Compiled from FYSS 2017 ( www.fyss.se ) and WHO 2017 ( www.who.int ).
Physical activity is categorized according to FYSS as: (1) Aerobic physical activity and (2) muscle-strengthening physical activity. Physical activity in everyday life and exercise training is mainly an aerobic activity, where a majority of energy production occurs via oxygen-dependent pathways. Aerobic physical activity is the type of activity typically associated with stamina, fitness, and the biggest health benefits [ 29 , 30 , 31 ]. Muscle-strengthening physical activity is referred to in everyday language as “strength training” or “resistance training” and is a form of physical exercise/training that is primarily intended to maintain or improve various forms of muscle strength and increase or maintain muscle mass [ 32 ]. Sometimes, another category is defined: Muscle-enhancing physical activity, important for maintenance or improvement of coordination and balance, especially in the elderly [ 33 ]. According to these definitions, muscle-strengthening activities primarily involve the body’s anaerobic (without oxygen) energy systems, proportionally more as intensity increases.
Exercise intensity can be expressed in absolute or relative terms. Absolute intensity means the physical work (for example; Watts [W], kg, or metabolic equivalent [MET]), while relative intensity is measured against the person’s maximum capacity or physiology (for example; percentage of maximum heart rate (%HR), rate of perceived exhaustion (RPE), W·kg −1 or relative oxygen uptake in L·min −1 ·kg −1 (VO 2 )). In terms of recommendations to the public, as in Table 1 , the intensity is often described in subjective terms (“makes you breathe harder” for moderate intensity, and “makes you puff and pant” for vigorous intensity) [ 27 ]. While objective criteria such as heart rate and accelerometry will capture the intensity of activity, they may not distinguish between different types of physical activity behaviors [ 34 ]. FYSS defines low intensity as 20%–39% of VO 2 max, <40 %HR, 1.5–2.9 METs; moderate intensity as 40%–59% of VO 2 max, 60–74 %HR, 3.0–5.9 METs, and vigorous intensity as 60%–89% of VO 2 max, 75–94 %HR, 6.0–8.9 METs. Absolute intensity, however, can vary greatly between individuals where a patient with heart disease may have a maximal capacity of <3 MET, and an elite athlete >20 MET [ 35 ].
Adaption to physical activity and training is a complex physiological process, but may, in the context of this paper, be simplified by a fundamental basic principle:” The general adaptation syndrome (GAS)” [ 36 , 37 , 38 ]. This principle assumes that physical activity disturbs the body’s physiological balance, which the body then seeks to restore, all in a dose-related response relationship. The overload principle states that if exercise intensity is too low, overload is not reached to induce desired physiological adaptations, whereas an intensity too high will result in fatigue and possibly overtraining. Thus, for adaptation to occur, greater than normal stress must be induced, interspersed with sufficient recovery periods for restoration of physiological balance [ 39 ]. During and immediately after physical exercise/training, functions of affected tissues and systems are impaired, manifested as temporarily decreased performance. You feel tired. In order to gradually improve performance capacity, repeated cycles of adequate overload and recovery are required [ 40 ]. In practice, positive effects can be seen after a relatively short period of a few weeks, but more substantial improvements if the training is maintained for a longer period.
As a rule of thumb, it is assumed that all people can adapt to physical activity and exercise, but the degree of adaptation depends on many factors, including age, heredity, the environment, and diet [ 41 , 42 , 43 , 44 ]. The hereditary factor (genetics) may be the most critical for adaptation [ 45 ]. The degree of adaptation also depends on how the person in question trained previously; a well-trained athlete usually does not have the same relative improvement as an untrained one. Even if training is thought to be specific to mode, intensity, and duration, there are some overlaps. For example, it has been found that strength training in some individuals contributes to a relatively large positive impact on health and endurance, effects previously associated primarily with aerobic exercise [ 46 , 47 ]. The overload principle may, if applied too vigorously in relation to a person’s individual adaptation ability, have detrimental effects, including reduced performance, injury, overtraining, and disease [ 10 ]. Training is a commodity that must be renewed; otherwise, you gradually lose achieved performance improvements [ 48 ], although some capacities, such as muscle memory, seem to persist for life [ 49 ].
General recommendations for health may be stated, but individual predispositions make general training schedules for specific performance effects unpredictable. All exercise training should be adjusted to individual purposes, goals, and circumstances.
Human biology requires a certain amount of physical activity to maintain good health and wellbeing. Biological adaption to life with less physical activity would take many generations. People living today have, more or less, the same requirements for physical activity as 40,000 years ago [ 50 , 51 ]. For an average man with a body weight of 70 kg, this corresponds to about 19 km daily walking in addition to everyday physical activity [ 52 ]. For most people, daily physical activity decreases, while planned, conscious exercise and training increases [ 19 , 53 ]. Unfortunately, average daily energy intake is increasing more than daily energy output, creating an energy surplus. This is one reason for the increasing number of overweight people, and a strong contributor to many health problems [ 54 ]. More sedentary living (not reaching recommended level of physical activity), combined with increased energy intake, impairs both physical and mental capabilities and increases the risk of disease. Despite this, Swedes (as an example) seemed to be as physically active and stressed but had better general health in 2015, compared to 2004 ( Figure 1 ). Compared to 2004–2007, the Swedish population in 2012–2015 reported better overall health (more county-dots are blue) and less fatigue (smaller county-dots) with similar level of physical activity (~65% indicated at least 30 min daily physical activity) and stress (~13% were stressed).
Selected physical and mental health indicators of a Sweden cohort, in relation to the degree of physical activity for the period of years 2004–2007 ( N = 29,254) and years 2012–2015 ( N = 38,553). Surveyed subjects are age 16 to 84 years old, with data representing median scores of four years, not normalized for age. Y-axis: Percentage of subjects reporting “stressed”; X-axis: Percentage of subjects indicating physical active at least 30 minutes each day. Each dot represents one County (Län), dot-size indicates self-reported fatigue, and color self-reported healthiness of the County. If 70% of the population states they are having “Good/Very good” health, the dot is blue. If less than 70% states they are having good/very good health, the dot is red. The circle indicated with a black arrow corresponds to nation median. The black line connected to the nation circle represents the movement in the X–Y plane from the year 2004 to 2007, and from 2012 to 2015, respectively. Data retrieved from the Public Health Agency of Sweden 2019-04-22 ( www.folkhalsomyndigheten.se ).
Results in Figure 1 may in part be explained by a polarization of who is physically active: Some individuals are extremely active, others very inactive, giving a similar central tendency (mean/median). As physical activity and mental stress are not changed, but health is, the figure indicates that other factors must be more important to our overall health and fatigue. Recently, a national study of Swedish 11- to 15-year-olds concluded that this age group is inactive for most of their time awake, that is, sitting, standing or moving very little [ 55 ]. Time as inactive increased with age, from 67 percent for 11-year-olds to 75 percent for 15-year-olds. The study states that in all age groups, the inactive time is evenly distributed over the week, with school time, leisure time, and weekend. Further, those who feel school-related stress have more inactive time, both overall and during school hours, than those who have less school-related stress.
People active in sports have, in general, better health than those who do not participate in sports, because they are physically and mentally prepared for the challenges of sports, abilities that in many cases can be transferred to other parts of life [ 56 ].
However, there is a certain bias in this statement. Sport practitioners are already positively selected, because sickness and injury may prevent participation. As many health benefits of sport are related to the level of physical activity, separation of sport and physical exercise may be problematic. Regardless, societal benefits of these health effects can be seen in lower morbidity, healthier elderly, and lower medical costs [ 7 , 57 , 58 ].
Health effects of physical activity in many cases follow a dose–response relationship; dose of physical activity is in proportion to the effect on health [ 59 , 60 ]. Figure 2 depicts the relationship between risk of death and level of physical activity, in a Finnish twin cohort, adjusted for smoking, occupational group, and alcohol consumption [ 59 ]. Odds ratio (OR) for the risk of all-cause mortality in a larger sample in the same study was 0.80 for occasional exercisers ( p = 0.002, 95% CI = 0.69–0.91). This dose–response relationship between risk of all-cause mortality and physical activity is evident in several extensive studies [ 60 , 61 , 62 ]. The total dose is determined by the intensity (how strenuous), duration (duration), and frequency (how often). While Figure 2 shows sex differences in death rates, it is likely that sedentary behavior is equally hazardous for men and women, but inconsistent results sometime occur due to inadequate assessment measures, or low statistical power [ 59 , 63 ]. To obtain the best possible development due to physical exercise/training, both for prevention and treatment purposes, a basic understanding of how these variables affect the dose of activity is required, as well as understanding how they can be modified to suit individual requirements. A physically active population is important for the health of both the individual and society, with sport participation being one, increasingly important, motivator for exercise.
