There’s a recommendation for 150 minutes of exercise/week, but this isn’t sound. People who report being active have better health. People who are fitter have better health. These are not evidence that having a person with low activity take up exercise will make them healthier.
I’m not sure where this statement comes from. Googling “exercise experiment health” in google scholar has the first 8 results be experiments, where they took an group of inactive people and made them exercise, and they showed improvement over people who did not. I didn’t look beyond the first 8, but I suspect there are many more
Two studies which find that lifestyle intervention has no effect on CVD in diabetics. [11:00] One study which found that lifestyle intervention prevents Type II but doesn’t affect microvascular disease (blindness and ulcers). [I’m not sure what this means. Maybe people can have the ill effects of Type II without the disease showing up in their blood sugar levels?] There are no supervised exercise-only intervention studies which show that exercise prevents long term disease progression.
Yes there are. Google “exercise cvd”, you’ll find several that show improvement.
It looks as though modern hunter gatherers expend about as much energy/mass as Americans on the east coast do.
12% of healthy people make their blood pressure higher by exercising 150 minutes a week. 20% get little or no improvement. [42:00] Graphs of low responders for aerobic capacity, muscle mass, and insulin sensitivity.
Mixed results, not enough to show a firm conclusion either way.
Bottom line, the speaker appears to be heavily cherry-picking the studies he shows.
12% of healthy people make their blood pressure higher by exercising 150 minutes a week. 20% get little or no improvement. [42:00] Graphs of low responders for aerobic capacity, muscle mass, and insulin sensitivity.
Mixed results, not enough to show a firm conclusion either way.
It’s not mixed results but mixed people. For the median person, exercise improves blood pressure. But for 12% of people exercise makes their blood pressure worse every time (and for 20% it’s always a wash).
For 12% of people it makes blood pressure higher not worse. The presenter chooses the terms ‘adverse’ and ‘worse’ for his own purposes.
My girlfriend has chronic hypotension, and can easily faint or become dizzy when standing or if she doesn’t have enough water. Anecdotally, regular exercise seems to help prevent that. It’s hard to find numbers, but the closest thing to solid I could find is that 26% of people with diabetes (couldn’t find general population) suffer from hypotension.
If the 32% of people receiving no change or an increase in blood pressure fall on the bottom end of the bloodpressure spectrum, they’re getting exactly what they need. Regardless of how the speaker labels the results.
Here is the study cited. There are four health markers that were chosen to be analyzed for this analysis. Actual physical fitness (ie VO2 max, strength, body fat percentage) were not measured. In all but one of the examined studies, diet was not controlled for, and they specifically only included endurance exercise, when virtually every recommendation is to combine endurance and strength exercise. Claiming that this population doesn’t respond to exercise is a vast overstatement. More accurately, you might be able to say that “Endurance exercise alone isn’t sufficient to improve health markers in a small fraction of the population.”
EDIT: The inverse to that is “Endurance exercise alone is sufficient to improve health markers in most of the population,” which doesn’t strike me as a good reason to not prescribe it.
My understanding was that you can see exercise induced changes in risk factors (blood pressure etc) relatively easily, but that evidence for changes in health outcomes (like risk of death, lowered incidence of disease etc.) were on shakier ground.
He also claims that HIIT as more standard 150 aerobic exercise shows the same level of response for those same risk factors.
The guy claims that variable response to exercise (including ~10% negative responders) was a robust finding that most studies see. He didn’t explicitly discuss whether they had ruled our within person variation as the cause of that data.
My understanding was that you can see exercise induced changes in risk factors (blood pressure etc) relatively easily, but that evidence for changes in health outcomes (like risk of death, lowered incidence of disease etc.) were on shakier ground.
From what I can tell, this seems to be true. Does he talk about this in the video?
I’m not sure where this statement comes from. Googling “exercise experiment health” in google scholar has the first 8 results be experiments, where they took an group of inactive people and made them exercise, and they showed improvement over people who did not. I didn’t look beyond the first 8, but I suspect there are many more
Yes there are. Google “exercise cvd”, you’ll find several that show improvement.
The only relavent result I could find says the opposite: http://www.nature.com/ijo/journal/v29/n1/abs/0802842a.html
Mixed results, not enough to show a firm conclusion either way.
Bottom line, the speaker appears to be heavily cherry-picking the studies he shows.
It’s not mixed results but mixed people. For the median person, exercise improves blood pressure. But for 12% of people exercise makes their blood pressure worse every time (and for 20% it’s always a wash).
For 12% of people it makes blood pressure higher not worse. The presenter chooses the terms ‘adverse’ and ‘worse’ for his own purposes.
My girlfriend has chronic hypotension, and can easily faint or become dizzy when standing or if she doesn’t have enough water. Anecdotally, regular exercise seems to help prevent that. It’s hard to find numbers, but the closest thing to solid I could find is that 26% of people with diabetes (couldn’t find general population) suffer from hypotension.
If the 32% of people receiving no change or an increase in blood pressure fall on the bottom end of the bloodpressure spectrum, they’re getting exactly what they need. Regardless of how the speaker labels the results.
Here is the study cited. There are four health markers that were chosen to be analyzed for this analysis. Actual physical fitness (ie VO2 max, strength, body fat percentage) were not measured. In all but one of the examined studies, diet was not controlled for, and they specifically only included endurance exercise, when virtually every recommendation is to combine endurance and strength exercise. Claiming that this population doesn’t respond to exercise is a vast overstatement. More accurately, you might be able to say that “Endurance exercise alone isn’t sufficient to improve health markers in a small fraction of the population.”
EDIT: The inverse to that is “Endurance exercise alone is sufficient to improve health markers in most of the population,” which doesn’t strike me as a good reason to not prescribe it.
And three out of their four markers are known to be strongly influenced by diet!
My understanding was that you can see exercise induced changes in risk factors (blood pressure etc) relatively easily, but that evidence for changes in health outcomes (like risk of death, lowered incidence of disease etc.) were on shakier ground.
He also claims that HIIT as more standard 150 aerobic exercise shows the same level of response for those same risk factors.
The guy claims that variable response to exercise (including ~10% negative responders) was a robust finding that most studies see. He didn’t explicitly discuss whether they had ruled our within person variation as the cause of that data.
From what I can tell, this seems to be true. Does he talk about this in the video?
I remember him doing so.