Table 3.
Health Condition | Risk Reduction1 or Health Improvement | Recommendations for Physical Activity2 | Dose-Response Relationship | Differences between Sex, Age, Ethnicity etc. |
---|---|---|---|---|
All-cause mortality | 30% (44% elderly) | General recommendations | Yes | No |
Cardiovascular disease | 20%–35% | General recommendations | Yes | Insufficient evidence |
Metabolic syndrome | 30%–40% | General recommendations | Yes | No |
Type-2 diabetes | 25%–42% | General recommendations, data primarily on aerobic PA | Yes | Insufficient evidence |
Cancer | Brain cancer: Limited evidence2; Breast cancer: 20%; Bladder cancer: 13%–15%; Colon cancer: 30%; Endometrial cancer: 17%–35%; Esophageal cancer3: 6%–21%; Gastric cancer: 19%; Head & neck cancers: 15%–22%, limited evidence; Hematological cancers: No-low effect, limited evidence3; Lung cancer: 13%–26%; Ovarian cancer: Limited/conflicting evidence; Pancreatic & prostate cancer: Limited evidence; Renal cancer: 11%–23%; Rectal cancer: No risk reduction, limited evidence; Thyroid cancer: No risk reduction |
General recommendations, data primarily on aerobic PA | Renal & thyroid cancer: No. Lung, hematological, head and neck cancers: Limited evidence. Other; Yes. |
Breast cancer: Weaker evidence for Hispanic and Black women. Gastric cancer: Weaker evidence for women Renal cancer: Weaker evidence for Asians Lung cancer: Greater effect for women Other: Limited evidence/No known difference |
Overweight and obesity (weight loss) | PA alone, without diet intervention only has an effect at large volume | General recommendations, combined with diet interventions | Yes | No |
Overweight and obesity (weight maintenance) | PA supports weight maintenance | General recommendations, stronger evidence for aerobic PA | Limited evidence | Insufficient evidence |
Skeletal health | 36%–68% for hip fracture 1%–2% increased bone density |
General recommendations including muscle- strengthening physical activity | Yes | Hip fracture: Largest effect in elderly women Bone density: Largest effect in women |
Muscle mass | Magnitude is highly variable and mode-dependent | Weight bearing activity | Yes | Decreased effect with age |
Functional strength/capacity (middle age and older) | 30% increased chance to counteract or postpone a decrease in functional strength/capacity 30% lower risk of falls |
General recommendations including muscle- and skeletal-strengthening physical activity | Functional health: Yes Falls: No/unclear |
Increased functional capacity mostly seen in older adults ages 65 or more. |
Depression | 20%–30% lower | General recommendations | Yes | No |
Sleep | Improved quality, sleep onset latency and total sleep time | General recommendations | No | No |
Distress | 20%–30% lower | General recommendations | No | No |
Dementia | 20%–30% lower | General recommendations | No | No |
Cognition | Improved for preadolescent children and adults aged 50 years or older | General recommendations | Conflicting findings | Insufficient evidence for adolescents and adults. Ethnicity: No. |
Compiled from US Department of Health and Human Service, https://health.gov/paguidelines/report/ [62,146] 1: Risk reduction refers to the relative risk in physically active samples in comparison to a non-active sample, i.e., a risk reduction of 20% means that the physically active sample has a relative risk of 0.8, compared to the non-active sample, which has 1.0. 2: In general, general recommendations for PA that are described and referred to herein apply to most conditions. However, in some cases, more specific recommendations exist, more in depth described by the US Department of Health and Human Service, amongst others [62]. 3: Evidence is dependent on cancer subtype; refer to US Department of Health and Human Service [62] for in-depth guidance. PA = Physical.