LESSON 13

PHYSICAL TRAINING IN UPBRINGING

Theme: Physical Training in Upbringing.

v Physical Training in Upbringing.

v Health Effects

Physical exercise is any bodily activity that enhances or maintains physical fitness and overall health and wellness. It is performed for various reasons including strengthening muscles and the cardiovascular system, honing athletic skills, weight loss or maintenance, as well as for the purpose of enjoyment. Frequent and regular physical exercise boosts the immune system, and helps prevent the "diseases of affluence" such as heart disease, cardiovascular disease, Type 2 diabetes and obesity It also improves mental health, helps prevent depression, helps to promote or maintain positive self-esteem, and can even augment an individual's sex appeal or body image, which is also found to be linked with higher levels of self-esteem.  Childhood obesity is a growing global concern and physical exercise may help decrease some of the effects of childhood and adult obesity. Health care providers often call exercise the "miracle" or "wonder" drug—alluding to the wide variety of proven benefits that it provides

Initial level of knowledge:                                                

v    basic terms and categories;

v    historical foundations, major contributors and current issues related to knowledge and practice;

v    models, theories, philosophies, and research methods that form the basis for special education practice;

 

Initial level of knowledge and skills are checked by solving situational tasks for each topic, answers in test evaluations and constructive questions (the instructor has tests & situational tasks)

Short Account of the Topic:

A SOUND MIND IN A SOUND BODY. "A sound mind in a sound body, this," says Locke, "is the short but complete definition of happiness in this world." Such, therefore, ought to be the double purpose of education. Physical education should not be separated from intellectual and moral education. And this for two reasons : first, because bodily health and strength are desirable and good in themselves, because they make a part of that complete and perfect life which is the will of nature and the dream of  education; and then because the development of the body is one of the conditions, one of the means, of the development of the soul, because the higher life of the spirit is not possible, except it have for a support a robust and healthy physical life.

Physical education (often abbreviated Phys. Ed. or P.E.) or gymnastics (gym or gym class) is a course taken during primary and secondary education that encourages psychomotor learning in a play or movement exploration setting. The term physical education is most commonly used to denote they haveparticipated in the subject area rather than studied it."[1]

The primary aims of physical education have varied, based on the needs of the time and place. Most modern schools' goal is to provide students with knowledge, skills, capacities, values, and the enthusiasm to maintain a healthy lifestyle into adulthood. Activities included in the program are designed to promote physical fitness, to develop motor skills, to instill knowledge and understanding of rules, concepts, and strategies. Students learn to either work as part of a team, or as individuals, in a wide variety of competitive activities. In all states in the United States, physical education is offered to students from grades K through 12. Most states do require physical education from 6th through 9th grades and offer "elective" physical education classes from 10th through 12th grades.

THE AIM OF PHYSICAL EDUCATION
- Provide appropriate opportunities and experiences for individuals to achieve 
  their optimum potential. 
- Develop knowledge and understanding of acquisition of skills and the value 
  of exercise.

 - Acquire and develop techniques and skills in a broad range of activity areas. 
- Encourage and developing awareness through body awareness.  
- Using sport to enhance and develop social awareness. 
- To encompass enjoyment and satisfaction and thereby encourage a lifelong 
   commitment to an active and healthy lifestyle.

 

Physical Education trends have developed recently to incorporate more activities into P.E. Introducing students to lifetime activities like bowling, walking/hiking, or frisbee at an early age can help students develop good activity habits that will carry over into adulthood. Some teachers have even begun to incorporate stress-reduction techniques such as yoga and deep-breathing. Teaching non-traditional sports to students may also provide the necessary motivation for students to increase their activity, and can help students learn about different cultures. For example, while teaching a unit about Lacrosse (in say Arizona), students can also learn a little bit about the Native American cultures of the Northeast and Eastern Canada, where Lacrosse originated. Teaching non-traditional (or non-native) sports provides a great opportunity to integrate academic concepts from other subjects as well (social studies from the example above), which is required of every P.E. teacher these days.

There are also many different models that have been created as of late that change the face of P.E. One example of this is the Health Club Model. Teaching with this model is very different from the "Organized Recess" of 20 or 30 years ago. Spun off the boom in the health club industry, a P.E. class provides many of the same "classes" that are found at a health club. Monday a student could be doing kickboxing, the next day is yoga, Wednesday the student is doing Spinning. This type of program provides a great variety of activity for students, a lot a high intensity exercise, and helps introduce these activities for use later in life. The Sports Education model is another example of a new model were the class is run like a sports league, with students taking the role of coaches, scorers, referees, and reporters as well as players. Using this model, students practice management skills, mathematic skills, and writing skill all while learning sports skills and being active.

Another trend is the incorporation of Health and Nutrition to the physical education curriculum. The Child Nutrition and WIC Reauthorization Act of 2004 required that all school districts with a federally funded school meal program develop wellness policies that address nutrition and physical activity. [2] While teaching students sports and movement skills, P.E. teachers are now incorporating short health and nutrition lessons into the curriculum. This is more prevalent at the elementary school level, where students do not have a specific Health class.

International P.E.

In the United States, the physical education curriculum is designed to allow school pupils a full range of modern opportunities, dozens of sports and hundreds of carefully reviewed drills and exercises, including exposure to the education with the use of pedometer, GPS, and heart rate monitors, as well as state-of-the-art exercise machines in the upper grades. Some martial arts classes, like wrestling in the United States, and Pencak Silat in France, Indonesia andMalaysia

, are taught to teach children self-defense and to feel good about themselves. The physical education curriculum is designed to allow students to experience at least a minimum exposure to the following categories of activities: aquatics, conditioning activities, gymnastics, individual/dual sports, team sports, rhythms, and dance. Students are encouraged to continue to explore those activities in which they have a primary interest by effectively managing their community resources.

In these areas, a planned sequence of learning experiences is designed to support a progression of student development. This allows kids through 6th grade to be introduced to sports, fitness, and teamwork in order to be better prepared for the middle and high school age. In 1975, the United States House of Representatives voted to require school physical education classes include both genders.[3] Some high school and some middle school PE classes are single-sex. Requiring individuals to participate in physical education activities, such as dodgeball, flag football, and other competitive sports. This remains a controversial subject because of the social impact these games have on young children. It is, however, important to note that many school budgets have seen cutbacks and in some cases physical education programs have been cut - leaving educators and students to address these needs in other ways.

In Singapore, pupils from primary school through junior colleges are required to have 2 hours of PE every school week, except during examination seasons. Pupils are able to play games like football, badminton, 'captain's ball' and basketball during most sessions. Unorthodox sports such as tchoukball, fencing and skateboarding are occasionally played. In more prestigious secondary schools and in junior colleges, sports such as golf, tennis, shooting, squash are played. A compulsory fitness exam, NAPFA, is conducted in every school once every year to assess the physical fitness of the pupils. Pupils are given a series of fitness tests (Pull-ups/ Inclined pull-ups for girls, standing broad jump, sit-ups, sit-and-reach and 1.2 km for secondary/2.4 km for junior colleges run). Students are graded by gold, silver, bronze and fail. NAPFA for Year 2 males in junior colleges serves as an indicator for an additional 2 months in the country's compulsory national service if they attain bronze or fail.

