Nav: Home

Data does the heavy lifting: Encouraging new public health approaches to promote the health benefits of muscle-strengthening exercise (MSE)

October 24, 2018

Ann Arbor, October 24, 2018 - According to a new study in the American Journal of Preventive Medicine, almost 75 percent of US adults do not comply with public health guidelines recommending two or more muscle-strengthening exercise (MSE) sessions a week, with nearly 60 percent of the population doing no MSE at all. Using the data from a nationally representative sample of US adults, the investigators also linked low-to-moderately frequent MSE with fewer reported health conditions such as diabetes, obesity, and cancer.

"This study is among the first to show that most US adults do not engage in MSE. We also demonstrate that as few as one or two MSE sessions a week result in fewer reported health conditions such as diabetes, obesity, and cancer, even after accounting for aerobic exercise levels," explained lead investigator Jason A. Bennie, PhD, Physically Active Lifestyles Research Group (USQ PALs), Institute for Resilient Regions, University of Southern Queensland, Springfield, QLD, Australia.

To assess the weekly frequency of MSE among US adults, the investigators analyzed data on more than 397,000 participants (18-80 years old) in the 2015 Behavioral Risk Factor Surveillance System (BRFSS). Over 30 percent met the MSE recommendations (two or more times per week), while approximately 58 percent reported no MSE activity at all, which was more than twice as many respondents who reported no aerobic exercise (24.6 percent).

BRFSS was initiated in 1984 to collect state-specific data on preventive health practices and risk behaviors that are relevant to public health in the US adult population. As a result, the investigators were able to segment the findings by sociodemographic and lifestyle factors. They found that black and multi-racial respondents were more likely than others to meet or exceed the minimum MSE recommendations. People who did not adhere tended to be older, female, overweight/obese, did less aerobic activity, had lower income and education, and rated their own health as poor.

While MSE is an important component of physical activity-related health, it has been largely ignored in public health approaches for the prevention and management of chronic diseases. When performed regularly, MSE increases skeletal muscle strength, power, endurance, and mass. Previous research has shown that MSE has multiple health benefits including improved glucose and lipid metabolism, blood pressure, bone density, balance/physical function, and self-esteem and reduces anxiety.

The investigators caution that the study design did not allow them to infer causality or reverse causality. For example, the reduced odds of adverse health conditions may be due to the fact that individuals with such conditions may be more likely to avoid MSE.

Public health action is warranted to support MSE uptake/adherence. However, contrasted with moderate-to-vigorous intensity aerobic physical activity, MSE has unique health promotion challenges. MSE requires a rudimentary understanding of specific nomenclature (e.g., sets, repetitions, large muscle groups) and access to some basic equipment (e.g., resistance bands, dumbbells). Also, negative social norms associated with MSE might be impeding its uptake, as this activity might be associated with excessive muscle gain, risk of injury, and hyper-masculine settings.

The investigators hope that this study will provide a stimulus for future public health approaches to get greater proportions of the population engaged in MSE. "We hope that these findings put MSE front and center on the agenda as a key health behavior in the prevention and management of chronic diseases," Dr. Bennie added, noting that the World Health Organization's 2010 Global Recommendations on Physical Activity for Health states that adults (aged 18-64) should participate in MSE involving large muscle groups at least two days a week, in addition to 150 minutes or more of vigorous aerobic exercise.
-end-


Elsevier

Related Diabetes Articles:

Maternal gestational diabetes linked to diabetes in children
Children and youth of mothers who had gestational diabetes during pregnancy are at increased risk of diabetes themselves, according to new research published in CMAJ (Canadian Medical Association Journal).
Two diabetes medications don't slow progression of type 2 diabetes in youth
In youth with impaired glucose tolerance or recent-onset type 2 diabetes, neither initial treatment with long-acting insulin followed by the drug metformin, nor metformin alone preserved the body's ability to make insulin, according to results published online June 25 in Diabetes Care.
People with diabetes visit the dentist less frequently despite link between diabetes, oral health
Adults with diabetes are less likely to visit the dentist than people with prediabetes or without diabetes, finds a new study led by researchers at NYU Rory Meyers College of Nursing and East Carolina University's Brody School of Medicine.
Diabetes, but not diabetes drug, linked to poor pregnancy outcomes
New research indicates that pregnant women with pre-gestational diabetes who take metformin are at a higher risk for adverse pregnancy outcomes -- such as major birth defects and pregnancy loss -- than the general population, but their increased risk is not due to metformin but diabetes.
New oral diabetes drug shows promise in phase 3 trial for patients with type 1 diabetes
A University of Colorado Anschutz Medical Campus study finds sotagliflozin helps control glucose and reduces the need for insulin in patients with type 1 diabetes.
Can continuous glucose monitoring improve diabetes control in patients with type 1 diabetes who inject insulin
Two studies in the Jan. 24/31 issue of JAMA find that use of a sensor implanted under the skin that continuously monitors glucose levels resulted in improved levels in patients with type 1 diabetes who inject insulin multiple times a day, compared to conventional treatment.
Complications of type 2 diabetes affect quality of life, care can lead to diabetes burnout
T2D Lifestyle, a national survey by Health Union of more than 400 individuals experiencing type 2 diabetes (T2D), reveals that patients not only struggle with commonly understood complications, but also numerous lesser known ones that people do not associate with diabetes.
A better way to predict diabetes
An international team of researchers has discovered a simple, accurate new way to predict which women with gestational diabetes will develop type 2 diabetes after delivery.
The Lancet Diabetes & Endocrinology: Older Americans with diabetes living longer without disability, US study shows
Older Americans with diabetes born in the 1940s are living longer and with less disability performing day to day tasks than those born 10 years earlier, according to new research published in The Lancet Diabetes & Endocrinology journal.
Reverse your diabetes -- and you can stay diabetes-free long-term
A new study from Newcastle University, UK, has shown that people who reverse their diabetes and then keep their weight down remain free of diabetes.
More Diabetes News and Diabetes Current Events

Top Science Podcasts

We have hand picked the top science podcasts of 2019.
Now Playing: TED Radio Hour

Risk
Why do we revere risk-takers, even when their actions terrify us? Why are some better at taking risks than others? This hour, TED speakers explore the alluring, dangerous, and calculated sides of risk. Guests include professional rock climber Alex Honnold, economist Mariana Mazzucato, psychology researcher Kashfia Rahman, structural engineer and bridge designer Ian Firth, and risk intelligence expert Dylan Evans.
Now Playing: Science for the People

#541 Wayfinding
These days when we want to know where we are or how to get where we want to go, most of us will pull out a smart phone with a built-in GPS and map app. Some of us old timers might still use an old school paper map from time to time. But we didn't always used to lean so heavily on maps and technology, and in some remote places of the world some people still navigate and wayfind their way without the aid of these tools... and in some cases do better without them. This week, host Rachelle Saunders...
Now Playing: Radiolab

Dolly Parton's America: Neon Moss
Today on Radiolab, we're bringing you the fourth episode of Jad's special series, Dolly Parton's America. In this episode, Jad goes back up the mountain to visit Dolly's actual Tennessee mountain home, where she tells stories about her first trips out of the holler. Back on the mountaintop, standing under the rain by the Little Pigeon River, the trip triggers memories of Jad's first visit to his father's childhood home, and opens the gateway to dizzying stories of music and migration. Support Radiolab today at Radiolab.org/donate.