Relative risk (odds ratio; OR) of premature death in relationship to level of physical activity, in 286 male and 148 female twin pairs, adjusted for smoking, occupational group, and use of alcohol [ 59 ].
There is strong scientific evidence supporting an association between physical exercise/training and good physical and mental health. For example: A reduction in musculoskeletal disorders and reduced disability due to chronic disease [ 27 , 64 ], better mental health with reduced anxiety [ 65 , 66 ], insomnia [ 67 ], depression [ 31 ], stress [ 68 ], and other psychological disorders [ 69 ]. Physical and mental health problems are related to an increased risk of developing a number of our major public health diseases and may contribute to premature death ( Table 2 ).
Health-related physiological effects of aerobic and muscle strengthening physical activity. Green circle indicates that the activity contributes with an effect, whereas a red circle indicates that the activity has no proven effect. Orange circle indicates that the activity may in some cases be effective.
Effects on the Body | Health Effects | Aerobic | |
---|---|---|---|
Larger proportion slow-twitch fibers [ , ] | Lower risk for metabolic syndrome with increased exchange of gases and nutrition [ , ] | ||
Larger proportion slow-twitch [ ] | Increased strength, coordination and balance in elderly [ ] and in sickness [ ], lower risk for fall [ ] | ||
Formation of new capillaries [ ] | Increased aerobic capacity [ ] | ||
Improved endothelial function [ ] | Lower risk for cardiovascular disease [ ], improved function in heart disease [ ] | ||
Increased mitochondrial volume [ ] | Increased aerobic capacity [ ] | ||
Improved glucose transport [ ] | Lower risk or metabolic syndrome/Type-2 diabetes [ ] | ||
Improved insulin sensitivity [ ] | Improved health in people with Type-2 diabetes [ ], prevention of Typ-2 diabetes [ ] | ||
Increased heart capacity [ ] | Lower risk for cardiovascular disease [ ], fewer depressions [ , ], also in children [ ] | ||
Increased skeletal volume and mineral content [ ] | Improved skeletal health [ , ] | ||
Improved body composition [ ] | Lower risk for metabolic syndrome [ ] | ||
Improved blood pressure regulation [ , ] | Lower risk for cardiopulmonary disease [ ] | ||
Improved blood lipid profile [ ] | Lower risk for cardiopulmonary disease in elderly [ , ] and Alzheimer’s [ ] No effect on blood lipid profiles in children and adolescents [ ] | ||
Improved peripheral nerve function [ ] | Better coordination, balance and reaction [ , ], especially in children and elderly [ ] | ||
Enhanced release of signaling substances [ , ] | Better sleep [ ], less anxiety [ ], treatment of depression [ ] | ||
Improved hippocampus function [ ] | Improved cognition and memory [ ], less medication [ ] | ||
Positive effects on mental capacity [ ] | Counteract brain degeneration by diseases [ ] and age [ ] | ||
Improved immune function [ ] | Decreased overall risk for disease [ , ], anti-inflammatory effects [ , ] | ||
Strengthening the connection between brain, metabolism and immune function [ ] | Decreased risk for disease [ ], improved metabolism [ ], decreased risk for depression [ ] | ||
Improved intestinal function [ , ] | Improved health [ ], mitigated metabolic syndrome, obesity, liver disease, and some cancers [ ] |
The effects of physical activity and exercise are both acute (during and immediately after) and long-lasting. Effects remaining after a long period of regular physical activity have far-reaching consequences for health and are described below. For example, some muscle enzymes’ activity can be quickly increased by physical exercise/training but just as quickly be lost when idle [ 118 ]. Other changes remain for months or years even if training ends—for instance, increased number and size of muscle fibers and blood vessels [ 49 , 119 , 120 ]. Good health, therefore, requires physical activity to be performed with both progression and continuity. Most of the conducted physical exercise/training is a combination of both aerobic and muscle strengthening exercise, and it can be difficult to distinguish between their health effects ( Table 2 ).
To describe ill-health, indicators of life expectancy, disease incidence (number), and prevalence (how often) are used [ 121 ]. In describing the relationship between physical activity and falling ill with certain diseases, the dose–response relationship, the effect size (the risk reduction that is shown in studies), and the recommended type and dose of physical activity are considered [ 122 ]. Table 3 shows the relative effects of regular physical activity ton the risk of various diseases (US Department of Human Services, 2009). The greatest health gains are for people who move from completely sedentary to moderately active lifestyles, with health effects seen before measurable improvements in physical performance. Previously, most scientific studies collected data only on aerobic physical activity. However, resistance exercise also shows promising health (mental and physical) and disease-prevention effects [ 123 , 124 , 125 , 126 , 127 ].
Disease prevention effects of regular physical activity.
Health Condition | Risk Reduction or Health Improvement | Recommendations for Physical Activity | Dose-Response Relationship | Differences between Sex, Age, Ethnicity etc. |
---|---|---|---|---|
30% (44% elderly) | General recommendations | Yes | No | |
20%–35% | General recommendations | Yes | Insufficient evidence | |
30%–40% | General recommendations | Yes | No | |
25%–42% | General recommendations, data primarily on aerobic PA | Yes | Insufficient evidence | |
Brain cancer: Limited evidence ; Breast cancer: 20%; Bladder cancer: 13%–15%; Colon cancer: 30%; Endometrial cancer: 17%–35%; Esophageal cancer : 6%–21%; Gastric cancer: 19%; Head & neck cancers: 15%–22%, limited evidence; Hematological cancers: No-low effect, limited evidence ; 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 | |
PA alone, without diet intervention only has an effect at large volume | General recommendations, combined with diet interventions | Yes | No | |
PA supports weight maintenance | General recommendations, stronger evidence for aerobic PA | Limited evidence | Insufficient evidence | |
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 | |
Magnitude is highly variable and mode-dependent | Weight bearing activity | Yes | Decreased effect with age | |
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. | |
20%–30% lower | General recommendations | Yes | No | |
Improved quality, sleep onset latency and total sleep time | General recommendations | No | No | |
20%–30% lower | General recommendations | No | No | |
20%–30% lower | General recommendations | No | No | |
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.
Aerobic physical activity has been shown to benefit weight maintenance after prior weight loss, reduce the risk of metabolic syndrome, normalize blood lipids, and help with cancer/cancer-related side effects ( Table 2 and Table 3 ), while effects on chronic pain are not as clear [ 29 ].
Muscle-strengthening physical activity has, in contrast to aerobic exercise, been shown to reduce muscle atrophy [ 128 ], risk of falling [ 75 ], and osteoporosis [ 74 ] in the elderly. Among the elderly, both men and women adapt positively to strength training [ 129 ]. Strength training also prevents obesity [ 130 ], enhances cognitive performance if done alongside aerobic exercise [ 131 ], counteracts the development of neurodegenerative diseases [ 132 , 133 , 134 ], reduces the risk of metabolic syndrome [ 135 ], counteracts cancer/cancer-related side effects [ 135 , 136 ], reduces pain and disability in joint diseases [ 137 ], and enhances bone density [ 137 , 138 ]. The risk of falling increases markedly with age and is partly a result of reduced muscle mass, and reduced coordination and balance [ 76 , 139 , 140 ]. A strong correlation between physical performance, reduced risk of falls, and enhanced quality of life is therefore, not surprisingly, found in older people [ 141 ]. Deterioration in muscle strength, but not muscle mass, increases the risk of premature death [ 142 ] but can be counteracted by exercise as a dose–response relationship describes the strength improvement in the elderly [ 122 , 143 ]. Recommendations state high-intensity strength training (6–8 repetitions at 80% of 1-repetition maximum) as most effective [ 144 ]. Muscle strengthening physical activity for better health is recommended as a complement to aerobic physical activity [ 29 ]. Amongst the elderly, vibration training can be an alternative to increase strength [ 145 ].