In Scotland, pupils are expected to do two periods of PE in first year, one in second year and two in third and fourth year. In fifth and sixth year, PE is voluntary.

Some countries include Martial Arts training in school as part of Physical Education class. Here, these children are doing karate.

In the Philippines, some schools have integrated martial arts training into their Physical Education cirriculum.[4][5][6][7][8]

In England, pupils are expected to do two hours of PE a week in Year 7, 8 and 9 and at least 1 in year 10 and 11.

In Wales, pupils are expected to do only one hour of PE per fortnight.

In Nepal, physical education is poor and poorly organized because the educational system has only been recently established and is still adjusting to recent changes and updates. Nepal has not gone very far in the sector of education because the educational history of Nepal is very short. Before 1951, Nepal was under a monarchy. The monarchy did not wish to provide education to the citizens as it did not want them to be educated and therefore politically aware. Institution of democracy did not result in a modern educational system; what education there was little better. After 10 years of democracy the country again plunged into an autocratic monarchy. In 1990 democracy was restored and the education sector started to flourish. Since then, Physical Education became part of the school curriculum. At the primary level (1-5), some minor and local games are now taught, like hide and seek and some athletic based local events. In lower secondary level (6-8), the students are taught general concepts on major games like football, volleyball, basket ball, Kho-Kho and Kabaddi. They also learn some athletics like 100m race 100*4m relay race and some other minor and lead up games. In class Nine and ten it is an optional subject where they specialize in some games like volleyball, basketball, handball, cricket, Kho Kho Kabaddi, Badminton, table tennis and some athletics are also taught. In college it is taught in the education stream. Even though it is included in school curriculum, Nepal is not able to produce any worthwhile products of games and sports for reasons ranging from poverty to decentralized government.

PHYSICAL EDUCATION FOR THE GOOD OF THE BODY.

There have been times when men could believe that the ideal was to despise the body, and even to humiliate it and mortify it, that this lower element of our being was entitled to no respect, to no care, and that human perfection was in proportion to the diminution and the decay of the material forces. Mysticism proposed, as the unique purpose of life, spiritual perfection ; and asceticism, the practical application of the principles of mysticism, took up arms against the body, to reduce it to terms by fasting, by tortures, by privations of every description, if possible, to annihilate it, as the source of all sin and of all evil.

We of to-day have recovered from these chimeras. We regard man as a whole which is not to be mutilated in any of its parts. Simply because they are inferior in dignity to the spiritual forces, the energies of the physical organism none the less deserve to be respected and developed.

"As remarks a suggestive writer," says Herbert Spencer, " the first requisite to success in life is 'to be a good animal ' ; and to be a nation of good animals is the first condition of national prosperity. Not only is it that the event of a war often turns on the strength and hardiness of soldiers ; but it is that the contests of commerce are in part determined by the bodily endurance of producers." l

Moreover, it is not simply a question of positive and practical interest ; the preservation of health is one of our duties. Every conscious infraction of the laws of hygiene is a culpable act, and, as Herbert Spencer has justly observed, every prejudice voluntarily done to health is a physical sin.

PHYSICAL EDUCATION FOR THE SAKE OF THE MIND.

A thing not less positive is that there is a solidarity of  interest between mind and body. As the physical and the moral are, so to speak, the under and the upper textures of the same fabric, it would be folly to suppose that we could with impunity derange the under without by the same act compromising the upper.

The Greeks understood this, and they associated the body and the mind in one harmonious education, in order to make man at once " beautiful and good." It was by them that Montaigne was inspired when he wrote his admirable chapter on the "Training of Children."

"It is not enough to toughen the mind of the child ; his muscles must be toughened also. The mind is too hard driven if it is not assisted ; it has too much to do to fill two offices alone. I know how much mine, so prone to be preoccupied with itself, suffers from being tied to a body so delicate and sensitive ; and in my reading I often notice that in their accounts my authors adduce as examples of magnanimity and courage, what ought the rather to be attributed to thickness of skin and ardness of bone."

And further on :

"It is not a soul, nor yet a body, which we are educating, but a man, and we must not divide him. And, as Plato says, we must not train one of them without the other, but we must drive them abreast like a span of horses harnessed to the same shaft."

The moral faculties do not freely expand, except when the body is in full health ; and besides, when they have once been developed, they do not come into free exercise unless they can avail themselves of firm and agile members.

A good bodily constitution ' ' renders the operations of the mind easy and sure; "and at the same time that it contributes towards forming the mind, it is a necessary condition for the outward manifestation of spirit, and prevents the mind from falling back upon itself, lost in futile contemplations.

I well know that we sometimes meet with intelligences of the first order, and with strong and courageous wills, united to weak and sickly bodies. A man whose physical life is but a perpetual discomfort may be distinguished from all others by the energy of his mind and the elevation of his heart. The example of Pascal, the invalid and the man of genius, occurs to the mind of every one. It may really happen in certain cases, by a mysterious reaction, that bodily sufferings may refine and stimulate the moral faculties. In such cases, pain is the principal agent in this unusual progress of the intelligence. But these exceptions prove nothing as against the general law. With good health, Pascal might have lived longer, and probably would have lost nothing of his genius. According to the expression which he himself used, it will not do to despise the bete, for sooner or later it will have its revenge. It had its vengeance on Pascal by killing him.

"Physical perfection serves to assure moral perfection. There is nothing more tyrannical than an enfeebled organism. Nothing sooner paralyzes the free activity of the reason, the flight of the imagination, and the exercise of reflection; nothing sooner dries up all the sources of thought than a sickly body whose functions languish, and for which every effort is a cause of suffering. Then have no scruples; and if you would form a soul which is to have ample development, a man of generous and intrepid will, a work-man capable of great undertakings and arduous labors, first, and above all, secure a vigorous organism, of powerful resistance and muscles of steel." 

PHYSICAL EDUCATION AS A PREPARATION FOR PROFESSIONAL EDUCATION. Physical education like intellectual and moral education, does not consist merely in a disinterested culture of natural powers, but tends towards a practical end ; it ought to be a preparation for life, and, by reason of its very nature, a preparation for professional education, or at least for bodily skill.

It is hardly possible to introduce into the education of all  men what Locke and Rousseau desired, the apprenticeship  to a trade ; but, nevertheless, under all circumstances it is  well to know how to use one's hands and one's limbs.

"One of the highest compliments we can pay a man," says  Saint-Marc Girardin, "is to say that he knows how to surmount  difficulties, not through artful discourse or through ingenious conversation, but, if necessary, through manual dexterity also; to come off conqueror, not merely in great things, but in small ; not to be continually in need of using the arms of others in order to  lengthen his own, and to be embarrassed neither by his own body nor by what it has to carry ; but that he is versatile and active, that he is neither awkward nor effeminate, in a word, that he can live without having a bell within reach, and a servant within sound of the bell." 

