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AGAIN... Safety first (this very first section is a repeat of the first section of the How Much tab, and is repeated just in case you came here directly)
  • If you are very unfit or you have or think you may have any health conditions that may have any impact on undertaking increased levels of physical activity/exercise be sensible and discuss with your doctor first.
  • If you don't know that you are already have a good level of cardiorespiratory fitness be cautious and stay safe by slowly building up your physical activity/exercise from lower levels of activity/exercise to higher ones over the course of a at least a month but may be significantly longer (departing on your age and starting condition), making sure you feel comfortable as you gradually increase the frequency, duration and the intensity of physical activity/exercise over time.
  • Do not incorporate vigorous intensity physical exertion into your physical exercise/activity until you have a reasonable level of fitness.
    • Vigorous intensity physical exertion is associated with a increased risk of heart attack compared with less vigorous intensity physical exertion but individual risk of adverse events is reduced in fit individuals.
      • Middle aged and older adults are recommended to take part in at least 12 weeks of moderate intensity exercise before introducing any vigorous intensity exercise
      • Do not pursue or seek to incorporate a High Intensity Interval Training (HIIT) into your physical exercise/activity until you have a reasonable level of fitness.


    How to optimally undertake cardiorespiratory exercise

    • Choose a form(s) of exercise you will enjoy (or find the most tolerable) and will be able to continue with on a ongoing basis. Everyone is different so you need to find out what works best for you.

    • If motivation and sticking at the exercise for the required duration is a problem for you, consider distraction techniques to enable the exercise session time to pass more quickly e.g. watching/listening to; tv, video, music, radio, podcasts and / or having a buddy(ies), taking part in group activity, using virtual training systems (e.g. Zwift), competition (real or virtual), etc. Or making it difficult not to do by making it the means of having to get somewhere you need to be e.g. cycling to work.
      • The distraction should not be so mentally taxing that you are unable to monitor your exercise activity intensity effectively though.
    • Advance planning your exercise by scheduling it a week or so ahead can be a useful strategy to ensure you put aside enough time and schedule in appropriate rest days.
    • If you plan to exercise outside regularly consulting a good weather forecasting web site / app can be really useful. See the following link to a site that has excellent global coverage and provides data from multiple forecast models:
    • Measure and monitor changes in your fitness. See the Metrics Tab.
    • Stick at it by incorporating exercise into your lifestyle. It perhaps goes without saying that if your chosen amount of physical exercise/activity becomes/is an integral part of your everyday lifestyle then you have probably found an optimal approach.
    • Fundamental to the following guidance is an understanding of you knowing when you are exercising at a particular level of exercise intensity (Heart Rate Reserve Intensity Exercise Zones are probably optimal to use). The easiest way to do this is to use a wearable heart rate monitor and use the chart in the Zones tab and information in the Key Terms tab (for definitions) to determine what your heart rate will be in each zone of exercise intensity or use a wearable to do it for you. But if you haven't got one / can't get one / don't want one, use the following table (click on it to enlarge it) to determine what zone of exercise intensity you are exercising at (although a heart rate monitoring wearable makes things much easier). You can also use this information to approximately check that a heart rate monitor is providing the correct output values to help you validate that it is working / has been set up correctly:
    Exercise Intensity and Perceived Exertion

    Exercise Intensity and Perceived Exertion
    • Assuming your cardiorespiratory focused physical exercise is a dedicated exercise session (rather than say part of your work) then when you take into account the time to set up and get changed, warm up time, the session itself, cool down time, pack up and changing time, this suggests that 3 x 25 min (plus 20 mins total warm up/down time so 45 mins in total of the actual exercise) Vigorous Intensity cardiorespiratory focused physical exercise per week are likely to be optimal to do the minimum advised amount of exercise in the most time efficient way.

      • This of course assumes you are physically able to do it and have safely built up to doing this amount and intensity of exercise.
        • To get to the above level once you have a basic level of fitness each session should ideally be a minimum of 20 min bouts of at least moderate cardiorespiratory focused physical exercise/activity. If only shorter bouts can be managed they'll count although wearable activity monitors often don't count the activity unless it is maintained for a minimum 10 min as this was consistent with exercise guidance until recently. The latest research indicates that much smaller bouts also have an impact although if you are going to do a dedicated exercise session it would not be optimal, in most situations, to do less than 10 min anyway.
      • Evidence suggests less than 3 vigorous intensity sessions per week increases exercise risks (cardiorespiratory stress, muscle pulls, etc).
      • Each session should incorporate 10 mins of warm up cardiorespiratory focused physical exercise and 10 mins of cool down cardiorespiratory focused physical exercise, immediately before and after each session, as part of the overall session. This is important but often ignored.
        • Warm and cool down is accomplished by starting and finishing the exercise with the same exercise but at much lower Intensity for warm up for at least 5 minutes at Light Intensity and the remainder at Moderate Intensity (at the low end) and this is done in reverse for cool down.
        • A reasonable amount of concentration needs to go into making sure you warm up / cool down at the right Intensities. It is easy to warm up at too high an Intensity and not lower the Intensity enough when cooling down particularly at Light Intensity when the level of this exercise may not feel like exercising at all particularly after a longer session.
          • Intense exercise can lead to a build up of lactate in the body and warm down light exercise can speed up the clearance process.
        • The Moderate Intensity part of the warm up / cool down is likely to make a contribution to your exercise minutes as a bonus but is not the focus of it.
        • For a brief article about the importance of cooling down / warming up see the following link:
      • Once you are comfortable with this routine you should find it is relatively easy to increase the length of your exercise session and if increased gradually it shouldn't be long before you are able to double your exercise time by adding a further 25 min of vigorous intensity exercise to the session if you want to, although managing boredom may become more of an issue.
      • To increase your amount of exercise you'll need to add further sessions as above but an alternative optimal way to do this is to consider undertaking a much longer moderate intensity session(s) such as a long bike ride(s) or hike(s), perhaps on a weekend where you may be able to find more time and more easily incorporate such an activity(ies) into your lifestyle.