Mental illness is a global problem affecting millions of people worldwide [ 147 ]. Headache, stress, insomnia, fatigue, and anxiety are all measures of mental ill health. The term “ ill health ” constitutes a collection of several mental health problems and symptoms with various levels of seriousness. Studies have compared expected health benefits from regular physical activity for improvement of mental health with other treatments, for example, medication. Most recent studies show that physical activity and exercise used as a primary, or secondary, processing method have significant positive effects in preventing or alleviating depressive symptoms [ 31 , 148 , 149 , 150 , 151 ] and have an antidepressant effect in people with neurological diseases [ 152 ]. Training and exercise improve the quality of life and coping with stress and strengthen self-esteem and social skills [ 69 , 153 ]. Training and exercise also lessen anxiety in people who are diagnosed with an anxiety- or stress-related disease [ 68 ], improve vocabulary learning [ 154 ], memory [ 155 , 156 ], and creative thinking [ 157 ].
The same Swedish data as used in Figure 1 show that between the years 2004–2007 and 2012–2015 anxiety, worry, and insomnia decreased but were not obviously correlated to the slightly increased level of physical activity in the population during the same period. Thus, in a multifactorial context, the importance of physical exercise alone cannot be demonstrated in this dataset.
Some of the suggested physiological explanations for improved mental health with physical activity and exercise are greater perfusion and increased brain volume [ 107 , 158 ], increased volume of the hippocampus [ 106 ], and the anti-inflammatory effects of physical activity, reducing brain inflammation in neurological diseases [ 159 ]. Physical exercise may also mediate resilience to stress-induced depression via skeletal muscle peroxisome proliferator-activated receptor gamma coactivator 1-alpha (PGC-1α), enhancing kynurenine conversion to kynurenine acid, which in turn protects the brain and reduces the risk for stress-induced depression [ 153 ]. Further, increased release of growth factors, endorphins, and signaling molecules are other exercise-induced enhancers of mental health [ 69 ].
Sport’s main purposes are to promote physical activity and improve motor skills for health and performance and psychosocial development [ 56 ]. Participants also gain a chance to be part of a community, develop new social circles, and create social norms and attitudes. In healthy individuals, and patients with mental illness, sport participation has been shown to provide individuals with a sense of meaning, identity, and belonging [ 160 , 161 ]. Whether the sport movement exists or not, training and competition including physical activity will happen. Sport’s added values, in addition to the health benefits of physical activity, are therefore of interest. Some argue that it is doubtful, or at least not confirmed, that health development can come from sport, while others believe that healthy sport is something other than health, reviewed in depth by Coakley [ 162 ]. In a sporting context, health is defined as subjective (e.g., one feels good), biological (e.g., not being sick), functional (e.g., to perform), and social (e.g., to collaborate) [ 163 ]. Holt [ 56 ] argued that the environment for positive development in young people is distinctly different from an environment for performance, as the latter is based on being measured and assessed. That said, certain skills (goal setting, leadership, etc.) can be transferred from a sporting environment to other areas of life. The best way to transfer these abilities is, at the moment, unclear.
Having the goal to win at all costs can be detrimental to health. This is especially true for children and adolescents, as early engagement in elite sports increases the risk of injury, promotes one-dimensional functional development, leads to overtraining, creates distorted social norms, risks psychosocial disorders, and has the risk of physical and psychological abuse [ 15 , 164 ]. Of great importance, therefore, is sport’s goal of healthy performance development, starting at an early age. For older people, a strong motivating factor to conduct physical activity is sports club membership [ 165 ]. One can summarize these findings by stating sport’s utility at the transition between different stages of the life; from youth to adulthood and from adulthood to old age. There, sports can be a resource for good physical and mental health [ 166 ].
Today, a higher proportion of the population, compared to 50 years ago, is engaged in organized sports, and to a lesser extent performs spontaneous sports ( Figure 3 ), something that Engström showed in 2004 [ 17 ] and is confirmed by data from The Swedish Sports Confederation ( www.rf.se ). Of the surveyed individuals in 2001, 50%–60% of children and young people said they were active in a sports club. The trend has continued showing similar progression to 2011, with up to 70% of school students playing sports in a club. Furthermore, the study shows that those active in sport clubs also spontaneously do more sports [ 167 ]. Similar data from the years 2007–2018, compiled from open sources at The Swedish Sports Confederation, confirm the trend with an even higher share of youths participating in organized sports, compared to 1968 and 2001 ( Figure 4 ).
Spontaneous sport has decreased over the last decades, to the advantage of organized sport. Data compiled from Engström, 2004, The Swedish Research Council for Sport Science.
Data compiled from open sources report Sport Statistics (Idrotten i siffror) at The Swedish Sports Confederation for the year 2011 ( www.rf.se ).
Taking part in sports can be an important motivator for physical activity for older people [ 165 , 166 ]. With aging, both participation in sports ( Figure 4 ) and physical activity in everyday life [ 168 ] decreases. At the same time, the number of people who are physically active both in leisure and in organized sports increases (The Public Health Agency of Sweden 2017; www.folkhalsomyndigheten.se ). Consequently, among elderly people, a greater proportion of the physical activity occurs within the context of sport [ 8 , 28 ]. Together, research shows that organized sports, in clubs or companies, are more important for people’s overall physical activity than ever before. Groups that are usually less physically active can be motivated through sport—for example, elderly men in sport supporters’ clubs [ 169 ], people in rural areas [ 170 ], migrants [ 171 ], and people with alternative physical and mental functions [ 172 ]. No matter how you get your sporting interest, it is important to establish a physical foundation at an early age to live in good health when you get older ( Figure 5 ). As seen in Figure 5 , a greater sport habitus at age 15 results in higher physical activity at 53 years of age. Early training and exposure to various forms of sports are therefore of great importance. Participation creates an identity, setting the stage for a high degree of physical activity later in life [ 173 ].
Odds ratio (OR) of physical activity at age 53 in relation to Sport habitus at age 15. Sport habitus (“the total physical capital"), including cultural capital, athletic diversity, and grades in physical education and health are, according to Engström [ 173 ], the factors most important for being physically active in later life. For a further discussion on sport habitus, the readers are referred to Engström, 2008 [ 173 ]. Numbers above bar show the 95% confidence interval. ** = significant difference from “Very low”, p < 0.01. *** = p < 0.001.
The effects of participation in organized sports for children and young people are directly linked to physical activity, with long term secondary effects; an active lifestyle at a young age fosters a more active lifestyle as an adult. As many diseases that are positively affected by physical activity/exercise appear later in life, continued participation in sport as an adult will reduce morbidity and mortality.
It must be emphasized that good physical and mental health of children and young people participating in sport requires knowledge and organization based on everyone’s participation. Early specialization counteracts, in all regards, both health and performance development [ 174 , 175 ].
According to several reviews, there is a correlation between high daily physical activity in children and a low risk for obesity, improved development of motor and cognitive skills, as well as a stronger skeleton [ 176 , 177 ]. Positive effects on lipidemia, blood pressure, oxygen consumption, body composition, metabolic syndrome, bone density and depression, increased muscle strength, and reduced damage to the skeleton and muscles are also described [ 178 , 179 ]. If many aspects are merged in a multidimensional analysis [ 8 , 173 ], the factors important for future good health are shown to be training in sports, broad exposure to different sports, high school grades, cultural capital, and that one takes part in sport throughout childhood ( Table 4 ).
Compiled health profiles for men and women at the age of 20 years, depending on participation in organized sports at the age of 5, 7, 8, 10, 14, and 17 years.
Physical Activity at Age 20 Years | Girls | Boys | ||||
---|---|---|---|---|---|---|
Sport Participation as Young | ||||||
Participate | Quit | Never | Participate | Quit | Began late | |
⮉ | ⮉ | ⮋ | ⮉ | ⮉ | ⮋ | |
⇔ | ⇔ | ⇔ | ⮉ | ⮉ | ⮋ | |
⇔ | ⇔ | ⇔ | ⇔ | ⇔ | ⇔ | |
⇔ | ⇔ | ⇔ | ⇔ | ⇔ | ⇔ | |
⇔ | ⇔ | ⇔ | ⮋ | ⮉ | ⮉ | |
⮉ | ⮉ | ⮋ | ⮉ | ⮋ | ⮉ | |
) | ⮉ | ⮉ | ⮋ | ⮉ | ⮋ | ⮉ |
⮉ | ⮉ | ⮋ | ⇔ | ⇔ | ⇔ | |
⇔ | ⇔ | ⇔ | ⇔ | ⇔ | ⇔ | |
⇔ | ⇔ | ⇔ | ⇔ | ⮉ | ⇔ | |
⇔ | ⇔ | ⇔ | ⇔ | ⇔ | ⇔ | |
⇔ | ⇔ | ⇔ | ⇔ | ⇔ | ⇔ |
Classification with repeated latent class analysis creates three groups for girls and boys, respectively: Children who never participated (girls only), participated, quit prematurely, or began late (only boys) in sports. Arrows indicate whether participation in sports at young age has an effect on health at 20 years of age. Green up arrow is positive, red down arrow negative, and a horizontal black double arrow shows that sport had no significant effect. Modified from Howie et. al., 2016 [ 8 ].