It is especially in the common school, by reason of the special destination of those who attend it, that physical education ought to take a practical direction, and thus prepare boys for the future occupations of the laborer and the soldier, and girls for the duties of the household and for the occupations peculiar to women.

On this point, the official programme of French instruction expresses itself as follows :

"The purpose of physical education is not merely to fortify the body and strengthen the constitution of the child, by placing him in the most favorable hygienic conditions ; but it should also give him, at an early hour, qualities of deftness and agility, that manual dexterity and th#t promptness and certainty of movement which, valuable for every one, are more particularly necessary for pupils in the common school, the most of whom are destined for manual occupations."

PRINCIPLES OF PHYSICAL EDUCATION. It is in the education of the body that the greatest credit seems to have been given the notion that nature should have her own way, that she should be intrusted exclusively with the care of developing the organs and regulating their functions. It were a grave error thus to hand over the health and life of the child to accidents and hazards of every species. Here, as everywhere, we must aid nature, and to aid her we must know her.

To be wholly rational, physical education should be based on a profound knowledge of the different sciences which treat of the human body. Hygiene bases its practical rules upon the theories of physiology; gymnastics is founded upon the elementary principles of anatomy; and, in general, physical education applies the great laws of the science of the body, just as intellectual and moral education applies the great laws of the science to the soul.

PHYSIOLOGY OF THE CHILD. Let us add that for the body, as well as for the soul, there is an infancy that is to say, a peculiar state of growth which precedes maturity. It is not, then, merely the general physiology and anatomy of man that the educator is bound to consult, but, in order to be really fit to fulfil his task, he should himself construct, as a rule for his procedure, a real physiology of the child. Like the psychology of the child, his physiology is a history which accompanies little by little the evolution of the body, the successive formation of its organs, and the organization of the different parts of the nervous system.

Let us not forget that the child is not a ready-made being, a finished product, but a weak and fragile creature, " whose muscles, nerves, and organs are in the milk, so to speak," and develop but gradually, owing to a slow but incessant growth.

IMPORTANCE OF PHYSIOLOGICAL CONCEPTIONS. It is doubtless to parents in particular that falls the obligation to know enough of the laws of life not to abandon the education of their children to the quackery of nurses and to blind and irrational modes of treatment. In one of his eloquent pages Mr. Herbert pencer has reminded them of their duties on this point.

"To tens of thousands who are killed, add hundreds of thousands that survive with feeble constitutions and millions that grow up with constitutions not so strong as they should be, and you will have some idea of the curse inflicted on their offspring by parents ignorant of the laws of life. Do but consider for a moment that the regimen to which children are subject is hourly telling upon them to their life-long injury or benefit, and that there are twenty ways of going wrong to one way of going right, and you will get some idea of the enormous mischief that is almost everywhere inflicted by the thoughtless, haphazard system in common use. Is it decided that a boy shall be clothed in some flimsy short dress, and be allowed to go playing about with his limbs reddened by cold? The decision will tell on his whole future existence, either in illness or in stunted growth, or in deficient energy, or in maturity less vigorous than it ought to have been, and consequent hindrances to success and happiness. Are children doomed to a monotonous dietary, or a dietary deficient in nutritiveness? Their ultimate physical power, and their efficiency as men and women, will inevitably be more or less diminished by it.

Are they forbidden vociferous play, or (being too ill-clothed to bear exposure) are they left indoors in cold weather ? They are certain to fall below that measure of health and strength to which they would else have attained." 1

But though the responsibility in this matter rests chiefly upon parents, teachers also, if they have neglected to inform themselves of the laws of the physical life, if they set them at defiance by unreasonable commands or by ill-timed prohibitions, teachers also may exercise a fatal influence upon the health and vitality of children. Then let them take a serious view of their responsibilities, and study with care anatomy and physiology as presented in the normal schools. Let them supplement these studies by their personal observations upon the children of their schools; let them take account of their physical aptitudes, of their differences in temperament, and of the natural weakness or strength of their constitution. Thus prepared in the lessons which they give in gymnastics, in their precautions and advice in matters of hygiene, they will not be the mere routine adherents to a programme, but will the better execute the orders whose meaning and application they comprehend. They will put a liberal interpretation upon the dead letter of the law; through their personal experience, and through then- enlightened interest in the particular temperament of each child, they will make this letter a living thing.

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POSITIVE AND NEGATIVE EDUCATION OF THE BODY.

Granting everything that can be claimed for the natural vigor of the child's constitution and of his spontaneous development, there still remains a vast field of activity open to the previsions of the educator.

On the one hand, the life of the child must be shielded from everything which may be the cause of disturbance, dissipation, and debility, of whatever would have a tendency to impair bodily health, such as excessive brain labor.

Here, properly speaking, is the domain of negative physical education, that which consists in conserving and protecting the natural forces, and which is almost all summed up in prohibitions, in the warnings pronounced by hygiene.

On the other hand, it is necessary to supplement and stimulate the work of nature, to develop and fortify the physical powers; and this deliberate intervention becomes more and more necessary, in proportion as the intensive culture of the intellect is carried to excess, and to the abuses of intemperate study and overcrowded programmes.

This will be the purpose of a positive physical education, of an education which will comprise all the exercises and all the sports of childhood, all the practices recommended by hygiene, and all the movements which constitute gymnastics.

Hygiene and gymnastics, these are the two elements of physical education, and both are equally necessary. The first is, in some sort, a good method of conduct, a kind of ethics for the body; the other is to physical activity what study is to intellectual activity, a wholesome and strengthening exercise. Both conspire to endow the body with health and vigor; but hygiene has especial reference to health, and gymnastics to vigor.

FOOD AND CLOTHING. Without saying, with Feuerbach, that "man is what he eats," and without accepting the absolute assertion of Herbert Spencer, that "the well-fed races have been the energetic and dominant races," we cannot accord too much importance to alimentation, to the quality and the quantity of food.

Mr. Spencer declares that there are too many rules in the nursery, just as there are too many in the state, and that one of the greatest evils resulting from this state of things is that children are too much restricted in their diet.

"The food of children," he says, "should be highly nutritive; it should be varied at each meal ; and it should be abundant." 1

The child, then, should eat till his hunger is satisfied. Eating to excess is the vice of adults rather than of children. Indigestion, with children, is almost always brought on by a reaction against privations, against a prolonged fast.

As to garments, they should be full and loose, so that the body shall feel at ease in them, and that nothing shall interfere with the functions of the organism. "Hygienists condemn the premature use of the corset for girls, and at all times the tunic for boys." 2

Locke, with his usual austerity, required the child to play bareheaded, and never to wear warm clothing ; he even favored the idea of requiring him to wear the same garments winter and summer. Mr. Spencer, on the contrary, finds that it is folly to clothe children in thin garments. The French criticise the English custom of allowing children to go bare-legged and thinly dressed ; while the English

blame the French for the silly things invented by the Petit Courrier des dames, which recommends garments that are either inconvenient or insufficient. 1 Mr. Spencer concludes that if clothing should not be so heavy as to produce an uncomfortable warmth, it ought always to be warm enough to prevent all feeling of cold.

