Physical Activity Guidelines for Americans

Last updated October 11, 2023

Physical Activity Guidelines for Americans are National Physical Activity Guidelines first published by the United States Department of Health and Human Services (HHS) in 2008. These guidelines provided physical activity recommendations for people aged six years and older, including those with many chronic health conditions and disabilities. The science-based Guidelines recommend a total amount of physical activity per week to achieve a range of health benefits. In 2018, HHS released an update to the first set of guidelines. This 2018 edition provides guidelines for people aged three years and older and summarizes the new knowledge gained from studies that were conducted since the first edition was released in 2008.

History
Health benefits of regular physical activity
Key guidelines
Preschool-aged children
Children and adolescents
Adults
Older adults
Pregnant and postpartum women
Adults with chronic health conditions or disabilities
Safe physical activity
Other federal guidance related to youth physical activity
Fundamental movement skills
Impact on development
References
External links

These Guidelines can be tailored to meet individual interests, lifestyles, and goals. Recommendations in the Guidelines can be incorporated within daily routines and allow activities—like walking, biking, or dancing—to be integrated.

The main message is that regular physical activity over months and years can produce long-term health benefits and reduce the risk of many diseases. The second edition includes new evidence that shows physical activity also has many immediate health benefits such as reduced anxiety and blood pressure. The messages from the Physical Activity Guidelines are also found in the Dietary Guidelines for Americans which provide recommendations for healthy food choices and regular physical activity.

Health professionals and policymakers are the primary audiences for the Physical Activity Guidelines for Americans. However, the information is useful for anyone interested in improving the health of his/her community members and other individuals. HHS also produced a consumer friendly communications campaign, Move Your Way, which provides tools and resources for the public to help them meet the Guidelines.

History

The Physical Activity Guidelines for Americans are based on a comprehensive review of scientific research about physical activity and health.

HHS released an update to its Physical Activity Guidelines for Americans in 2018, a decade after publishing its first set of guidelines.^[1] The 2018 report linked the lack of physical activity to about $117 billion in annual healthcare costs and about 10% of premature mortality.

While the 2008 edition gave recommendations for children from age 6 years onward, the 2018 edition includes guidelines for children aged 3 years and older.^[2]

Health benefits of regular physical activity

Health benefits of regular physical activity occur for children and adolescents, young and middle-aged adults, women who are pregnant or postpartum, older adults, and those in every studied racial and ethnic group. There are also benefits for people who have disabilities.
Both aerobic (endurance) and muscle-strengthening (resistance) physical activities are beneficial. Bone-strengthening activities are also important for children and adolescents.
The benefits of physical activity far outweigh the possibility of adverse outcomes.
Regular physical activity is one of the most important things you can do for your health. It can help:

Control your weight
Reduce your risk of cardiovascular disease
Reduce your risk for type 2 diabetes and metabolic syndrome
Reduce your risk of some cancers
Strengthen your bones and muscles
Improve your mental health and mood
Improve your brain health, including possible improved cognitive function and improved sleep
Improve your ability to do daily activities, prevent falls, and risk of fall-related injuries if you're an older adult
Increase your chances of living longer^[3]

Key guidelines

Preschool-aged children

Preschool-aged children (ages 3 through 5 years) should be physically active throughout the day to enhance growth and development.
Adult caregivers of preschool-aged children should encourage active play that includes a variety of activity types.

Children and adolescents

It is important to provide young people opportunities and encouragement to participate in physical activities that are appropriate for their age, that are enjoyable, and that offer variety.
Children and adolescents (6-17) should do at least 60 minutes (1 hour) or more of moderate-to-vigorous physical activity daily.

Aerobic: Most of the 60 minutes or more per day should be either moderate- or vigorous-intensity aerobic physical activity and should include vigorous intensity physical activity on at least 3 days a week.

Muscle-strengthening: As part of their 60 minutes or more of daily physical activity, children and adolescents should include muscle-strengthening physical activity on at least 3 days a week.

Bone-strengthening: As part of their 60 minutes or more of daily physical activity, children and adolescents should include bone-strengthening physical activity on at least 3 days a week.

