Meta-analyses and reviews are useful for getting an overall sense of the many studies of aerobic exercise and BP. A 2007 meta-analysis of the effects of endurance exercise on BP found that exercise significantly reduced resting and daytime ambulatory BP.38 A more recent review (2010) found again that regular aerobic exercise lowered clinical BP.39 In both the 2007 meta-analysis and the 2010 review, aerobic exercise appeared to reduce BP more in patients with hypertension compared with those without hypertension. Five small studies in women systematically reviewed in 2011 showed a nonsignificant change in BP in response to aerobic interval training of walking. Walking programs appeared to reduce BP in some 9/27 trials reviewed in 2010. Larger trials with increased intensity or frequency of exercise for longer periods tended to be the ones that showed a significant effect.40 The authors concluded that further high-quality trials are needed. The most comprehensive and latest meta-analysis of all types of exercise clearly demonstrates the ability of aerobic exercise to lower BP within 8 to 12 weeks.41 In 105 trials, endurance exercise significantly lowered BP by 3.5/2.5 mm Hg. The effect was much larger in patients with preexisting hypertension (−8.3/6.8 mm Hg).

Only one day – as is not entirely unusual – my bus simply did not come. I waited and I waited, and I waited some more, my blood pressure rising, spitting and swearing and huffing and puffing over the unimaginable injustice of a BUS THAT WOULD NOT COME, alongside gathering hoards of similarly frustrated non-passengers… Then, after 20 minutes, spurred onwards by a desire to demonstrate I simply would not stand for such abysmal service! - I walked.

Most activities can be performed aerobically or anaerobically. For example, you could walk briskly on the treadmill at 3.5 miles per hour and feel warm and slightly out of breath (aerobic), or you could walk very briskly at 4.5 miles per hour and feel very out of breath (anaerobic). The same is true for biking, swimming, dancing, or virtually any other activity. The intensity of the workout determines whether an activity is aerobic or anaerobic, and all you need to do is pace yourself to elicit the type of training you desire.
A good way to begin is to write down a weekly exercise plan, including when you will exercise each day, and continue to do so every week for three months if you are serious about sticking with exercise but concerned about your motivation. Write down what day(s) of the week, what time of day, minutes of activity, and the activity that you'll do when setting your plan. Be as specific and realistic as possible, and remember that it's not how much you do when you start that counts but that you simply do something. Getting started is usually the hardest part. You can always add more later on.

In general, to increase your aerobic fitness you should exercise intensely enough to reach your target heart rate range. Your target heart rate range is 60% to 80% of your maximum heart rate. A general formula to determine your maximum heart rate is 220 minus your age. (For example, if you are 50 years old, your maximum heart rate is 170 and your target heart rate range is 102 to 136.) Check your heart rate as you exercise and try to keep it within your target heart rate range.
Your weight isn't the sole factor that dictates the rate that you burn calories during your walk. If you're able to increase your pace, the walk instantly becomes a more efficient calorie-burning activity. A 150-pound person burns about 240 calories in an hour of walking at 2 mph, notes the UMMS. When this person increases her pace to 3 mph, her hour-long walk burns about 320 calories. If she can sustain a 4.5-mph pace for 60 minutes, she'll burn about 440 calories on her walk.
If it’s too hot to walk or run, swimming can be a cool way to get fit. It’s a low-cost workout for the whole body especially the muscles of the back, shoulder and arms and improves flexibility as well. It’s a good way to exercise if you’re overweight, pregnant or have joint problems as the water helps support your weight and can reduce the pressure on your joints. The risk of injury to muscles, ligaments or joints is also low.
Stumped for an idea? Take a quick stroll around the block. Whether you need a solution to a problem at work or you’re looking for inspiration for your novel, walking gets your creative juices flowing in all areas. A recent study published in Frontiers in Neuroscience found that walking improved both convergent and divergent thinking, the two types associated with enhanced creativity.