Psychological benefits of sports participation of young people were compiled by Eime et al. [ 1 ], where the conclusion was that sporting children have better self-esteem, less depression, and better overall psychosocial health. One problem with most of these studies, though, is that they are cross-sectional studies, which means that no cause–effect relationship can be determined. As there is a bias for participating children towards coming from socially secure environments, the results may be somewhat skewed.
As Table 4 and Table 5 show, there are both positive and negative aspects of sports. Within children’s and youth sports, early specialization to a specific sport is a common phenomenon [ 175 ]. There is no scientific evidence that early specialization would have positive impact, neither for health nor for performance later in life [ 175 ]. No model or method including performance at a young age can predict elite performance as an adult. By contrast, specialization and competitiveness can lead to injury, overtraining, increased psychological stress, and reduced training motivation, just to mention a few amongst many negative aspects [ 174 , 175 ]. Another important aspect is that those who are excluded from sports feel mentally worse [ 8 ]. As there is a relationship between depressive episodes in adolescence, and depression as adults [ 116 ], early exclusion has far-reaching consequences. Therefore, sports for children and young people have future health benefits by reducing the risk of developing depression and depressive symptoms, as well as improved wellbeing throughout life.
Positive and negative aspects with sport (at young age).
Aspect | Positive | Negative |
---|---|---|
Better self-esteem Better academic results That endurance and hard work pay off Independence and responsibility Making wise decisions Keep a positive attitude Manage stress Set clear goals Higher assessment of skills Higher working standards Better discipline Late alcohol store Lower alcohol consumption (in most sports) Less drugs Greater social capital Better relationships with adults Uses TV/PC less Lower risk of school dropout | Emotional fatigue One-dimensional identity Risk of abuse Increased stress Injuries Temptation for doping Fear of punishment Fear of failure Feeling pressure from the surroundings Fear of disappointing surroundings Risk of burnout Risk of overtraining Poor sleep Decrepit Repeated infections Risk of self-sacrifice Risk of self-injury Increased risk of destructive decisions (doping, cheating etc.) Risk of depression in case of rejection | |
The usefulness of teamwork Good communication Larger contributions to society later in life Larger contributions to the family later in life Lower crime Opportunity in developing countries Increased chance of being active in sports clubs as older Easier to reach with education | Less integrated with the family Social isolation from other society | |
Greater physical literacy Abilities to live a healthy life as adult and elderly Less smoking Less drugs Lower body fat Larger muscle mass Beneficial metabolism Higher aerobic and anaerobic capacity Lower risk for fractures as older Reduced general disease risk | Physical fatigue Increased injury risk Risk of eating disorders Overtraining Temptation for doping Risk of abuse (physical and mental) Unilateral training and development For Para athletes, injury can be a double handicap Worse oral health |
While some degree of sport specialization is necessary to develop elite-level athletes, research shows clear adverse health effects of early specialization and talent selection [ 180 ]. More children born during the fall and winter (September–December) are excluded [ 181 ], and as a group, they are less physically active than spring (January–April) children, both in sports and leisure ( Figure 6 ). In most sports and in most countries, there is a skewed distribution of participants when sorted by birth-date, and there are more spring children than fall children among those who are involved in sport [ 182 , 183 , 184 , 185 , 186 ]. Because a large part of the physical activity takes place in an organized form, this leads to lower levels of physical activity for late-born persons (Malm, Jakobsson, and Julin, unpublished data). Early orientation and training in physical activity and exercise will determine how active you are later in life. Greater attention must be given to stimulating as many children and young people as possible to participate in sport as long as possible, both in school and on their leisure time. According to statistics from the Swedish Sports Confederation in 2016, this relative-age effect persists throughout life, despite more starting than ending with sport each year [ 18 ].
The figure shows the distribution of 7597 children aged 10 years and younger who in 2014 were registered as active in one particular, individual sport in Sweden (data compiled from the Swedish Sport Confederation, www.rf.se ). Spring, Summer, and Fall represent January–April, May–August, and September–December, respectively.
When summarize, the positive and negative aspects of sport at a young age can be divided into three categories: (1) Personal identification, (2) social competence, and (3) physiological capacity, briefly summarized in Table 5 . A comprehensive analysis of what is now popularly known as “physical literacy” has recently been published [ 187 ].
Sports can make children and young people develop both physically and mentally and contribute with health benefits if planned and executed exercise/training considers the person’s own capacities, social situation, and biological as well as psychological maturation. In children and adolescents, it is especially important to prevent sports-related injuries and health problems, as a number of these problems are likely to remain long into adulthood, sometimes for life. Comprehensive training is recommended, which does not necessarily mean that you have to participate in various sports. What is required is diverse training within every sport and club. Research shows that participation in various sports simultaneously during childhood and adolescence is most favorable for healthy and lifelong participation [ 8 , 173 , 188 , 189 ].
Adults who stop participating in sports reduce their physical activity and have health risks equal to people who have neither done sports nor been physical [ 190 , 191 ]. Lack of adherence to exercise programs is a significant hindrance in achieving health goals and general physical activity recommendations in adults and the elderly [ 192 ]. While several socioeconomic factors are related to exercise adherence, it is imperative that trainers and health care providers are informed about factors that can be modulated, such as intervention intensity (not to high), duration (not too long), and supervision, important for higher adherence, addressed more in depth by Rivera-Torres, Fahey and Rivera [ 192 ].
Healthy aging is dependent on many factors, such as the absence of disease, good physical and mental health, and social commitment (especially through team sports or group activities) [ 193 ]. Increased morbidity with age may be partly linked to decreased physical activity. Thus, remaining or becoming active later in life is strongly associated with healthy aging [ 194 ]. With increased age, there is less involvement in training and competition ( Figure 4 ), and only 20% of adults in Sweden are active, at least to some extent, in sports clubs, and the largest proportion of adults who exercise do it on their own. The following sections describes effects beyond what is already provided for children and youths.
Participation in sports, with or without competition, promotes healthy behavior and a better quality of life [ 166 ]. Exclusion from sports at a young age appears to have long-term consequences, as the previously described relative age effect ( Figure 6 ) remains even for master athletes (Malm, Jakobsson, and Julin, unpublished data). Because master athletes show better health than their peers [ 95 ], actions should be taken to include adults and elderly individuals who earlier in life were excluded from, or never started with sport [ 195 ]. As we age, physical activity at a health-enhancing intensity is not enough to maintain all functions. Higher intensity is required, best comprising competition-oriented training [ 196 , 197 ]. One should not assume that high-intensity exercise cannot be initiated by the elderly [ 198 ]. Competitive sports, or training like a competitive athlete as an adult, can be one important factor to counter the loss of physical ability with aging [ 199 ]. In this context, golf can be one example of a safe form of exercise with high adherence for older adults and the elderly, resulting in increased aerobic performance, metabolic function, and trunk strength [ 200 , 201 ].
Increased morbidity (e.g., cardiovascular disease) with aging is seen also among older athletes [ 202 ] and is associated with the same risk factors as in the general population [ 203 ]. An increased risk of cardiovascular disease among adults (master) compared to other populations has been found [ 204 ]. Unfortunately, the designs and interpretations of these studies have been criticized, and the incidence of cardiac arrest in older athletes is unclear [ 205 ]. In this context, the difference between competitive sports aiming to optimize performance and recreational sports has to be taken into account, where the former is more likely to induce negative effects due to high training loads and/or impacts during training and games. Although high-intensity training even for older athletes is positive for aerobic performance, it does not prevent the loss of motor units [ 206 ].
Quality of life is higher in sporting adults compared to those who do not play sports, but so is the risk of injury. When hit by injury, adults and young alike may suffer from psychological disorders such as depression [ 207 ], but with a longer recovery time in older individuals [ 208 ]. As with young athletes, secession of training at age 50 years and above reduces blood flow in the brain, including the hippocampus, possibly related to long-term decline in mental capacity [ 209 ].
