© 2003 BMJ Publishing Group & British Association of Sport and Exercise Medicine
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Exercise
Exercise interventions for health: time to focus on dimensions, delivery, and dollars
School of Human Kinetics, University of British Columbia, Vancouver, BC V6T 1Z1, Canada
Correspondence to:
Correspondence to:
Dr McKay, School of Human Kinetics, University of British Columbia, 6081 University Boulevard, Vancouver, BC V6T 1Z1, Canada;
mckayh@interchange.ubc.ca
The importance of physical activity is proven, and methods of implementing exercise programmes should be urgently researched
Keywords: chronic disease; health promotion; physical activity
| The first 150 words of the full text of this article appear below. |
"It is tragically ironic that major legislative actions have been implemented to protect society against all other forms of preventable deaths except those resulting from physical inactivity." Booth, 2000
It is very likely that the reader of the British Journal of Sports Medicine will agree that "exercise has preventive and therapeutic health benefits". Yet the vast majority of people in the developed world choose to remain inactive. The prevalence of chronic diseases contributed to by physical inactivity is escalating so rapidly that their costs will exceed $1 trillion in the United States in the next decade!1 More alarming, there are 250 000 deaths annually in the United States directly attributable to physical inactivity.1 Despite these distressing data, most physicians and health providers miss many opportunities to prescribe exercise when treating chronic diseases such as obesity, diabetes, and cardiovascular disease. What lies behind this striking paradox, this dissonance between knowledge
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