      • See the following link for UK NHS strength and flexibility exercise videos (please note this links to the "warm up" video, to see the other videos scroll down the page to see and select others):
      • For a video (which shows preserved human body parts) which explains how to optimally combine strength and flexibility exercise see the following link:
      • From an effectiveness perspective research suggests that for strength training the use of machines, free weights or a combination of both are equally beneficial. See the following link to the research:
        • https://www.mdpi.com/1660-4601/17/21/7848/htm
          • The research used a whole body resistance training programme where each exercise was repeated 12 times with a individual load set at the maximum that could be lifted correctly up to 12 times. Each exercise set, of 12 repeats, was undertaken 3 times per exercise session and there were 2 sessions per week. When a participant could perform 12 repetitions or more during two sets on two consecutive training sessions, the participant was asked to increase the resistance by 2 to 10 percent, depending on the available equipment. The order and targeted muscle groups for each exercise in the programme is shown in the table below:

     
      • Alternatively you might want to consider incorporating strength exercise as an integral part of your exercise sessions (as an integral part of, for example; circuit training, aerobics, rowing, elliptical, running, skipping and recreational sports such as, football, rugby, netball, hockey, tennis, squash, all when undertaken at Vigorous Intensity) although this will probably not provide the full range of impacts of full body dedicated strength exercise sessions.
      • Strength exercise can improve cardiorespiratory fitness independently of undertaking cardiorespiratory exercise however these adaptations are, for the most part, a result of strength exercise at high intensity (i.e., performed to failure).


      • For a video about the impact of exercise on bone health (which shows preserved human body parts) see the following link:



    • Workout library
      • For a free to use website that provides a very extensive range of workout resources see the following link:





    • Caffeine
      • Research suggests that consuming 3 – 6 mg/kg of caffeine taken 30 – 90 minutes prior to exercise has a suppressive effect on ratings of perceived exertion. So if you tolerate caffeine, timing the consumption of your preferred caffeine containing drink prior to exercise should make your exercise session feel easier. See the following link to access the research abstract.



    • Energy drinks

    • Medications / dietary supplements
      • If you take any medications / dietary supplements you might want to check out the research to see if they have any potential capacity / performance impacts on exercise (e.g. Metformin, Resveratrol, etc). Some medications, for example, increase the rate of perceived exertion which will make the exercise feel harder. However such effects may be able to be managed by timing when you take the medication / dietary supplement.




                    • Changes in maximum voluntary isometric contraction (MVIC; Panel (A)) and delayed onset muscle soreness (DOMS; Panel (B)) in response to Montmorency cherry juice concentrate (MC) or placebo (PLA) supplementation. * Group effect; $ Interaction effect (p < 0.05).



    • What is too much and how to determine it (training loads and recovery)?
      • To maximise health outcomes and / or performance and minimise risks, such as, injury, illness or fatigue an understanding of what is too much and how to determine what is too much is sensible to know. See the following link to an article that provides a good overview and explains the concept of training loads:
      • After a reasonably strenuous exercise session of a reasonably long duration and you can expect your resting heart rate and respiration rate to show a sustained increase and your heart rate variability to show a sustained decrease (compared to your current normal values) and for them to return to normal levels within about 24 to 48 hours.
      • For a wearable that focuses on measuring your general physical state and that can be used to gain insights into your "readiness" for exercise see: https://ouraring.com/ 



    • Can I increase my risk of injury or illness through exercise?
      • If you approach increasing your level of fitness gradually with common sense precautions (as I have detailed on this site) the benefits far outweigh the risks. However there are some areas of risk to be aware of:
        • Research into risk of musculoskeletal injury among recreationally active adults says the risk of activity related injury is increased in the following groups:
            • runners
            • sport  participants
            • persons engaging  in  more  than  1.25  hours  per  week  of  physical activity
            • persons with moderate to high cardiorespiratory fitness levels
          • See the following link to access the research paper:


        • Long distance runners
          • A systematic overview of published reports on the incidence and associated potential risk factors of lower extremity running injuries in long distance runners found the incidence of lower extremity running injuries ranged from 19.4% to 79.3%. The predominant site of these injuries was the knee. There was strong evidence that a long training distance per week in male runners and a history of previous injuries were risk factors for injuries, and that an increase in training distance per week was a protective factor for knee injuries.





    • Injury risk assessment utilising personal genetic data

                  • Summary of Findings from the Genetic Literature Review. Source:
                    • https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0122676
                    • This research suggests individual genetics has an influence over various injury predispositions and describes the process of identification of genetic risk and an approach to injury prevention. The data file from a personal genetic test (from a genetic test company such as 23andMe) should provide the information required to apply the research to a specific individual (see the Genetics section in the Weight tab for further on genetics).


    • Painkillers
      • For a video about different painkillers, how they work and risks associated with there use see the following link:









                  • A comparison between exercise and heat treatment. © Charles Steward









    • Benefits can be gained at any age but fitness has to be maintained by doing at least the minimum each week or the benefits will be lost.
      • So it really needs to be part of your lifestyle.









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