As for children and young people, many positive health aspects come through sport also for adults and the elderly [ 210 ]. Sport builds bridges between generations, a potential but not elucidated drive for adults’ motivation for physical activity. The percentage of adults participating in competitive sports has increased in Sweden since 2010, from about 20 percent to 30 percent of all of those who are physically active [ 18 ], a trend that most likely provides better health for the group in the 30–40 age group and generations to come.
C.M. and A.J. conceived and designed the review. C.M., A.J., J.J. and interpreted the data and drafted the manuscript. J.J. edited the manuscript, tables, and figures. All authors approved the final version.
This work was supported by the Swedish Sports Confederation.
The authors declare no conflict of interest.
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Argumentative Essay Topics on Mental Health. Mental health is an important and often overlooked topic. In this article, we’ll explore some argumentative essay topics related to mental health .
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1. Is there a connection between mental health and physical health? 2. How does mental illness affect a person’s ability to function in society? 3. What are the most effective treatments for mental illness? 4. Are there any effective prevention strategies for mental illness? 5. What is the relationship between mental health and substance abuse? 6. How does poverty affect mental health? 7. What are the most common mental disorders? 8. What are the consequences of untreated mental illness? 9. What are the risk factors for developing mental illness? 10. How can mental illness be effectively diagnosed?
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1. Depression is a real mental health condition.
2. Depression is more than just feeling sad.
3. Depression can lead to serious physical health problems.
4. Depression is treatable with medication and therapy.
5. People with depression can lead happy, fulfilling lives.
6. Untreated depression can be deadly.
7. Depression is often misunderstood and stigmatized.
8. Depression is not a sign of weakness or a character flaw.
9. Anyone can develop depression, even people who seem to have it all together.
10. There is no single cause of depression, but there are risk factors that can make someone more likely to develop the condition.
Argumentative Essay Topics on Mental Health. Mental health is an important and often overlooked topic. In this article, we’ll explore some argumentative essay topics related to mental health.
1. Mental health should be taught in schools. 2. There should be more support for mental health in schools. 3. Mental health should be taken more seriously in schools. 4. Schools should do more to prevent mental health problems. 5. Schools should do more to help students with mental health problems. 6. Mental health problems are increasing in schools. 7. school counselors are not trained to deal with mental health issues 8. most school don’t have a mental health policy 9. lack of awareness about mental health among school staff 10. stigma and discrimination against mental health patients
Argumentative essay topics about mental health can be very controversial and sensitive. However, there are many people who are open to discussing these topics and raising awareness about mental health. Here are twenty argumentative essay topics about mental health that you can use for your next essay.
1. How does society view mental health? 2. Do we need to break the stigma around mental health? 3. How can we better support those with mental health conditions? 4. What is the link between mental health and addiction? 5. How does trauma affect mental health? 6. What are the most effective treatments for mental health conditions? 7. Are there any natural remedies for mental health conditions? 8. How does diet affect mental health? 9. How does exercise affect mental health? 10. What is the link between sleep and mental health? 11. What are the warning signs of a mental health condition? 12. When should someone seek professional help for a mental health condition? 13. How can family and friends support someone with a mental health condition? 14. What are the most common myths about mental health? 15. How does stigma impact those with mental health conditions?
16. How can we destigmatize mental health? 17. What is the link between mental health and violence? 18. How does mental health affect overall health? 19. What are the most common mental health disorders? 20. What are the most effective treatments for mental health disorders?
1. The definition of mental health 2. The different types of mental illness 3. The causes of mental illness 4. The treatments for mental illness 5. The side effects of mental illness 6. The impact of mental illness on society 7. The cost of mental health care 8. Mental health in the workplace 9. Mental health in the media 10. Stigma and discrimination against those with mental illness 11. The impact of trauma on mental health 12. Mental health during pregnancy and postpartum 13. Children’s mental health 14. Geriatric mental health 15. Global perspectives on mental health 16. Religion and mental health 17. Cultural competence in mental health care 18. Social media and mental health 19.Nutrition and mental health
20. Exercise and mental health
1. How does mental illness affect one’s ability to work? 2. What are the most common types of mental illness? 3. How can mental illness be prevented? 4. What are the most effective treatments for mental illness? 5. How does mental illness impact relationships? 6. What are the financial costs of mental illness? 7. How does stigma affect those with mental illness? 8. What are the most common myths about mental illness? 9. How does mental illness differ from addiction? 10. What are the early warning signs of mental illness?
1. The definition of mental health is contested and argued by professionals in the field. 2. Some people argue that mental health is a social construction, while others believe that it is a real and valid medical condition. 3. Mental health is often stigmatized in society, and those who suffer from mental illness are often seen as weak or crazy. 4. Mental health is often viewed as something that can be cured, when in reality it is a lifelong battle for many people. 5. Mental illness is often seen as an individual responsibility to deal with, when in reality it affects not just the individual but also their families and loved ones. 6. It is often said that people with mental illness are not able to function in society, when in fact many people with mental illness are high-functioning individuals. 7. Mental health is often viewed as an all-or-nothing proposition, when in reality there is a spectrum of mental health conditions that range from mild to severe. 8. People with mental illness are often treated differently than other people, and they are often discriminated against. 9. There is a lot of misinformation about mental health, and this leads tomisunderstanding and fear. 10. Mental health is a complex issue, and there is no one-size-fits-all solution to addressing it.
1. The link between mental health and physical health. 2. The benefits of therapy and counseling. 3. The importance of early intervention for mental health issues. 4. The impact of trauma on mental health. 5. The correlation between mental health and substance abuse. 6. The connection between mental health and chronic illness. 7. The relationship between mental health and chronic pain. 8. Mental health in the workplace. 9. Mental health in the military. 10. Mental health in schools. 11. Children’s mental health issues. 12. Teens and mental health issues. 13. Elderly mental health issues. 14. Cultural issues and mental health. 15. Religion and mental health. 16. The stigma of mental illness. 17. Mental health awareness and education. 18. Mental health advocacy. 19. Funding for mental health services. 20. Access to mental health care.
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If you’re a nursing student, then you know how important it is to choose Great Healthcare argumentative essay topics.
Here's What You'll Learn
After all, your essay will be graded on both the content of your argument and how well you defend it. That’s why it’s so important to choose topics that you’re passionate about and that you can research thoroughly.
To help you get started, here are some strong Healthcare argumentative essay topics to consider:
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There is no shortage of controversial healthcare topics to write about. From the high cost of insurance to the debate over medical marijuana, there are plenty of issues to spark an interesting and thought-provoking argumentative essay.
Here are some Controversial healthcare argumentative essay topics to get you started:
1. Is healthcare a right or a privilege?
2. Should the government do more to regulate the healthcare industry?
3. What is the best way to provide quality healthcare for all?
4. Should medical marijuana be legalized?
5. How can we control the rising cost of healthcare?
6. Should cloning be used for medical research?
7. Is it ethical to use stem cells from embryos?
8. How can we improve access to quality healthcare?
9. What are the implications of the Affordable Care Act?
10. What role should pharmaceutical companies play in healthcare?
11. The problems with the current healthcare system in the United States.
12. The need for reform of the healthcare system in the United States.
Healthcare is a controversial and complex issue, and there are many different angles that you can take when writing an argumentative essay on the topic. Here are some great healthcare argumentative essay topics to get you started:
1. Should the government provide free or low-cost healthcare to all citizens?
2. Is private healthcare better than public healthcare?
3. Should there be more regulation of the healthcare industry?
4. Are medical costs too high in the United States?
5. Should all Americans be required to have health insurance?
6. How can the rising cost of healthcare be controlled?
7. What is the best way to provide healthcare to aging Americans?
8. What role should the government play in controlling the cost of prescription drugs?
9. What impact will the Affordable Care Act have on the healthcare system in the United States?
Healthcare is always a hot-button issue. Whether it’s the Affordable Care Act, single-payer healthcare, or something else entirely, there’s always plenty to debate when it comes to healthcare. Here are some great healthcare argumentative essay topics to help get you started.
1. Is the Affordable Care Act working?
2. Should the government do more to provide healthcare for its citizens?
3. Should there be a single-payer healthcare system in the United States?
4. What are the pros and cons of the Affordable Care Act?
5. What impact has the Affordable Care Act had on healthcare costs in the United States?
6. Is the Affordable Care Act sustainable in the long run?
7. What challenges does the Affordable Care Act face?
8. What are the potential solutions to the problems with the Affordable Care Act?
9. Is single-payer healthcare a good idea?
10. What are the pros and cons of single-payer healthcare?
Healthcare is always an ever-evolving issue. It’s one of those topics that everyone has an opinion on and is always eager to discuss. That’s why it makes for such a great topic for an argumentative essay. If you’re looking for some fresh ideas, here are some great healthcare argumentative essay topics to get you started.
