PEPonline
Professionalization
of Exercise Physiologyonline

An international electronic
journal for exercise physiologists
ISSN 1099-5862

Vol 2 No 12 December 1999

 

Exercise: A Different Perspective
Tommy Boone, Ph.D., MPH, FASEP
Professor and Chair
Department of Exercise Physiology
College of St. Scholastica
Duluth, MN

Have you purchased new jogging shoes lately?  What about a Nordic Track or a treadmill?  Perhaps, you know of someone who has recently joined a fitness center or who has been referred to a cardiac rehabilitation program.  Walking, jogging, and engaging in other forms of exercise for health and well-being are recognized by the American Heart Association (AHA)  as valued activities to improve the lifestyle of Americans.  The public sector realizes that exercise improves the work of the heart.  The guy next door understands that endurance is increased, joints move better and, in general, a person feels more in control of life.

What is interesting is that the guy next door believes that AHA is responsible for the research that has demonstrated the value of exercise.  This article addresses the point of view that, while AHA has issued a significant number of statements on the benefits of physical activity, physical educators and, in particular, exercise physiologists are actually responsible for the increased awareness of the importance of exercise (hence, the word "exercise" physiologists)..  This is illustrated by the thousands of published research articles and editorials when the medical community paid relatively little attention to the value of exercise during the '50s and '60s..  Even now, the guy next door, the colleague across the hall, the CEO of the biggest company in your city, the car salesman, to mention a few, still don't understand the work and dedication of decades of research by exercise physiologists.

Interestingly, the medical community has benefited tremendously from the research published by exercise physiologists.  Specific standards and guidelines for testing, monitoring, and training subjects of all ages, including middle age adults and cardiac patients, exists in a major way as a direct influence of exercise physiology work.  Short- and long-term physiologic responses of major body systems to acute and chronic exercise are common knowledge enabled by the research efforts of exercise physiologists.  In fact, much of our contemporary understanding of the benefits and risks of exercise is realized from sport and athletic specialty journals made possible by the successful research by exercise physiologists.

So, in a nutshell, while AHA is obviously important and its influence is powerful in shaping public opinion and practice, let us not forget the primary role of exercise physiologists in the scientific analysis of exercise.  In addition, let us not forget the individualized and collective efforts of all the exercise physiologists who recognized the need for good solid research.  Their dedication during the early years when it wasn't popular to exercise or to do exercise-related research helped to achieve the level of comprehension and understanding that simply didn’t exist before their time.  They undertook the challenge to research the benefits of exercise, established the guidelines for safe exercise, identified the adjustments throughout the cardiovascular system, and even extended themselves to significant observations in the clinical realm.

Surely, anyone from other professions, including medicine, nursing, and pharmacy, have the right to speak to their professional involvement in the support and overview of the value of regular exercise to physical and emotional well-being,  However, as an exercise physiologist, it is important that the exercise physiology profession is recognized as having a significant part to play in health-promotion, wellness, and prevention.  Testing and motivating individuals to assume responsibility for their health and well-being are recognized challenges across the spectrum of exercise physiology work.

Exercise physiology research helped the public sector and the medical community understand the role of intensity, duration, and frequency in exercise training.  Whether it is two or three times per week, 30 minutes or an hour, or 60% or 75% intensity, cardiorespiratory fitness is an exercise physiology concept, as is regular exercise and its role in stress management, weight reduction, and health promotion.  In short, physical educators knew that physical activity increased physical fitness, and exercise physiologists knew that regular exercise improved the function of the cardiorespiratory system, the extraction of oxygen in the periphery and, in general, set the stage to improved mood and self-esteem.

Hence, given the review of the literature in exercise by exercise physiologists, the current opinion should reflect their professional commitment to intervention strategies in improving physical frailty, physical disabilities, and the emotional and physical well-being of coronary heart disease patients just to mention a few major areas of study.  Their work in understanding the role of exercise and hyperlipidemia , inactivity, obesity, and hypertension is important in documenting the scientific benefits of exercise.  Their work has helped the public sector and athletes understand stress, positive thinking, dangers of ergogenic drugs, and realistic training practices and expectations.

Exercise physiologists should take these words to heart, and find the opportunity to share the work of their colleagues.



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