Moderate activities are those such as riding a bike, brisk walking, and games that require catching and throwing. Vigorous activities are those such as running,; sports such as soccer, ice or field hockey, basketball, swimming, or tennis,; and active games requiring running and chasing, such as tag or flag football. Muscle- strengthening activities are games such as tug-of-war,; resistance exercises using bands, body weight, or hand held weights,; climbing a rope, tree, or wall;, and doing sit-ups. Bone -strengthening activities are games that involved hopping, skipping or jumping, and running.

Adults

Adults should move more and sit less throughout the day. Some physical activity is better than none. Adults who sit less and do any amount of moderate-to-vigorous physical activity gain some health benefits.
For substantial health benefits, adults should do at least 150 minutes (2 hours and 30 minutes) to 300 minutes (5 hours) a week of moderate-intensity, or 75 minutes (1 hour and 15 minutes) to 150 minutes (2 hours and 30 minutes) a week of vigorous-intensity aerobic physical activity, or an equivalent combination of moderate- and vigorous-intensity aerobic activity. Preferably, aerobic activity should be spread throughout the week.
Additional health benefits are gained by engaging in physical activity beyond the equivalent of 300 minutes (5 hours) of moderate-intensity physical activity a week.
Adults should also do muscle-strengthening activities of moderate or greater intensity and that involve all major muscle groups on 2 or more days a week, as these activities provide additional health benefits.

Moderate activities are those such as ballroom and line dancing, biking on level ground or with a few hills, general gardening, walking briskly, and water aerobics. Vigorous activities take more effort than moderate activities. Vigorous activities are those such as aerobic dance, biking faster than 10 miles per hour, heavy gardening, race walking, jogging, or running, and swimming fast or swimming laps. Muscle-strengthening activities should include all of the major muscle groups, such as legs, hips, back, chest, stomach, shoulders, and arms.

The 2008 Guidelines indicated it was only beneficial to do at least 10 minutes of an activity at a time. The second edition removes this requirement that states that all moderate-to-vigorous physical activity counts.

Older adults

The key guidelines for adults also apply to older adults. In addition, the following key guidelines are just for older adults:

As part of their weekly physical activity, older adults should do multicomponent physical activity that includes balance training as well as aerobic and muscle strengthening activities.
Older adults should determine their level of effort for physical activity relative to their level of fitness.
Older adults with chronic conditions should understand whether and how their conditions affect their ability to do regular physical activity safely.
When older adults cannot do 150 minutes of moderate-intensity aerobic activity a week because of chronic conditions, they should be as physically active as their abilities and conditions allow.

Pregnant and postpartum women

Women should do at least 150 minutes (2 hours and 30 minutes) of moderate intensity aerobic activity a week during pregnancy and the postpartum period. Preferably, aerobic activity should be spread throughout the week.
Women who habitually engaged in vigorous-intensity aerobic activity or who were physically active before pregnancy can continue these activities during pregnancy and the postpartum period.
Women who are pregnant should be under the care of a health care provider who can monitor the progress of the pregnancy. Women who are pregnant can consult their health care provider about whether or how to adjust their physical activity during pregnancy and after the baby is born.

Adults with chronic health conditions or disabilities

Adults with chronic conditions or disabilities, who are able, should do at least 150 minutes (2 hours and 30 minutes) to 300 minutes (5 hours) a week of moderate-intensity, or 75 minutes (1 hour and 15 minutes) to 150 minutes (2 hours and 30 minutes) a week of vigorous-intensity aerobic physical activity, or an equivalent combination of moderate- and vigorous-intensity aerobic activity. Preferably, aerobic activity should be spread throughout the week.
Adults with chronic conditions or disabilities, who are able, should also do muscle-strengthening activities of moderate or greater intensity and that involve all major muscle groups on 2 or more days a week, as these activities provide additional health benefits.
When adults with chronic conditions or disabilities are not able to meet the above key guidelines, they should engage in regular physical activity according to their abilities and should avoid inactivity.
Adults with chronic conditions or symptoms should be under the care of a health care provider. People with chronic conditions can consult a health care professional or physical activity specialist about the types and amounts of activity appropriate for their abilities and chronic conditions.