1. Is our healthcare system in need of a complete overhaul?
3. Are rising healthcare costs making it difficult for people to access care?
4. Is our current healthcare system sustainable in the long term?
5. Should we be doing more to prevent disease and promote wellness?
6. What role should the private sector play in providing healthcare?
7. What can be done to reduce the number of errors in our healthcare system?
8. How can we make sure that everyone has access to quality healthcare?
9. What can be done to improve communication and collaboration between different parts of the healthcare system?
10. How can we make sure that everyone has access to the care they need when they need it?
There are many different stakeholders in the healthcare debate, and each one has their own interests and perspectives. Here are some great healthcare argumentative essay topics to get you started:
1. Who should pay for healthcare?
2. Is healthcare a right or a privilege?
3. What is the role of the government in healthcare?
4. Should there be limits on what treatments insurance companies must cover?
5. How can we improve access to healthcare?
6. What are the most effective methods of preventing disease?
7. How can we improve the quality of care in our hospitals?
8. What are the best ways to control costs in the healthcare system?
9. How can we ensure that everyone has access to basic care?
10. What are the ethical implications of rationing healthcare?
2. Should there be limits on medical research using human subjects?
3. Should marijuana be legalized for medicinal purposes?
4. Should the government do more to regulate the use of prescription drugs?
5. Is alternative medicine effective?
6. Are there benefits to using placebos in medical treatment?
7. Should cosmetic surgery be covered by health insurance?
8. Is it ethical to buy organs on the black market?
9. Are there risks associated with taking herbal supplements?
10. Is it morally wrong to end a pregnancy?
11. Should physician-assisted suicide be legal?
12. Is it ethical to test new medical treatments on animals?
13. Should people with terminal illnesses have the right to end their lives?
14. Is it morally wrong to sell organs for transplantation?
15. Are there benefits to using stem cells from embryos in medical research?
16. Is it ethical to use human beings in medical experiments?
17. Should the government do more to fund medical research into cancer treatments?
18. Are there risks associated with genetic engineering of humans?
19. Is it ethical to clones humans for the purpose
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While health affects many economic outcomes, its dynamics are still poorly understood. We use k means clustering, a machine learning technique, and data from the Health and Retirement Study to identify health types during middle and old age. We identify five health types: the vigorous resilient, the fair-health resilient, the fair-health vulnerable, the frail resilient, and the frail vulnerable. They are characterized by different starting health and health and mortality trajectories. Our five health types account for 84% of the variation in health trajectories and are not explained by observable characteristics, such as age, marital status, education, gender, race, health-related behaviors, and health insurance status, but rather, by one’s past health dynamics. We also show that health types are important drivers of health and mortality heterogeneity and dynamics. Our results underscore the importance of better understanding health type formation and of modeling it appropriately to properly evaluate the effects of health on people’s decisions and the implications of policy reforms.
We are grateful to Manuel Arellano, Marco Bassetto, Pamela Giustinelli, John B. Jones, Rory McGee, Vincent Mor, Michela Tincani, Martin Garcia Vazquez, Fan Wang, and Fang Yang for useful comments and suggestions. The views expressed herein are those of the authors and do not necessarily reflect the views of the National Bureau of Economic Research, the CEPR, any agency of the federal government, the Federal Reserve Bank of Minneapolis, or the Federal Reserve System.
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In addition to working papers , the NBER disseminates affiliates’ latest findings through a range of free periodicals — the NBER Reporter , the NBER Digest , the Bulletin on Retirement and Disability , the Bulletin on Health , and the Bulletin on Entrepreneurship — as well as online conference reports , video lectures , and interviews .
Call for abstracts: reproductive ethics conference.
The Ninth Annual Reproductive Ethics Conference will take place in Galveston Jan. 9 and 10, 2025. The goal of this conference is to explore the range of topics addressed in reproductive ethics. We welcome individuals from all professional fields to create a rich and robust discussion. We are seeking abstracts for individual presentations, 3-4 person panels, and posters. View the flier linked below for more information.
By Dr. Miriam Rich Assistant Professor, Department of Bioethics and Health Humanities
Thursday, August 8, 2024 12 - 1 p.m. Health Education Center 3.206 Click HERE to register
In April of 1970, both The University of Texas Graduate School of Biomedical Science at Houston and The University of Texas Medical Branch at Galveston sponsored the symposium "Humanism in Medicine" that would help shape and give impetus to the new institute that would emerge at UTMB in 1973. This new institute would be dedicated to medicine and the humanities.
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Aug 14, 2024, 10:14 AM by Cortney Martin
On May 30, 2024, IBBH Assistant Professor Dr. Jacob D. Moses and Dr. Allan Brandt (Harvard University) published an essay, “ Stigma and the Return of Syphilis, ” in the health news outlet STAT. Syphilis, one of the oldest infections known to humans, has returned to the U.S. at epidemic rates that have been climbing since 2001. In 2022, the last year with complete data, the highest number of infections were recorded in more than 70 years. Stemming the return of syphilis will take more than manufacturing more penicillin. It will require counteracting stigma, a longstanding problem that has resulted in critical failures in health care access and delivery.
500+ words essay on health.
Essay on Health: Health was earlier said to be the ability of the body functioning well. However, as time evolved, the definition of health also evolved. It cannot be stressed enough that health is the primary thing after which everything else follows. When you maintain good health , everything else falls into place.
Similarly, maintaining good health is dependent on a lot of factors. It ranges from the air you breathe to the type of people you choose to spend your time with. Health has a lot of components that carry equal importance. If even one of them is missing, a person cannot be completely healthy.
First, we have our physical health. This means being fit physically and in the absence of any kind of disease or illness . When you have good physical health, you will have a longer life span. One may maintain their physical health by having a balanced diet . Do not miss out on the essential nutrients; take each of them in appropriate quantities.
Secondly, you must exercise daily. It may be for ten minutes only but never miss it. It will help your body maintain physical fitness. Moreover, do not consume junk food all the time. Do not smoke or drink as it has serious harmful consequences. Lastly, try to take adequate sleep regularly instead of using your phone.
Next, we talk about our mental health . Mental health refers to the psychological and emotional well-being of a person. The mental health of a person impacts their feelings and way of handling situations. We must maintain our mental health by being positive and meditating.
Subsequently, social health and cognitive health are equally important for the overall well-being of a person. A person can maintain their social health when they effectively communicate well with others. Moreover, when a person us friendly and attends social gatherings, he will definitely have good social health. Similarly, our cognitive health refers to performing mental processes effectively. To do that well, one must always eat healthily and play brain games like Chess, puzzles and more to sharpen the brain.
Get the huge list of more than 500 Essay Topics and Ideas
There is this stigma that surrounds mental health. People do not take mental illnesses seriously. To be completely fit, one must also be mentally fit. When people completely discredit mental illnesses, it creates a negative impact.
For instance, you never tell a person with cancer to get over it and that it’s all in their head in comparison to someone dealing with depression . Similarly, we should treat mental health the same as physical health.
Parents always take care of their children’s physical needs. They feed them with nutritious foods and always dress up their wounds immediately. However, they fail to notice the deteriorating mental health of their child. Mostly so, because they do not give it that much importance. It is due to a lack of awareness amongst people. Even amongst adults, you never know what a person is going through mentally.
Thus, we need to be able to recognize the signs of mental illnesses . A laughing person does not equal a happy person. We must not consider mental illnesses as a taboo and give it the attention it deserves to save people’s lives.
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Time marches on predictably, but biological aging is anything but constant, according to a new Stanford Medicine study.
August 14, 2024 - By Rachel Tompa
We undergo two periods of rapid change, averaging around age 44 and age 60, according to a Stanford Medicine study. Ratana21 /Shutterstock.com
If it’s ever felt like everything in your body is breaking down at once, that might not be your imagination. A new Stanford Medicine study shows that many of our molecules and microorganisms dramatically rise or fall in number during our 40s and 60s.
