walk”, brace themselves, particularly their abs. But you don’t really want to be braced, you want to be taut. Bracing your abs and glutes makes you feel as if you’re making an effort, but it silos your muscle groups. Tautness, on the other hand, lengthens and connects them, activating the connective tissue (the fascia) that holds the show together.
“You can just take this as blanket permission to touch me whenever you like,” I consider saying. It sounds a bit rude. I toy with some other formulations – “sure, mi casa es su casa” – and in the throes of that mental effort, my walk disintegrates entirely. Not only can I not do the new walk, I’ve forgotten how to do my old walk. When you first start to follow this technique, Hall’s advice is to do three 10-minute walks every day; any longer than that, and you won’t be able to concentrate.
It can be started slowly (try using a treadmill to moderate your pace) and built up as you feel comfortable. It will help open your airways and make breathing a bit smoother. It will strengthen your lungs and help improve on your breathing and reduce your asthma symptoms. Asthma patients' lungs are more sensitive to cold air or hot air and pollen and other things from the atmosphere.
4. Better memory and cognitive function. A clinical trial of older adults in Japan published in the Journal of the American Geriatrics Society in 2015 found that after 12 weeks, men and women in a prescribed daily walking exercise group had significantly greater improvements in memory and executive function (the ability to pay focused attention, to switch among various tasks, and to hold multiple items in working memory) compared with those in a control group who were told just to carry on with their usual daily routine.
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These electrons have powerful antioxidant effects that can protect your body from inflammation and its many well-documented health consequences. For example, one scientific review published in the "Journal of Environmental and Public Health" concluded that grounding (walking barefoot on the earth) could improve a number of health conditions, including the following:15

Facultative and Microaerophile aerobes: Facultative bacteria behave both aerobically and anaerobically, according to the prevailing conditions. In reduced environments, they acquire energy via anaerobic pathways, whereas in oxidative environments, they develop aerobic pathways. The microaerophilic bacteria require oxygen but in very low concentrations.


Aerobic exercise is believed by many scientists to be the single best predictor of weight maintenance. You can lose weight without exercise by reducing your caloric intake enough so that you burn more calories than you consume, but it takes a regular dose of exercise to keep your weight off. How much is not clear, but somewhere between 30 and 40 minutes of vigorous exercise several times per week, to 45 to 75 minutes of moderate intensity exercise five or more days per week is probably about right. Your mileage will vary, and so once you get to the weight that you want to be at you'll need to experiment with different amounts of exercise until you find the one that works for you. The American College of Sports Medicine recommends that overweight and obese individuals progressively increase to a minimum of 150 minutes of moderate intensity physical activity per week, but for long-term weight loss, overweight and obese adults should eventually progress to 200 to 300 minutes per week of moderate-intensity physical activity. These are general guidelines, and so again, you need to experiment to see what works for you.
“You can just take this as blanket permission to touch me whenever you like,” I consider saying. It sounds a bit rude. I toy with some other formulations – “sure, mi casa es su casa” – and in the throes of that mental effort, my walk disintegrates entirely. Not only can I not do the new walk, I’ve forgotten how to do my old walk. When you first start to follow this technique, Hall’s advice is to do three 10-minute walks every day; any longer than that, and you won’t be able to concentrate.
However, I also do some form of "exercise" every day. This includes strength training twice a week, HIIT twice a week with weights or on an elliptical machine, and a light 10-minute workout three times a week on recovery days. But since walking isn't exactly exercise, you can do it everyday without needing any recovery days for your body to repair and regenerate; it doesn't tear down your body much, so it doesn't require recovery time.
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