Walking also offers plenty of health benefits, including lowering the risk of high blood pressure, heart disease and diabetes; reducing the risk of developing dementia and cancer and even reducing fibromyalgia pain. Plus, walking may be even more beneficial than running. Walkers have a much lower risk of exercise-related injuries than runners, whose legs absorb about 100 tons of impact force in just one mile. So, if you’re just starting your fitness journey, know that fitness walking is a seriously good place to begin.
There are times when you deserve to feel pleased with yourself and last week was one of them. Science, you see, confirmed something that I had worked out a decade and a half ago, namely: regular walking is the best thing you can do to achieve and maintain a healthy weight. According to the study from the London School of Economics, brisk walking is a better deterrent against obesity than any other form of exercise. Forget the gym or five-aside, stuff running, spinning, zumba and squash… Walking officially beats them all, hands ( or trainer’d feet) down.
Aerobic exercise involves regular body part (e.g., arms or legs) movements that increase workload on the cardiovascular system. It is convenient and useful to think of the intensity of aerobic exercises in metabolic equivalents, or METs. One MET represents the amount of energy used at rest, and two METs is twice that much energy expenditure per unit of time, and so on. Aerobic exercise is widely recommended in contemporary guidelines. However, guidelines also indicate that exercise regimens are contraindicated in patients with unstable cardiovascular conditions, including but not limited to uncontrolled severe hypertension (BP ≥ 180/110 mm Hg). Conditions under which stress testing should be performed before initiation of an exercise regimen have been described.37
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.
The list of studies that show that aerobic exercise prevents or reduces the occurrence of cardiovascular disease is so long that it would take this entire article and probably five others just like it to review all of the research. One of the most important is one of the earliest. In a study of more than 13,000 men and women, it was shown that the least fit individuals had much higher rates of cardiovascular disease than fit individuals -- in some cases, the risk was twice as high. Aerobic exercise works in many ways to prevent heart disease; two of the most important are by reducing blood pressure and allowing blood vessels to be more compliant (more compliant means that they become less stiff and it's less likely for fat to accumulate and clog up the vessels). Results like these have been proven over and over again.
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Many people aim for a daily goal of 10,000 steps (or about 5 miles)—and an industry of fitness tracking devices has emerged to support them—but that magic number didn’t originate from scientific research, says John Schuna Jr., Ph.D., assistant professor of kinesiology at Oregon State College of Public Health. “It was first used in a Japanese marketing effort associated with one of the first commercial pedometers.” The device was called “manpo-kei,” which literally means "10,000 steps meter" in Japanese. 
Aerobic training increases the rate at which oxygen inhaled is passed on from the lungs and heart to the bloodstream to be used by the muscles. Aerobically fit athletes can exercise longer and harder before feeling tired. During exercise they have a slower heart rate, slower breathing rate, less muscle fatigue, and more energy. After exercise, recovery happens more quickly. Aerobic fitness can be measured in a laboratory setting while exercising on a treadmill or bicycle. This is called maximal oxygen uptake or VO2 max.
And while there is no “trick” to walking (anyone can do it), it is important to pay attention to form. Keep your head up and look about 20 feet ahead of you. Make sure your upper body is relaxed – shrug your shoulders a few times to check that you’re not stiff. Tighten your core muscles – abs, hips, and lower back – to make sure your torso stays straight and tall. And just walk smoothly, rolling from heel to toe as you swing your arms freely.
You should walk with great attention to your back foot, as though you’re peeling it off the ground like very strong Velcro. You should pay intense heed to the difference between each of your toes, as they touch and leave the ground. You should be aware of your foot’s contours, and this will activate your large posterior muscle chains, the hamstring and the glutes. Along with your active foot will come an open ankle; if you peel your foot off the ground in segments – so it’s not even thinking about becoming airborne until you come to the pivot point between the pad of your foot and your toes – your ankle will open up and become agile, intelligent.
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. 