NECESSITY OF PLAY. This is not the place to discuss exhaustively the question of sports. In fact, sports do not affect physical education alone ; they have intimate relations with the culture of the imagination and with aesthetic education, and we shall have occasion to return to the subject.

But it is well to state before going further how important it is, from a sanitary point of view, that the child should play, and how much it were to be regretted should the habit of playing disappear from our schools, as it tends, alas ! to disappear from social life.

"Play in the open air, which invites to jump, to run without interruption, to shout at the top of the voice, which causes the blood to circulate vigorously, and gives color to the cheeks, this is the agent of all others for physical development. The English and the Americans well know this, and with them play is a national institution."

The French, on the contrary, play less and less, and the fault is due in part to the habits contracted in the colleges, and also in part to the teachers, who, in general, have disparaged sports too much, ' ' those nothings which are everything in the life of a child." Froebel is almost the only one who has given that attention to the subject which it merits.

"We should not consider play," he says," as a frivolous thing ; on the contrary, it is a thing of profound significance By means of play the child expands in joy as the flower expands when it proceeds from the bud ; for joy is the soul of all the actions of that age."

PHYSICAL EXERCISES IN ENGLAND. Physical education still counts so many adverse critics among the French that it is not useless to invoke the example of foreign nations. No one will deny that the Anglo-Saxon race stands in the front rank among the human races, and it owes its superiority in part to its taste for physical exercises.

On this point let us quote the testimony of an acute observer, M. Taine. 1

"There are gentlemen in England," he says, "whose ambition and training are those of a Greek athlete. They restrict themselves to a particular diet, abstaining from every excess in food and drink. They develop their muscles and subject themselves to a rational system of training

"Sports hold the first place, said an Eton master, and books the second. A boy stakes his reputation on being a good athlete. He spends three, four, five hours a day in boisterous and violent exercise. He will splash about for hours in ploughed fields and miry meadows, falling into the mud, losing his shoes, and pulling himself out as best he can The university continues the school, and in it there reigns an active, popular, almost universal taste for athletic exercises. Playing at cricket, rowing, sailing, training dogs to hunt rats, fishing, hunting, riding on horseback, coaching, swimming, boxing, fencing, and recently amateur soldiering, these are the most interesting occupations for the young men Doubtless muscular training carried to such an extent entails some rudeness in manners ; but, by way of compensation, this athletic and gymnastic discipline has this double advantage, that it chills the senses and calms the imagination. Moreover, when the moral and mental life is afterwards developed, the soul finds, to support it, a more healthy and a more substantial body."

We do not desire, any more than M. Taine does, to disguise the faults which this extreme attention to the physical life, this mania for muscularity, is likely to engender. Plato, two thousand years ago, drew the portrait, but little flattering, of the man who trains only his body, "who lives in ignorance and awkwardness, with no symmetry and no grace." 1 English education must often end in producing coarse natures, dolts; but, on the other hand, it hardens the body and tempers character.

CONCLUSION. It is only till lately that the theory and the practice of education have given to physical exercises their proper place; and already, in presence of the progress, still uncertain, of gymnastics, some minds have taken the alarm. It is to be feared, some say, that the new generations may be trained to passive obedience through the development of physical exercises." It is even said that education, thus conducted, lowers man towards the level of the beast. 2 This is surely misplaced zeal to hurl anathemas against a thing the most innocent and the most legitimate in the world, the development of physical power. If it were necessary to choose between mind and gymnastics, we would freely exclaim, Long live mind ! Down with gymnastics ! But surely there is no need of such a choice. The mind can derive only good from a moderate exercise of the body. As to saying that the habit of passive obedience will be the result of this new taste for physical discipline, it is to forget that well-worn truth that a man is so much the more free, so much the more independent, as he has more power at his disposal. "We have never observed that in the religious orders, where passive obedience is most strongly recommended, and where the maxim perinde ac cadaver has reigned, much attention has been given to physical development. In such cases asceticism has flourished, not gymnastics.

 

6.                  Intellectual education/upbringing

Intellectual education is situated at the base of cognition and is completed by other types of education.

Intellectual education has the goal to form intellectual individual offering a system of knowledge that is fundamental for each person. Its role is to develop intellectual capacities and abilities. Intellectual education starts with cognitive techniques: writing, reading, counting, and ability to complete knowledge with derivate information from known information.

Intellectual education is based on mental activity that results in skills, abilities, aptitudes and capacities. Through intellectual activity a person gets personality being intellectually educated. And at its turn a personality differs from person having unique interests, skills and intellectual level.

So if the main objective of intellectual education is cognition, then the main goal of intellectual education is to form independent personality with unique thinking. It is also oriented upon self-development. Intellectually independent person features an independent way of thinking and an independent way of acting. Independent thinking means own values deduced from life experience; own life concepts based on reality and facts; own goals and tendencies; own arguments and explanations; etc.

Intellectual education is not just a huge collection of facts, events, phenomena, or theories; it is also practical application of knowledge.

There are several theories that help accumulate knowledge. One of them is behaviorism. Behaviorism is a science that studies human behavior. This theory explains that at the base of human behavior is situated experience. Human spirit of an adult is an empty pot that during his/her life is filled with experience. While, spirit of a child is a white sheet of paper "tabula rasa", on which can be written everything.

The behaviorist theory sustains that cognition is the result of interdependent stimulus and reaction to it. This action-reaction system is also called associationism.

The neurons are highly stimulated by action-reaction repetition that becomes a habit. Basing on this were practiced techniques of learning and teaching like: repetition, punishments, exercise, etc.

It has to be mentioned that intellectual education offers only raw knowledge that need to be adapted to each person or by each person. It doesn't develop some kind of talents or features that are not linked with intellectual activity, unless intellectual skills lead to development of other capacities.

In our days intellectual level of people is very different. In modern world society there are analphabets and geniuses. There are no limits to cognition and there are no rules that can determine how much information one should know. But we can say for sure there is a substantial difference between an intellectually educated person and an intellectually undeveloped one. Intellectual abilities open doors and assure half of ones success. Knowledge has never destroyed people, ignorance did.

Healthcare professionals may be involved in giving advice to people about physical training. Such advice may be given to healthy individuals, patients with a variety of medical conditions or even professional athletes. Appropriate levels of physical activity are important for good health and should be promoted by healthcare professionals.

 

Advice on exercise and physical training is best tailored to the individual. The advice will vary according to the individual's current state of health, their fitness, available resources and the aims and motivation of the individual.

Initial assessment

 

Physical training may be started for a variety of reasons. It may be initiated by the individual or promoted by healthcare professionals in the course of comprehensive medical care.

 

Whatever the reason for discussing physical training, it is helpful to ask the individual some basic questions before embarking on a more detailed assessment and setting realistic targets.