Safe physical activity

To do physical activity safely and reduce risk of injuries and other adverse events, people should:

Understand the risks, yet be confident that physical activity can be safe for almost everyone.
Choose types of physical activity that are appropriate for their current fitness level and health goals, because some activities are safer than others.
Increase physical activity gradually over time to meet key guidelines or health goals. Inactive people should “start low and go slow” by starting with lower intensity activities and gradually increasing how often and how long activities are done.
Protect themselves by using appropriate gear and sports equipment, choosing safe environments, following rules and policies, and making sensible choices about when, where, and how to be active.
Be under the care of a health care provider if they have chronic conditions or symptoms. People with chronic conditions and symptoms can consult a health care professional or physical activity specialist about the types and amounts of activity appropriate for them.

Other federal guidance related to youth physical activity

Fundamental movement skills

Related to the U.S. Department of Health and Human Service's Physical Activity Guidelines for Americans are Fundamental Movement Skills. As defined by the Department of Education:

“fundamental movement skills are movement patterns that involve different body parts such as the legs, arms, trunk and head, and include such skills as running, hopping, catching, throwing, striking, and balancing. They are the foundation movements or precursor patterns to the more specialized, complex skills used in play, games, sports, dance, gymnastics, outdoor education and physical recreation activities^[4]”

Fundamental movement skills are broken up into three categories, including body management skills, loco motor skills, and object control skills.^[4]

Body management skills are those that involve balancing the body in motion and stillness, and are accomplished through moves such as climbing, rolling, twisting, turning and stopping.^[4]
Loco motor skills refer to movements that transport the body from one place to another. These include galloping, crawling, running, hopping and skipping.^[4]
Object control skills involve controlling objects with the hands or feet. Such moves would include throwing, bouncing,d ribbling, and catching.^[4]

Impact on development

These skill sets are dubbed fundamental because they are crucial to many aspects of development. Physical development is a more obvious positive outcome from learning these skills, but perhaps less considered outcomes are social and mental development.

Social Development: Children who are capable of performing these moves find it easier to participate in games and are more likely to do so.^[4] They have greater confidence in themselves, higher self-esteem, and are more likely to be viewed as popular playmates.^[4]
Mental Development: Many children can demonstrate learning through movement better than they could through the more traditional means of writing or drawing.^[4] Physical activity, in general, has been shown to increase academic performance by bettering concentration and attentiveness, as well as improving attitudes towards school.^[5]
Physical Development: Children who foster these movements are more likely to adopt healthful habits, such as regular physical activity, and improve muscle and bone development.^[4] The benefits of physical activity seem endless; however, they are unrecognized by many.

Related Research Articles

Exercise is a body activity that enhances or maintains physical fitness and overall health and wellness.

Physical education, often abbreviated to Phys Ed. or P.E., is a subject taught in schools around the world. It is usually taught during primary and secondary education and encourages psychomotor learning by using a play and movement exploration setting to promote health and physical fitness. Activities in P.E. include football, netball, hockey, rounders, cricket, four square, racing, and numerous other children's games. Physical education also teaches nutrition, healthy habits, and individuality of needs.

Aerobic exercise is physical exercise of low to high intensity that depends primarily on the aerobic energy-generating process. "Aerobic" is defined as "relating to, involving, or requiring oxygen", and refers to the use of oxygen to meet energy demands during exercise via aerobic metabolism adequately. Aerobic exercise is performed by repeating sequences of light-to-moderate intensity activities for extended periods of time. Examples of cardiovascular or aerobic exercise are medium- to long-distance running or jogging, swimming, cycling, stair climbing and walking.

Lifestyle diseases can be defined as diseases linked with one's lifestyle. These diseases are non-communicable diseases. They are caused by lack of physical activity, unhealthy eating, alcohol, substance use disorders and smoking tobacco, which can lead to heart disease, stroke, obesity, type II diabetes and lung cancer. The diseases that appear to increase in frequency as countries become more industrialized and people live longer include Alzheimer's disease, arthritis, atherosclerosis, asthma, cancer, chronic liver disease or cirrhosis, chronic obstructive pulmonary disease, colitis, irritable bowel syndrome, type 2 diabetes, heart disease, hypertension, metabolic syndrome, chronic kidney failure, osteoporosis, PCOD, stroke, depression, obesity and vascular dementia.