Researchers assessed many thousands of different molecules in people from age 25 to 75, as well as their microbiomes — the bacteria, viruses and fungi that live inside us and on our skin — and found that the abundance of most molecules and microbes do not shift in a gradual, chronological fashion. Rather, we undergo two periods of rapid change during our life span, averaging around age 44 and age 60. A paper describing these findings was published in the journal Nature Aging Aug. 14.
“We’re not just changing gradually over time; there are some really dramatic changes,” said Michael Snyder , PhD, professor of genetics and the study’s senior author. “It turns out the mid-40s is a time of dramatic change, as is the early 60s. And that’s true no matter what class of molecules you look at.”
Xiaotao Shen, PhD, a former Stanford Medicine postdoctoral scholar, was the first author of the study. Shen is now an assistant professor at Nanyang Technological University Singapore.
These big changes likely impact our health — the number of molecules related to cardiovascular disease showed significant changes at both time points, and those related to immune function changed in people in their early 60s.
Snyder, the Stanford W. Ascherman, MD, FACS Professor in Genetics, and his colleagues were inspired to look at the rate of molecular and microbial shifts by the observation that the risk of developing many age-linked diseases does not rise incrementally along with years. For example, risks for Alzheimer’s disease and cardiovascular disease rise sharply in older age, compared with a gradual increase in risk for those under 60.
The researchers used data from 108 people they’ve been following to better understand the biology of aging. Past insights from this same group of study volunteers include the discovery of four distinct “ ageotypes ,” showing that people’s kidneys, livers, metabolism and immune system age at different rates in different people.
Michael Snyder
The new study analyzed participants who donated blood and other biological samples every few months over the span of several years; the scientists tracked many different kinds of molecules in these samples, including RNA, proteins and metabolites, as well as shifts in the participants’ microbiomes. The researchers tracked age-related changes in more than 135,000 different molecules and microbes, for a total of nearly 250 billion distinct data points.
They found that thousands of molecules and microbes undergo shifts in their abundance, either increasing or decreasing — around 81% of all the molecules they studied showed non-linear fluctuations in number, meaning that they changed more at certain ages than other times. When they looked for clusters of molecules with the largest changes in amount, they found these transformations occurred the most in two time periods: when people were in their mid-40s, and when they were in their early 60s.
Although much research has focused on how different molecules increase or decrease as we age and how biological age may differ from chronological age, very few have looked at the rate of biological aging. That so many dramatic changes happen in the early 60s is perhaps not surprising, Snyder said, as many age-related disease risks and other age-related phenomena are known to increase at that point in life.
The large cluster of changes in the mid-40s was somewhat surprising to the scientists. At first, they assumed that menopause or perimenopause was driving large changes in the women in their study, skewing the whole group. But when they broke out the study group by sex, they found the shift was happening in men in their mid-40s, too.
“This suggests that while menopause or perimenopause may contribute to the changes observed in women in their mid-40s, there are likely other, more significant factors influencing these changes in both men and women. Identifying and studying these factors should be a priority for future research,” Shen said.
In people in their 40s, significant changes were seen in the number of molecules related to alcohol, caffeine and lipid metabolism; cardiovascular disease; and skin and muscle. In those in their 60s, changes were related to carbohydrate and caffeine metabolism, immune regulation, kidney function, cardiovascular disease, and skin and muscle.
It’s possible some of these changes could be tied to lifestyle or behavioral factors that cluster at these age groups, rather than being driven by biological factors, Snyder said. For example, dysfunction in alcohol metabolism could result from an uptick in alcohol consumption in people’s mid-40s, often a stressful period of life.
The team plans to explore the drivers of these clusters of change. But whatever their causes, the existence of these clusters points to the need for people to pay attention to their health, especially in their 40s and 60s, the researchers said. That could look like increasing exercise to protect your heart and maintain muscle mass at both ages or decreasing alcohol consumption in your 40s as your ability to metabolize alcohol slows.
“I’m a big believer that we should try to adjust our lifestyles while we’re still healthy,” Snyder said.
The study was funded by the National Institutes of Health (grants U54DK102556, R01 DK110186-03, R01HG008164, NIH S10OD020141, UL1 TR001085 and P30DK116074) and the Stanford Data Science Initiative.
About Stanford Medicine
Stanford Medicine is an integrated academic health system comprising the Stanford School of Medicine and adult and pediatric health care delivery systems. Together, they harness the full potential of biomedicine through collaborative research, education and clinical care for patients. For more information, please visit med.stanford.edu .
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Are you enthusiastic about investigating sociological issues and phenomena but every time you are assigned to such an assignment you cannot decide on appropriate sociology topics to research? The list of diverse sociology research topics can address the problem of a constant lack of creative ideas. Boost your inspiration!
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Every citizen of every country in the world should be provided with free and high-quality medical services. Health care is a fundamental need for every human, regardless of age, gender, ethnicity, religion, and socioeconomic status.
Universal health care is the provision of healthcare services by a government to all its citizens (insurancespecialists.com). This means each citizen can access medical services of standard quality. In the United States, about 25% of its citizens are provided with healthcare funded by the government. These citizens mainly comprise the elderly, the armed forces personnel, and the poor (insurancespecialists.com).
Thesis statement.
In Russia, Canada, and some South American and European countries, the governments provide universal healthcare programs to all citizens. In the United States, the segments of society which do not receive health care services provided by the government usually pay for their health care coverage. This has emerged as a challenge, especially for middle-class citizens. Therefore, the universal health care provision in the United States is debatable: some support it, and some oppose it. This assignment is a discussion of the topic. It starts with a thesis statement, then discusses the advantages of universal health care provision, its disadvantages, and a conclusion, which restates the thesis and the argument behind it.
The government of the United States of America should provide universal health care services to its citizens because health care is a basic necessity to every citizen, regardless of age, gender, ethnicity, religion, and socioeconomic status.
The provision of universal health care services would ensure that doctors and all medical practitioners focus their attention only on treating the patients, unlike in the current system, where doctors and medical practitioners sped a lot of time pursuing issues of health care insurance for their patients, which is sometimes associated with malpractice and violation of medical ethics especially in cases where the patient is unable to adequately pay for his or her health care bills (balancedpolitics.org).
The provision of universal health care services would also make health care service provision in the United States more efficient and effective. In the current system in which each citizen pays for his or her health care, there is a lot of inefficiency, brought about by the bureaucratic nature of the public health care sector (balancedpolitics.org).
Universal health care would also promote preventive health care, which is crucial in reducing deaths as well as illness deterioration. The current health care system in the United States is prohibitive of preventive health care, which makes many citizens to wait until their illness reach critical conditions due to the high costs of going for general medical check-ups. The cost of treating patients with advanced illnesses is not only expensive to the patients and the government but also leads to deaths which are preventable (balancedpolitics.org).
The provision of universal health care services would be a worthy undertaking, especially due to the increased number of uninsured citizens, which currently stands at about 45 million (balancedpolitics.org).
The provision of universal health care services would therefore promote access to health care services to as many citizens as possible, which would reduce suffering and deaths of citizens who cannot cater for their health insurance. As I mentioned in the thesis, health care is a basic necessity to all citizens and therefore providing health care services to all would reduce inequality in the service access.
Universal health care would also come at a time when health care has become seemingly unaffordable for many middle income level citizens and business men in the United States. This has created a nation of inequality, which is unfair because every citizen pays tax, which should be used by the government to provide affordable basic services like health care. It should be mentioned here that the primary role of any government is to protect its citizens, among other things, from illness and disease (Shi and Singh 188).
Lastly not the least, the provision of universal health care in the United States would work for the benefit of the country and especially the doctors because it would create a centralized information centre, with database of all cases of illnesses, diseases and their occurrence and frequency. This would make it easier to diagnose patients, especially to identify any new strain of a disease, which would further help in coming up with adequate medication for such new illness or disease (balancedpolitics.org).
One argument against the provision of universal health care in the United States is that such a policy would require enormous spending in terms of taxes to cater for the services in a universal manner. Since health care does not generate extra revenue, it would mean that the government would either be forced to cut budgetary allocations for other crucial sectors of general public concern like defense and education, or increase the taxes levied on the citizens, thus becoming an extra burden to the same citizens (balancedpolitics.org).
Another argument against the provision of universal health care services is that health care provision is a complex undertaking, involving varying interests, likes and preferences.
The argument that providing universal health care would do away with the bureaucratic inefficiency does not seem to be realistic because centralizing the health care sector would actually increase the bureaucracy, leading to further inefficiencies, especially due to the enormous number of clientele to be served. Furthermore, it would lead to lose of business for the insurance providers as well as the private health care practitioners, majority of whom serve the middle income citizens (balancedpolitics.org).