What is the motivation?

Exploration of motivating factors should allow for encouragement and positive reinforcement. For example:

What are the associated aims and objectives? What is the individual trying to achieve?

There may be a very specific target (for example, running a marathon, or achieving specific weight loss).

There may be more general aims (for example, looking and feeling better, reducing risk factors for disease).

Clarification of this will help to understand the motivation and enhance this where appropriate with additional information, ideas and supporting evidence of benefit.

What is their current state of health and fitness? For example:

What is their past and present exercise routine?

What is the current weight and body mass index (BMI)?

Have they got any health problems? This may require a detailed history if the individual is not known to the doctor.

What forms of exercise and training are preferred, possible and appropriate? For example:

Does the chosen form of exercise suit the aims and state of health?

Common options include:

Gym membership.

Personal trainer.

Home training programme.

Group activities (for example, keep fit clubs).

Specific sporting activities.

Use of community facilities (for example, leisure centres, swimming pools, etc.).

Integration of training with other physical activities (for example, work, commuting and activities of daily living).

Motivation

 

Even if an individual is healthy and highly motivated to train or exercise there may still be a role for medical advice. Excessive exercise or a training routine which is having an adverse effect on health, fitness or the achievement of objectives may need advice and modification (for example, in anorexia nervosa). Motivation may need modification but often encouragement and reinforcement are all that is required.

 

It is much more common outside professional sport to have to help, understand and improve the individual's motivation. It is also more likely that general health (rather than sports injuries) will be important to consider when giving advice on physical training and motivating people to take up exercise.

 

The reasons why individuals may be motivated to take up physical training are many and include:

Specific targets or ambitions (for example, running a marathon, raising money for charity, weight loss, etc.).

Participation in recreational or professional sport.

Social and psychological benefits.

Achievement of entry standards for certain careers, such as the armed forces, police or fire service.

More general benefits (for example, general wellbeing, looking better, confidence, quality of life, etc.).

Reduction of risk factors for disease (particularly when there is a family history).

Management of disease.

Reinforcement of motivation

 

Often it is necessary merely to reinforce and encourage existing motivation. This can include emphasis of any one or more of the many benefits of exercise:1,2

Improved cardiovascular and respiratory reserve.

Weight control.

Reduction in blood pressure and the risk of hypertension.

Improvements in blood lipids.

Reduction in cardiovascular risk.

Reduction in risk of type 2 diabetes.

Benefits to mental health (including relief of stress and aggression3).

Reduction in the risk of osteoporosis (certain forms of exercise).

Enhancement of smoking cessation.4

Reduction of falls and fractures in the elderly (improved balance).

It may prevent, or slow, development of dementia.5

Assessment of health and fitness

 

It is possible to do very extensive and detailed assessments of both health and fitness. Whether health and fitness are assessed in advance of physical training will depend on why training is being undertaken and on the person undertaking the training. Clearly, very often physical training is done without any formal medical consultation and with minimal medical history (for example, gym questionnaires, etc.). It is often done purely for insurance purposes.

 

The assessment may need to be detailed where specific activities or training are to be undertaken. However, it is usually sufficient to advise on known medical history without conducting exhaustive examinations or investigations. Consideration should be given to risk factors for disease and any existing diseases when giving medical advice on fitness. For medicolegal reasons, care should be taken in the wording of any endorsements of fitness for exercise or exercise programmes.

 

It is usually appropriate to make an assessment of health and fitness prior to exercise:

When given as part of even general health promotion by the patient's GP.

When given because of specific diseases or disease risk factors.

For activities which carry specific risks to health or have specific contra-indications.

When required by insurance companies or other interested third parties (for example, sports clubs, gyms, sporting associations, etc.).

Medical conditions and training

 

See also separate articles Heart Disease and Exercise and Diabetes Diet and Exercise.

 

Medical conditions are rarely a total bar to exercise but they may often impose limitations or require modification of training programmes. Others involved in helping, encouraging, coaching or teaching people with medical conditions may be made aware if appropriate to help support the individual concerned and to maintain a safe environment for all. Careful individual assessment is required. Common examples include:

Asthma:

Asthma is common and affects children and adults. Asthma action plans or care plans should incorporate advice on exercise. Asthma may influence the choice of activity. It can be more troublesome in sports which involve running. It is less troublesome in cycling and least troublesome in swimming.

Good control should be demonstrated. Improvements in control of asthma may be required when symptoms limit performance.

As mentioned in the separate article Drugs and Sport, beta agonists are subject to regulation but this is relevant only for professional athletes subject to drug testing. Clearly, then a doctor will certify that medication is necessary and used by inhaler for asthma.

Angina pectoris and intermittent claudication:

Cardiac rehabilitation is essential for those recovering after myocardial infarction. It involves advice and graduated physical training programs.

Pain should not be ignored. Exercise may be beneficial and enable the person to extend the time before the pain of angina or claudication demands cessation.

Exercise should be unhurried and attempts to increase the distance should not be too ambitious.

Glyceryl trinitrate (GTN) may be used before exercise.

Betablockers may extend the duration of exercise in angina (although, generally, they are an impediment because they slow the heart rate response to exercise).

Other heart disease:

Strenuous exercise should be avoided in aortic stenosis and hypertrophic obstructive cardiomyopathy (HOCM) as it can cause sudden death.

Hypertension is only a contra-indication to exercise if it is severe and uncontrolled. Once reasonably controlled, exercise is beneficial.

Diabetes:

Exercise metabolises glucose and increases tissue sensitivity to insulin. This is important with vigorous exercise in those on insulin.

When vigorous exercise is anticipated, the diabetic should reduce insulin and increase carbohydrate 20 minutes before exercise.6 Control can be complex when training is intensive but, as witnessed by prominent diabetic athletes, success at a high level can still be achieved.

'Fast glucose' should be available for symptomatic hypoglycaemia.

It is also important to remember that rehydration after sport should not be alcoholic, as alcohol depresses blood glucose.

Arthritis:

As a general rule, arthritis benefits from exercise, although goals should be realistic.

The notable exception is an acute inflammatory arthritis that needs rest.

Depression:

There is some evidence that mild depression in young people may benefit from an exercise programme but the evidence is not very strong.7

Obesity:

Exercise and physical training are important for obese patients to improve weight loss and are an essential part of a return to health and fitness.

Caution is required because obesity is also a risk factor for other diseases, including heart disease, hypertension, diabetes and arthritis.

Methods in physical training

Introduction

 Methods to optimise physical performance and improve physical training have advanced in recent years. Some of this has arisen from the demands of sports which are increasingly the province of professional athletes and commercial demands. Physical training may involve:

Stamina or endurance.

Speed or rapid movements.

Strength.

Flexibility.

Co-ordination and proprioceptive skills.

Activity or sport-specific skills.

Physical training programmes

 

These can be tailored to suit motivation, aims, fitness, health and preference for equipment and methods of training. Familiarity with any equipment is important. Personal trainers will devise a physical training programme around such considerations.