Physical fitness is a state of health and well-being and, more specifically, the ability to perform aspects of sports, occupations and daily activities. Physical fitness is generally achieved through proper nutrition, moderate-vigorous physical exercise, and sufficient rest along with a formal recovery plan.

Juvenile idiopathic arthritis (JIA), formerly known as juvenile rheumatoid arthritis (JRA), is the most common chronic rheumatic disease of childhood, affecting approximately 3.8 to 400 out of 100,000 children. Juvenile, in this context, refers to disease onset before 16 years of age, while idiopathic refers to a condition with no defined cause, and arthritis is inflammation within the joint.

Recess is a general term for a period in which a group of people are temporarily dismissed from their duties.

<span class="mw-page-title-main">Exercise intensity</span>

Exercise intensity refers to how much energy is expended when exercising. Perceived intensity varies with each person. It has been found that intensity has an effect on what fuel the body uses and what kind of adaptations the body makes after exercise. Intensity is the amount of physical power that the body uses when performing an activity. For example, exercise intensity defines how hard the body has to work to walk a mile in 20 minutes.

High-intensity interval training (HIIT) is a training protocol alternating short periods of intense or explosive anaerobic exercise with brief recovery periods until the point of exhaustion. HIIT involves exercises performed in repeated quick bursts at maximum or near maximal effort with periods of rest or low activity between bouts. The very high level of intensity, the interval duration, and number of bouts distinguish it from aerobic (cardiovascular) activity, because the body significantly recruits anaerobic energy systems. The method thereby relies on "the anaerobic energy releasing system almost maximally".

The metabolic equivalent of task (MET) is the objective measure of the ratio of the rate at which a person expends energy, relative to the mass of that person, while performing some specific physical activity compared to a reference, currently set by convention at an absolute 3.5 mL of oxygen per kg per minute, which is the energy expended when sitting quietly by a reference individual, chosen to be roughly representative of the general population, and thereby suited to epidemiological surveys. A Compendium of Physical Activities is available online, which provides MET values for hundreds of activities.

Aerobic conditioning is a process whereby the heart and lungs are trained to pump blood more efficiently, allowing more oxygen to be delivered to muscles and organs.

<span class="mw-page-title-main">Physical activity</span> Any voluntarily bodily motion produced by skeletal muscles and requires energy expenditure

Physical activity is defined as any voluntary bodily movement produced by skeletal muscles that requires energy expenditure. Physical activity encompasses all activities, at any intensity, performed during any time of day or night. It includes both exercise and incidental activity integrated into daily routine. This integrated activity may not be planned, structured, repetitive or purposeful for the improvement of fitness, and may include activities such as walking to the local shop, cleaning, working, active transport etc. Lack of physical activity is associated with a range of negative health outcomes, whereas increased physical activity can improve physical and mental health, as well as cognitive and cardiovascular health. There are at least eight investments that work to increase population-level physical activity, including whole-of-school programmes, active transport, active urban design, healthcare, public education and mass media, sport for all, workplaces and community-wide programmes. Physical activity increases energy expenditure and is a key regulator in controlling body weight.

Active living is a lifestyle that integrates physical activity into everyday routines, such as walking to the store or biking to work. Active living is not a formalized exercise program or routine, but instead means to incorporate physical activity, which is defined as any form of movement, into everyday life. Active living brings together urban planners, architects, transportation engineers, public health professionals, activists and other professionals to build places that encourage active living and physical activity. One example includes efforts to build sidewalks, crosswalks, pedestrian crossing signals, and other ways for children to walk safely to and from school, as seen in the Safe Routes to School program. Recreational opportunities close to the home or workplace, walking trails, and bike lanes for transportation also contribute to a more active lifestyle. Active living includes any physical activity or recreation activity and contributes to a healthier lifestyle. Furthermore, active living addresses health concerns, such as obesity and chronic disease, by helping people have a physically active lifestyle. Communities that support active living gain health benefits, economic advantages, and improved quality of life.