 4. Haskell WL, Lee IM, Pate RR, et al. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc 2007; 39(8):1423-34. Abstract available at:

Aerobic fitness can be defined as the ability of the body’s cardiovascular and muscular systems to provide the necessary energy to sustain activity that uses the large muscle groups over an extended period of time. To reach aerobic fitness, a person must engage in continuous activity like jogging, walking, cycling, stair climbing, rowing, or swimming at an intensity level you can maintain for at least 30 minutes, three to seven days per week.
I walked along my bus route, assuming that sooner or later, my arrival at another bus stop would coincide with the arrival of my bus. But it didn’t. So I walked some more, eventually making it to work, a mere 20 minutes later than I normally would have, calmer than I might have anticipated, and feeling like I’d accomplished something vaguely mammoth before 10am. I also felt liberated. Who wants to be enslaved to their public transport systems, beholden to the schedules, the whims and capriciousness. Suddenly, I had another option.
The elliptical machine may seem intimidating at first, but it’s easy to use once you get the hang of it. After warming up, keep your posture upright while you use your legs in a pedal motion to move the machine. Look forward the entire time, not down at your feet. Keep your shoulders back and abdominal muscles engaged. Cool down and exit the machine to stretch.
Walking is a great exercise and helps you lose weight. American scientists designed an experiment where obese patients walked together (a concept known as the ‘walking bus’) to their destinations in and around the city. After 8 weeks, their weight was checked, and more than 50% of the participants lost an average of 5 pounds (4). Therefore, it might be a good idea to start walking to and from your nearby destinations, instead of driving your car.
Start with the basics: your shoes. Trainers are best, with very flexible soles; too rigid and you won’t be able to feel your entire foot. They should have a boxy front rather than one that tapers, so you can feel every toe. Most trainers are a little bit wrong, and Hall is now developing her own. But, she says, by the time you know what you’re doing, you can wear almost anything.
Classes are generally rated as beginner, intermediate, and advanced. Choose the level that fits your condition. It's no fun taking an advanced class if you're a beginner. It will be hard and frustrating and you won't enjoy the experience. Watch the class or speak with the instructor to help you decide what's right for you. Sometimes it comes down to the class time that fits your schedule, but just be sure to not get in too far over your head.
Aerobic exercise (also known as cardio) is physical exercise of low to high intensity that depends primarily on the aerobic energy-generating process.[1] "Aerobic" means "relating to, involving, or requiring free oxygen",[2] and refers to the use of oxygen to adequately meet energy demands during exercise via aerobic metabolism.[3] Generally, light-to-moderate intensity activities that are sufficiently supported by aerobic metabolism can be performed for extended periods of time.[1] What is generally called aerobic exercise might be better termed "solely aerobic", because it is designed to be low-intensity enough so that all carbohydrates are aerobically turned into energy.
“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.”
You should walk with great attention to your back foot, as though you’re peeling it off the ground like very strong Velcro. You should pay intense heed to the difference between each of your toes, as they touch and leave the ground. You should be aware of your foot’s contours, and this will activate your large posterior muscle chains, the hamstring and the glutes. Along with your active foot will come an open ankle; if you peel your foot off the ground in segments – so it’s not even thinking about becoming airborne until you come to the pivot point between the pad of your foot and your toes – your ankle will open up and become agile, intelligent.

If you like gadgets, you'll love using a pedometer. It's smaller than a cell phone, and you wear a pedometer on your belt to record the number of steps you take. Digital pedometers record not only your steps based on your body's movement but will convert those steps to miles. Some even tell the time and estimate the calories you've burned based on your body weight. Less-sophisticated pedometers simply click off the number of steps taken. The point is that you are walking and tracking your distance.

Whether you are about to start a walking program or you've been walking regularly, it pays to work on your walking posture and stride to get the most benefits. Beginners should first prepare with a check-up and the right clothes and shoes. Everyone can then benefit from using the best walking technique for posture, arm motion, and stride. Use a schedule to build up your walking time and practice your technique.
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