Frequency of training

 

Training should be neither too frequent or infrequent. Muscles need recovery time. The physiology of exercise dictates that care should be taken to devise programmes which are appropriate. Generally, variety in the type of exercise taken is beneficial and avoids, for example, overuse or the development of imbalances in posture from asymmetric or unbalanced strengthening. This is particularly important in adolescents when muscle growth is very rapid.

Equipment

 

Expensive equipment is not required. Comfort is essential.

 

Trainers should give adequate support and have good cushioning. They should be correctly fitted. Feet swell a little on exercise and so trainers may need to be slightly large when tried on cold. A pair of sports socks gives extra protection and absorbs sweat.

Weight loss

 

For some people, loss of weight will be the prime objective of physical training. For others it will be a secondary but important gain. Indeed trying to lose weight without exercise is extremely difficult. Exercise is more than burning extra calories during training. Nevertheless, diet must not be forgotten and alcohol is also a potent source of 'empty' calories.

 

Insulin is strongly anti-lipolytic whilst catecholamines facilitate lipolysis.8 This means that it is a potent force in preventing the breakdown of fat. Exercise suppresses insulin secretion and so facilitates the metabolism of fat. It is said that it takes 20 to 30 minutes of exercise before 'fat burning' starts. However, it is affected by many factors, including intensity of exercise and relationship to food intake. Type 2 diabetics have high resting levels of insulin but lipolysis will occur in them at higher levels of insulin.9 Hence, type 2 diabetics can successfully exercise and burn fat.

 

The rate at which fat is metabolised is dependent upon the rate of exercise. Exercise is often measured by the percent of maximal heart rate that is achieved as this is much easier to measure than percent of VO2 maximum (the maximum amount of oxygen in millilitres one can use in one minute per kilogram of bodyweight). If a person exercises at a rate of about 80% of maximum heart rate, most of the energy is provided by carbohydrate whilst only a minority is derived from fat. This can be calculated by the ratio of oxygen consumed to carbon dioxide produced, provided that the subject is not exercising at an anaerobic level. At 60% of maximal heart rate, the ratio is reversed and most energy comes from fat rather than carbohydrate. If maximum heart rate in beats per minute is 220 - age in years, calculation will show that 80% of maximum is not exceptionally onerous whilst 60% of maximum is a very leisurely pace.

 

Longer periods of less intense exercise are likely to be better for weight loss. Some people discount the concept of 'the fat burning zone'. More intense exercise may burn a lower percentage of fat but a higher total amount of fat. There are other variables such as an enhanced ability to metabolise fat with physical training.10

 

With exercise, the early weight loss is not sustained (weight may even rise as fat is replaced by muscle). Vigorous exercise is followed by about 36 hours of a higher basal metabolic rate that is not seen after lower levels of exercise. The basal metabolism of muscle is rather higher than the fat that it replaces.

Weight training

 

Muscle strengthening exercises are part of physical training and can involve use of weights.

Individuals may use weights to maintain physical appearance.

Strength training is important for many sports.

It can prevent injury and is part of rehabilitation after injury. It can prevent recurrence of injury - for example, after injury to knees, shoulders and backs.

Strength training as part of general physical fitness enhances the metabolism of fat.

 

There are certain rules or guidelines for weight training:

Always warm up on cardiovascular equipment before moving on to weights.

An exercise programme for one set of muscles (agonists) should be accompanied by a programme for the opposing set of muscles (antagonists). For example, biceps and triceps, quadriceps and hamstrings.

Do not try to lift excessive weights or injury will result and set back training.

As a general rule, using heavy weights that can be lifted just once before needing to rest is a less effective method of training than having less iron on the bar but doing more repetitions. This may not be true for power-lifting but it applies for most weight training. Repetitions should start at 8 to 10, working up to 12 before increasing weights progressively at subsequent sessions.

Weight training sessions should not take place on consecutive days. Muscle building sessions should be at least 48 hours apart, although it is possible to do upper body work on one day and lower body work the following day.

Fitness training

 

Fitness training involves work on stamina and endurance. It comes in various forms and the profile of fitness required in different activities is varied. For example:

Running 400 metres requires the ability to drive on and maintain anaerobic exercise whilst blood lactate levels are very high.

Long-distance running is more aerobic, although a fast finish may involve an anaerobic flourish.

Field sports, such as football, rugby and hockey, involve sprinting mixed irregularly with slower running at intervals over a long period of time. They require the ability to exercise anaerobically but with a rapid recovery time.

 

All this may be simulated in the gym or outdoors. Runners need both speed and stamina and so a 400 metres runner may train over 300 metres for speed and 500 metres for stamina. Even a 100 metres runner may train over 80 and 120 metres. Field sport athletes who need rapid recovery may train with activities which simulate match demands. In the 1970s there was a vogue for very high mileage training and distance runners may have trained by running 50 to 80 miles a week. This is no longer recommended. It leads to exhaustion and overuse injury.

 

The person who just wants to 'get fit' may start with some distance training, then insert some brief anaerobic training and finally aim for rapid recovery training. However, many people will be content to function at a much lower level.

Nutrition and hydration

 

Advances in nutritional medicine, the demands of professional sport and the increasing engagement of individuals with a healthier lifestyle have all helped dissemination of knowledge about healthy diets.

 

Diet is an important component of training. If weight loss is an aim, consumption, especially in the evening, should be reduced. In extreme exercise, taking in adequate calories can be a problem. Competitors in the Tour de France may be using 9,000 calories a day, and taking in that level of energy can be problematic.

 

People who aim to build a great deal of muscle eat a considerable amount of protein to do so. Protein is essential to build muscle. However, there is a tendency to eat vastly more protein than can be used to build muscle and even lean meat is quite high in fat.

 

Just a few decades ago steak and chips would be served at Twickenham to international rugby teams about to compete. Such a high-fat diet before exercise is ill-advised. Fat delays gastric emptying. Nowadays most teams and athletes have pasta before exercise. If a top level football team is competing with a kick-off at 3 pm, they will have a largely carbohydrate lunch at about 11.30 am.

 

A more scientific approach towards diet is one of the many reasons for improved standards in modern sport.

 

Nutrition includes adequate hydration. Even a fairly moderate level of dehydration has a significant effect on performance and this is an aspect that is now much better understood.

 

  Doing regular physical activity can make you feel good about yourself and it can have a number of benefits for your health. For example, it reduces the risk of developing heart disease, stroke, high blood pressure, some cancers, type 2 diabetes and osteoporosis. Regular physical activity also helps to control weight, and may help to ease stress. Ideally, you should aim for at least 30 minutes of moderate intensity physical activity on at least five days of the week. You should also aim to do a minimum of two sessions of muscle-strengthening activities per week, although these should not be on consecutive days.

Physical activity is any activity that you may do that helps to improve or maintain your physical fitness as well as your health in general.

It can include:

·                    Everyday activities. For example, walking or cycling to work or school, doing housework, gardening, DIY around the house, or any active or manual work that you may do as part of your job.