Arguably, the debate for the provision of universal health care can be seen as addressing a problem which is either not present, or negligible. This is because there are adequate options for each citizen to access health care services. Apart from the government hospitals, the private hospitals funded by non-governmental organizations provide health care to those citizens who are not under any medical cover (balancedpolitics.org).
Universal health care provision would lead to corruption and rent seeking behavior among policy makers. Since the services would be for all, and may sometimes be limited, corruption may set in making the medical practitioners even more corrupt than they are because of increased demand of the services. This may further lead to deterioration of the very health care sector the policy would be aiming at boosting through such a policy.
The provision of universal health care would limit the freedom of the US citizens to choose which health care program is best for them. It is important to underscore that the United States, being a capitalist economy is composed of people of varying financial abilities.
The provision of universal health care would therefore lower the patients’ flexibility in terms of how, when and where to access health care services and why. This is because such a policy would throw many private practitioners out of business, thus forcing virtually all citizens to fit in the governments’ health care program, which may not be good for everyone (Niles 293).
Lastly not the least, the provision of universal health care would be unfair to those citizens who live healthy lifestyles so as to avoid lifestyle diseases like obesity and lung cancer, which are very common in America. Many of the people suffering from obesity suffer due to their negligence or ignorance of health care advice provided by the government and other health care providers. Such a policy would therefore seem to unfairly punish those citizens who practice good health lifestyles, at the expense of the ignorant (Niles 293).
After discussing the pros and cons of universal health care provision in the United States, I restate my thesis that “The government of United States of America should provide universal health care to its citizens because health care is a basic necessity to every citizen, regardless of age, sex, race, religion, and socio economic status”, and argue that even though there are arguments against the provision of universal health care, such arguments, though valid, are not based on the guiding principle of that health care is a basic necessity to all citizens of the United States.
The arguments are also based on capitalistic way of thinking, which is not sensitive to the plight of many citizens who are not able to pay for their insurance health care cover.
The idea of providing universal health care to Americans would therefore save many deaths and unnecessary suffering by many citizens. Equally important to mention is the fact that such a policy may be described as a win win policy both for the rich and the poor or middle class citizens because it would not in any way negatively affect the rich, because as long as they have money, they would still be able to customize their health care through the employment family or personal doctors as the poor and the middle class go for the universal health care services.
Balanced politics. “Should the Government Provide Free Universal Health Care for All Americans?” Balanced politics: universal health . Web. Balanced politics.org. 8 august https://www.balancedpolitics.org/universal_health_care.htm
Insurance specialists. “Growing Support for Universal Health Care”. Insurance information portal. Web. Insurance specialists.com 8 august 2011. https://insurancespecialists.com/
Niles, Nancy. Basics of the U.S. Health Care System . Sudbury, MA: Jones & Bartlett Learning, 2010:293. Print.
Shi, Leiyu and Singh, Douglas. Delivering Health Care in America: A Systems Approach . Sudbury, MA: Jones & Bartlett Learning, 2004:188. Print.
IvyPanda. (2018, October 11). Healthcare Thesis Statement: Examples of Universal Healthcare Pros and Cons. https://ivypanda.com/essays/pros-and-cons-of-universal-health-care-provision-in-the-united-states/
"Healthcare Thesis Statement: Examples of Universal Healthcare Pros and Cons." IvyPanda , 11 Oct. 2018, ivypanda.com/essays/pros-and-cons-of-universal-health-care-provision-in-the-united-states/.
IvyPanda . (2018) 'Healthcare Thesis Statement: Examples of Universal Healthcare Pros and Cons'. 11 October.
IvyPanda . 2018. "Healthcare Thesis Statement: Examples of Universal Healthcare Pros and Cons." October 11, 2018. https://ivypanda.com/essays/pros-and-cons-of-universal-health-care-provision-in-the-united-states/.
1. IvyPanda . "Healthcare Thesis Statement: Examples of Universal Healthcare Pros and Cons." October 11, 2018. https://ivypanda.com/essays/pros-and-cons-of-universal-health-care-provision-in-the-united-states/.
Bibliography
IvyPanda . "Healthcare Thesis Statement: Examples of Universal Healthcare Pros and Cons." October 11, 2018. https://ivypanda.com/essays/pros-and-cons-of-universal-health-care-provision-in-the-united-states/.
A title page is required for all APA Style papers. There are both student and professional versions of the title page. Students should use the student version of the title page unless their instructor or institution has requested they use the professional version. APA provides a student title page guide (PDF, 199KB) to assist students in creating their title pages.
The student title page includes the paper title, author names (the byline), author affiliation, course number and name for which the paper is being submitted, instructor name, assignment due date, and page number, as shown in this example.
Title page setup is covered in the seventh edition APA Style manuals in the Publication Manual Section 2.3 and the Concise Guide Section 1.6
Student papers do not include a running head unless requested by the instructor or institution.
Follow the guidelines described next to format each element of the student title page.
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Paper title | Place the title three to four lines down from the top of the title page. Center it and type it in bold font. Capitalize of the title. Place the main title and any subtitle on separate double-spaced lines if desired. There is no maximum length for titles; however, keep titles focused and include key terms. |
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Author names | Place one double-spaced blank line between the paper title and the author names. Center author names on their own line. If there are two authors, use the word “and” between authors; if there are three or more authors, place a comma between author names and use the word “and” before the final author name. | Cecily J. Sinclair and Adam Gonzaga |
Author affiliation | For a student paper, the affiliation is the institution where the student attends school. Include both the name of any department and the name of the college, university, or other institution, separated by a comma. Center the affiliation on the next double-spaced line after the author name(s). | Department of Psychology, University of Georgia |
Course number and name | Provide the course number as shown on instructional materials, followed by a colon and the course name. Center the course number and name on the next double-spaced line after the author affiliation. | PSY 201: Introduction to Psychology |
Instructor name | Provide the name of the instructor for the course using the format shown on instructional materials. Center the instructor name on the next double-spaced line after the course number and name. | Dr. Rowan J. Estes |
Assignment due date | Provide the due date for the assignment. Center the due date on the next double-spaced line after the instructor name. Use the date format commonly used in your country. | October 18, 2020 |
| Use the page number 1 on the title page. Use the automatic page-numbering function of your word processing program to insert page numbers in the top right corner of the page header. | 1 |
The professional title page includes the paper title, author names (the byline), author affiliation(s), author note, running head, and page number, as shown in the following example.
Follow the guidelines described next to format each element of the professional title page.
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Paper title | Place the title three to four lines down from the top of the title page. Center it and type it in bold font. Capitalize of the title. Place the main title and any subtitle on separate double-spaced lines if desired. There is no maximum length for titles; however, keep titles focused and include key terms. |
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Author names
| Place one double-spaced blank line between the paper title and the author names. Center author names on their own line. If there are two authors, use the word “and” between authors; if there are three or more authors, place a comma between author names and use the word “and” before the final author name. | Francesca Humboldt |
When different authors have different affiliations, use superscript numerals after author names to connect the names to the appropriate affiliation(s). If all authors have the same affiliation, superscript numerals are not used (see Section 2.3 of the for more on how to set up bylines and affiliations). | Tracy Reuter , Arielle Borovsky , and Casey Lew-Williams | |
Author affiliation
| For a professional paper, the affiliation is the institution at which the research was conducted. Include both the name of any department and the name of the college, university, or other institution, separated by a comma. Center the affiliation on the next double-spaced line after the author names; when there are multiple affiliations, center each affiliation on its own line.
| Department of Nursing, Morrigan University |
When different authors have different affiliations, use superscript numerals before affiliations to connect the affiliations to the appropriate author(s). Do not use superscript numerals if all authors share the same affiliations (see Section 2.3 of the for more). | Department of Psychology, Princeton University | |
Author note | Place the author note in the bottom half of the title page. Center and bold the label “Author Note.” Align the paragraphs of the author note to the left. For further information on the contents of the author note, see Section 2.7 of the . | n/a |
| The running head appears in all-capital letters in the page header of all pages, including the title page. Align the running head to the left margin. Do not use the label “Running head:” before the running head. | Prediction errors support children’s word learning |
| Use the page number 1 on the title page. Use the automatic page-numbering function of your word processing program to insert page numbers in the top right corner of the page header. | 1 |
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A title page is required for all APA Style papers. There are both student and professional versions of the title page.