General fitness training works towards broad goals of overall health and well-being, rather than narrow goals of sport competition, larger muscles or concerns over appearance. A regular moderate workout regimen and healthy diet can improve general appearance markers of good health such as muscle tone, healthy skin, hair and nails, while preventing age or lifestyle-related reductions in health and the series of heart and organ failures that accompany inactivity and poor diet.

Water aerobics is the performance of aerobic exercise in water such as in a swimming pool. It is done mostly vertically and without swimming typically in waist deep or deeper water. Water aerobics is a form of aerobic exercise that requires water-immersed participants. Most water aerobics is in a group fitness class setting with a trained professional teaching for about an hour. The classes focus on aerobic endurance, resistance training, and creating an enjoyable atmosphere with music. Different forms of water aerobics include: aqua Zumba, water yoga, aqua aerobics, and aqua jog.

Exercise prescription commonly refers to the specific plan of fitness-related activities that are designed for a specified purpose, which is often developed by a fitness or rehabilitation, or Exercise medicine specialist for the client or patient. Due to the specific and unique needs and interests of the client/patient, the goal of exercise prescription should focus on motivation and customization, thus making achieving goals more likely to become successful. Exercise prescription should take into account the patient's medical history, and a pre-examination of a patient's physical fitness to make sure a person has the capacity to perform the exercises.

National Physical Activity Guidelines is government advice on moving to keep healthy. In Australia they are a set of guidelines set up by the Australian government due to the increase of obesity within the Australian Nation, and due to the increasing medical bills from obesity related diseases such as Heart Disease, Congestive Heart Failure, Strokes and other deadly diseases. The Australian Government has also put in many exercise related plans such as the Governor's 30 Day Family Challenge and the many fun runs.

Cancer-related fatigue is a symptom of fatigue that is experienced by nearly all cancer patients.

Cardiovascular fitness refers a health-related component of physical fitness that is brought about by sustained physical activity. A person's ability to deliver oxygen to the working muscles is affected by many physiological parameters, including heart rate, stroke volume, cardiac output, and maximal oxygen consumption.

The benefits of physical activity range widely. Most types of physical activity improve health and well-being.

References

↑ "Physical Activity Guidelines for Americans - 2nd Edition" (PDF). health.gov. Office of Disease Prevention and Health Promotion. Retrieved 12 November 2018.
↑ "Physical Activity Guidelines for Americans, 2nd Edition, Executive Summary" (PDF). health.gov. Office of Disease Prevention and Health Promotion. Retrieved 7 February 2019.
↑ "Health". Centers for Disease Control and Prevention. 5 April 2021.
1 2 3 4 5 6 7 8 9 "Fundamental movement skills: Book 1- learning, teaching and assessment". Department of Education. 2013.
↑ "Adolescent and schoolhealth: Physical activity facts". Centers for Disease Control and Prevention. February 19, 2013.

This article incorporates public domain material from websites or documents of the United States Department of Health and Human Services .

External links

This page is based on this Wikipedia article
Text is available under the CC BY-SA 4.0 license; additional terms may apply.
Images, videos and audio are available under their respective licenses.

[1] "Physical Activity Guidelines for Americans - 2nd Edition" (PDF). health.gov. Office of Disease Prevention and Health Promotion. Retrieved 12 November 2018.

[2] "Physical Activity Guidelines for Americans, 2nd Edition, Executive Summary" (PDF). health.gov. Office of Disease Prevention and Health Promotion. Retrieved 7 February 2019.

[3] "Health". Centers for Disease Control and Prevention. 5 April 2021.

[:3-4] 1 2 3 4 5 6 7 8 9 "Fundamental movement skills: Book 1- learning, teaching and assessment". Department of Education. 2013.

[5] "Adolescent and schoolhealth: Physical activity facts". Centers for Disease Control and Prevention. February 19, 2013.

[1]

[2]

[3]

[4]

[5]