·                    Active recreational activities. This includes activities such as dancing, active play amongst children, or walking or cycling for recreation.

·                    Sport. For example, exercise and fitness training at a gym or during an exercise class, swimming and competitive sports such as football, rugby and tennis, etc.

Adults should aim to do a mixture of aerobic activities and muscle-strengthening activities.

During the daytime, all age groups should minimise the amount of time spent being sedentary (sitting).

Under-5s:

·                    Physical activity should be encouraged from birth, particularly through floor-based play and water-based activities in safe environments.

·                    Children of pre-school age who are capable of walking unaided should be physically active daily for at least 180 minutes (3 hours), spread throughout the day.

Children and young people (aged 5-18 years):

·                    Moderate-to-vigorous intensity physical activity for at least 60 minutes and up to several hours every day.

·                    Vigorous intensity activities, including those that strengthen muscle and bone, should be incorporated at least three days a week.

Adults (aged 16-64 years):

·                    Over a week, activity should add up to at least 150 minutes (2½ hours) of moderate intensity activity in bouts of 10 minutes or more. For example, 30 minutes on at least five days a week.

·                    Comparable benefits can be achieved by 75 minutes of vigorous intensity activity spread across the week or combinations of moderate and vigorous intensity activity.

Older adults (aged 65 years and older):

·                    Older adults who participate in any amount of physical activity gain some health benefits. Some physical activity is better than none, and more physical activity provides greater health benefits.

·                    Older adults should aim to be active daily and, if possible, aim for the same amount of physical activity as younger adults.

Aerobic activities

Aerobic activities are any activity that makes your heart and lungs work harder. To gain health benefits, government experts in the UK suggest that you should do at least 30 minutes of moderate intensity physical activity on most days of the week.

·                    30 minutes is probably the minimum but you do not have to do this all at once. For example, cycling to work and back for 15 minutes each way adds up to 30 minutes. A recent study showed that even less time may have some health benefits.

·                    Moderate intensity physical activity means that you get warm, mildly out of breath, and mildly sweaty. For example, brisk walking, jogging, swimming, cycling, dancing, badminton, tennis, etc. However, as mentioned above, normal activities that are part of your daily routine (everyday activities) may make up some of the 30 minutes. For example, fairly heavy housework, DIY, climbing the stairs, or gardening can make you mildly out of breath and mildly sweaty.

·                    On most days means that you cannot store up the benefits of physical activity. You need to do it regularly. Being physically active on at least five days a week is recommended.

The amount of physical activity that you do may need to be a little more in some situations:

·                    If you are at risk of putting on weight, you should ideally build up to 45-60 minutes of moderate intensity physical activity on most days to help to manage your weight.

·                    If your body mass index (BMI) was in the obese category and you have lost a lot of weight, or if you are in this situation and you are trying to lose weight, you should ideally build up to 60-90 minutes of moderate intensity physical activity on most days to help manage your weight.

Muscle-strengthening activities

In addition to the above aerobic activities, adults should also aim to do a minimum of two sessions of muscle-strengthening activities per week, although these should not be on consecutive days.

Muscle-strengthening activities can include climbing stairs, walking uphill, lifting or carrying shopping, digging the garden, weight training, Pilates, yoga or similar resistance exercises that use the major muscle groups. Ideally, the activities and exercises should not only aim to improve or maintain your muscle strength, but also aim to maintain or improve your flexibility and balance. A session at a gym is possibly ideal, but activities at home may be equally as good. For example, stair climbing, stretching and resistance exercises can be done at home without any special clothing or equipment.

A session should be a minimum of 8-10 exercises using the major muscle groups. Ideally, to help build up your muscle strength, use some sort of resistance (such as a weight for arm exercises) and do 8-12 repetitions of each exercise. The level (weight) of each exercise should be so that you can do 8-12 repetitions before the muscle group gets tired. So, for example, for the upper arm muscles, hold a weight in your hand and flex (bend) your arm up and down 8-12 times. This should make your arm muscles tire.

You can do the exercises one after another to complete a session. Or, you can split a session up over a day in, say, bouts of 10 minutes.

Older people

If you are over the age of 65 you should still aim to do the same amount of aerobic activity and muscle-strengthening activity as younger adults, depending on your ability. As well as this, a particular goal for older people should be, where possible, to do activities to help with flexibility and balance.This is to help reduce the risk of falls, and injury from falls. Examples of activities to help flexibility include yoga, housework such as vacuuming, and DIY. Examples of activities to help balance include dancing, tai chi or keep fit classes. Special keep fit classes for older people are available in many areas and will usually include activities for flexibility and balance.

Children and teenagers

Children and teenagers should get at least 60 minutes of moderate intensity physical activity per day. The 60 minutes can be made up from various shorter sessions and a mixture of different activities. For example, a mixture of play, Physical Education (PE) at school, games, dance, cycling, a brisk walk to school, sports, various outdoor activities, etc.

Pregnant women

It is safe to continue to do some physical activity during pregnancy. However, the type of activity that you choose needs to be appropriate. A separate leaflet called 'Pregnancy and Physical Activity' discusses this in more detail

The health benefits of doing regular physical activity have been shown in many studies. You are likely to get the most benefits to your health if you are someone who is not very active at all and you become more active. However, there are still benefits to be gained for anyone who increases their physical activity levels, even if they are already doing 30 minutes of moderate intensity activity on most days.

Overall, people who do the recommended levels of physical activity can reduce their risk of premature death by 20-30%. Other health benefits include the following:

Your risk of developing coronary heart disease, such as angina or a heart attack, is much reduced if you are regularly physically active. Inactive people have almost double the risk of having a heart attack compared with those who are regularly physically active.

If you already have heart disease, regular physical activity is usually advised as an important way to help prevent your heart disease from getting worse. Special rehabilitation physical activity programmes exist if you have had a heart attack or have another heart problem. These are supervised by physical activity specialists who can help you do physical activity safely.

Stroke

Physically active people are less likely to have a stroke. One study found that women aged 45 and older who walk briskly (at least three miles per hour), or who walk for more than two hours a week, reduce their risk of stroke by a third compared with less active women.

Cholesterol

Regular physical activity has been shown to raise levels of high-density lipoprotein (HDL) cholesterol. This is good cholesterol because it may actually help to protect against cardiovascular disease (coronary heart disease, stroke and peripheral vascular disease). HDL cholesterol seems to help prevent patches of atheroma forming. These are like small fatty lumps that develop within the inside lining of arteries (blood vessels) and are involved in the development of cardiovascular disease.

High blood pressure

Regular physical activity can help to lower your blood pressure levels if you have high blood pressure. It can also help to prevent high blood pressure from developing. High blood pressure is one of the risk factors for heart disease and stroke.

Diabetes

If you are regularly physically active then you have a lower risk of developing type 2 diabetes than inactive people. The greater the amount of physical activity that you do, the lower your risk of developing type 2 diabetes. If you have been diagnosed with impaired glucose tolerance (prediabetes), regular physical activity can help to prevent this from developing into diabetes. Also, if you already have type 2 diabetes, regular physical activity can help improve the control of your diabetes.

