Worldwide there has been a large shift towards less physically demanding work. This has been accompanied by increasing use of mechanized transportation, a greater prevalence of labor saving technology in the home, and less active recreational pursuits. At least 31% of the world's population does not get sufficient exercise. This is true in almost all developed and developing countries, and among children. Some experts refer to sitting as "the new smoking" because of its negative effects on overall health.
These exercise trends are contributing to the rising rates of chronic diseases including: obesity, heart disease, stroke and high cholesterol. Active transport (walking, bicycling, etc.) has been found to be inversely related to obesity in Europe, North America, and Australia. Thus exercise has been associated with a decrease in mortality.
Causes of lack of exercise
One of the causes most prevalent in the developing world is urbanization. As more of the population moves to cities, population over-crowding, increased poverty, increased levels of crime, high-density traffic, low air quality and lack of parks, sidewalks and recreational sports facilities leads to a less active lifestyle.
A number of factors has been associated with physical inactivity at a population level including: female gender, older age, living with a partner, smoking, little schooling and poverty.
Studies in children and adults have found an association between the number of hours of television watched and the prevalence of obesity. A 2008 meta analysis found that 63 of 73 studies (86%) showed an increased rate of childhood obesity with increased media exposure, and rates increasing proportionally to time spent watching television.
Another cause in the case of children is that physical activity in activities from self-propelled transport, to school physical education, and organized sports is declining in many countries.
Noncommunicable diseases, partly due to a lack of exercise, are currently the greatest public health problem in most countries around the world. Each year at least 1.9 million people die as a result of physical inactivity, which makes inactivity one of the leading preventable causes of death worldwide.
Australian children between 1961 and 2002 have had a marked decline in their aerobic fitness.
Obese people are less active than their normal weight counterparts. In Canada, 27.0% of sedentary men are obese as opposed to 19.6% of active men. Lean people are more fidgety than their obese counterparts; this relationship is maintained even if normal weight people eat more or the obese person loses weight.
National data indicates that only 10% of Canadian youth are meeting the guideline for screen time of less than 2 hours per day. As well, although 2/3 of families live close enough for their children to bike or walk to school, only 1/3 report actually walking to school and 80% report never having cycled to school.
Asia and China
A rapid decline in physical activity has occurred between the 1980s and the 2000s. The decline in physical activity is attributed to increasing technology in the workplace and changing leisure activities. In 1989 65% of Chinese had jobs that required heavy labor. This decreased to 51% in the year 2000.
Among Asian children between 1917 and 2003 little change has been seen in power and speed however endurance has decreased substantially in the last 10–15 years.
In Finland leisure-time physical activity has increased, while occupational and commuting physical activity has decreased from 1972 to 2002. Leisure-time physical activity increased from 66% (1972) to 77% (2002) in men and from 49% (1972)to 76% (2002) in women. Physically demanding work decreased from 60% (1972) to 38% (2002) in men and from 47% (1972) to 25% (2002) in women. Daily commuting activity decreased from 30% (1972) to 10% (2002) in men and from 34% (1972) to 22% (2002) in women.
Over 60% of the population of Brazil, Chile, and Peru do not meet the recommended levels of physical activity needed to maintain health. A study of a southern Brazilian population found that >80% of the population was physically inactive.
A study of Swedish males found a significant decrease in total physical exercise even though recreational exercise has increased. This was due to a decrease in work place exercise and physical exercise in transportation.
Americans have become less physically active overall between 1955 and 2005. While the rate of leisure-time physical activity has not changed significantly there has been a decrease in work-related activity, human powered transportation, activity in the home, and increasing sedentary activity. During 2000 and 2005 the number of adults who were never physically active increased from 9.4% to 10.3% while the number who were engaged in the highest level of physical activity decreased from 18.7% to 16.7%. Pertaining to leisure-time physical activity, people involved in no activity increased from 38.5% to 40.0% while those who spent most of their day sitting increased from 36.8% to 39.9%.
In 2000 the CDC estimated that more than 40% of the US population was sedentary, another 30% was active but not sufficiently and less than 30% had an adequate level of physical activity. There has been a trend toward decreased physical activity in part due to increasingly mechanized forms of work, changing modes of transportation, and increasing urbanization. Obesity rates have increased in relation to expanding suburbs. This has been attributed to increased time spent commuting, leading to less exercise and less meal preparation at home. Driving one's children to school has become increasingly popular. In the USA the proportion of children who walk or bike to school declined between 1969 (42%) and 2001 (16%) resulting in less exercise.
In England both walking and cycling have declined since 1975 being replaced by motorized transport. The average British citizen in the year 2005 walks 317 km (197 mi) per year, a fall of 106 km (66 mi) since 1975. Similar trends are seen in the United States. In 1983 9% of all trips were on foot. This decreased to 7% in 1990.
Solutions to address the lack of exercise
Going to a gym is another measure that can be taken. However, according to a controversial suggestion by Michael Mosley and doctor James Levine, it is not necessary to go to a gym to increase one's physical activity level. Rather, an alternative solution may be to just take on a more active lifestyle, including increases in Non-Exercise Activity Thermogenesis (NEAT), and perhaps include a small amount of rigorous exercise (about 3 minutes per week). The latter technique is called HIT
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- Horizon documentary: The Truth about Exercise