Weight control

Physical activity helps you to burn off excess fat. Regular physical activity combined with a healthy diet is the best way of losing weight, and keeping that weight off.

Bone and joint problems

Regular weight-bearing physical activity can also help to prevent osteoporosis (thinning of the bones). The pulling and tugging on your bones by your muscles during exercise stimulates bone-making cells, which strengthens your bones. If your bones are stronger, you have a reduced risk of breaking your bones when you are older. (Weight-bearing physical activity means physical activity where your feet and legs bear your body's weight, such as brisk walking, aerobics, dancing, running, etc.)

Physical activity has also been shown to help treat osteoarthritis and lower back pain in some people.

Cancer

Regular physical activity can help to reduce your chance of developing cancer. It roughly halves your chance of developing cancer of the colon (bowel cancer). Breast cancer is also less common in women who are regularly physically active.

Mental health

Physical activity is thought to help ease stress, boost your energy levels and improve your general well-being and self-esteem. It can also help to reduce anger. As well as this, physical activity can make you sleep better. (But do the activity during the daytime or early evening, not near to bedtime.)

Keeping you mobile and more able to live by yourself

Regular physical activity throughout life can help to keep you more mobile as you get older. Still being mobile is one of the things that helps older people remain independent and able to live by themselves at home. As mentioned above, as you get older, flexibility and balance exercises are important to help reduce your risk of falling and becoming injured. If you are aged over 70, you are less likely to fall and be injured if you are regularly physically active.

Memory loss and dementia

Regular physical activity may help to prevent some types of dementia. If you do have dementia, regular physical activity may also help to keep you mobile for longer.

Smoking cessation

Increasing physical activity levels has been shown to help people trying to quit smoking. It can help to reduce your desire to smoke and can also help with withdrawal symptoms.

There are many benefits to regular physical activity for children. It helps with healthy growth and development and, if children are physically active, they are less likely to become overweight, or obese, adults. A recent study found that teenagers who carry a gene for obesity are less likely to become overweight or obese if they are physically active for an hour a day. If an overweight child becomes an overweight or obese adult, they are more likely to develop health problems, including diabetes, stroke, heart disease and cancer.

Regular physical activity also helps children to socialise and mix with others and helps with their psychological well-being. A study that took place in Southern California also found that children with average or above-average fitness levels did better in terms of their academic performance than children with below-average fitness levels. However, more studies are needed to confirm this potential benefit.

There are only a few reasons why physical activity may be harmful. A common wrong belief is that physical activity may be bad for the heart. On the contrary, physical activity is good for most people with heart disease provided they follow guidelines given by exercise specialists or health professionals. In general, if you gradually build up to do regular moderate intensity physical activity, the potential benefits to your health will greatly outweigh the small risks involved.

However, sometimes problems can occur with physical activity:

·                    Injury is possible. Sprains, and sometimes more serious injuries, are a risk with some types of physical activity. You can cut down your risk of injury by warming up before any activity, and by wearing the correct footwear.

·                    Endurance sports such as marathon running can sometimes cause stress fractures in bones. Prolonged endurance exercising can mean that some women stop having their monthly periods.

·                    In rare cases, sudden death can occur in people who are doing some physical activity. However, most of the time, there is usually an underlying heart problem (which may not have been previously diagnosed) and it is the excess stress that is placed on the person's body during exercise that causes the sudden death. It should be stressed that, in general, regular exercise protects the heart.

If you have a problem or medical condition that you are worried may be made worse by physical activity, then see a doctor before starting a programme to increase your physical activity levels. In particular, you should see your doctor before you start if you:

·                    Have a known heart condition or have had a stroke.

·                    Have any chest pains, particularly if chest pain is brought on by exercise.

·                    Have had falls due to becoming dizzy or blacking out.

·                    Get very breathless on mild exertion.

·                    Are intending to start a vigorous physical activity programme.

·                    Are worried that a joint or back problem may be made worse by increasing your physical activity levels.

Physical activity is not just for young sporty types. It is never too late to start to gain the benefits, no matter how old or unfit you are.

·                    If you are not used to physical activity, it is best gradually to build up the level of activity. Start with 10 minutes and over time build this up to 30 minutes. Brisk walking is a great activity to start with.

·                    One big obstacle is the uphill battle to become fit. Many people feel that the first few attempts at physical activity are quite a struggle. Do not get disheartened. You are likely to find that each time it becomes easier and more enjoyable.

·                    Try to keep physical activity high on your list of priorities. If one kind of activity becomes boring, try switching to another type. A variety of different activities may be better. Physical activity needs to be something that you enjoy or it will not be something that you will keep up.

·                    Some people set their goals too high. For example, aiming to run a marathon. This may take too much time, you may lose enthusiasm, and physical activity may become a drudge. Be aware of this pitfall.

·                    Use everyday activities as part of your physical activity programme. Consider a brisk walk to work or to the shops instead of using a car or bus; take the stairs in the office or shopping centre and not the lift, etc. Reduce the amount of time that you spend being inactive (watching TV, sitting in front of a computer screen, etc).

·                    Remember to include some muscle-strengthening exercises.

·                    Talk to your doctor or practice nurse about any groups or initiatives in your local area. For example, Exercise Referral Schemes run in some areas. They are programmes designed especially for people with various medical conditions (such as asthma, high blood pressure, type 2 diabetes, chronic obstructive pulmonary disease, anxiety, depression or obesity) who may benefit from increasing their physical activity levels. There are also a number of government campaigns and initiatives aimed at increasing physical activity levels in everyone. Details can be found below.

A pedometer is a small device, usually worn on a belt, that counts the number of steps that you have taken, by sensing the motion of your hips. Many people find it a useful tool to help with motivation and monitoring when trying to increase their physical activity levels.

Wearing a pedometer on an average day can give you a baseline for the number of steps that you generally take. A very sedentary person will take between 1,000-3,000 steps per day. However, most people are in the range of 4,000-6,000 steps per day.

About 30 minutes of brisk walking should be around 3,000 steps. So, a good target could be to add 3,000 steps to your baseline number and aim for this. You may want gradually to build up by increments of 500-1,000 steps. The magic number to aim for in the end is at least 10,000 steps per day. It is thought that if you can manage this, it will help to keep you fit and healthy.

Recent research has suggested that a sedentary lifestyle in general may have adverse health effects even if you do the recommended amounts of moderate exercise. A sedentary lifestyle may still increase your risk of obesity, diabetes, heart disease and cancer.

It is not certain why this is and further research is needed. However, it is thought perhaps to be related to the effect that sitting down too much has on certain enzymes in the body which help to process fat and sugar.

So to combat this:

·                    Take regular breaks from your desk while you are at work (a short break of a few minutes every hour).

·                    Take the stairs and not the lift.

·                    Walk to the shops instead of taking the car.

·                    Stand up while you are talking on the phone.

·                    Don't spend hours sitting in front of the television, etc.

 

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