Aerobic exercise

Last updated
Cycling is an aerobic form of exercise. Bicycles at Frederiksberg - Flickr - Kristoffer Trolle.jpg
Cycling is an aerobic form of exercise.

Aerobic exercise, also known as cardio, is physical exercise [1] of low to high intensity that depends primarily on the aerobic energy-generating process. [2] "Aerobic" is defined as "relating to, involving, or requiring oxygen", [3] and refers to the use of oxygen to meet energy demands during exercise via aerobic metabolism adequately. [4] Aerobic exercise is performed by repeating sequences of light-to-moderate intensity activities for extended periods of time. [2] According to the World Health Organization, over 31% of adults and 80% of adolescents fail to maintain the recommended levels of physical activity. [5] Examples of cardiovascular or aerobic exercise are medium- to long-distance running or jogging, swimming, cycling, stair climbing and walking. [6]

Contents

For reducing the risk of health issues, 2.5 hours of moderate-intensity aerobic exercise per week is recommended. [7] [8] [9] At the same time, even doing an hour and a quarter (11 minutes/day) of exercise can reduce the risk of early death, cardiovascular disease, stroke, and cancer. [10] [11]

Aerobic exercise may be better referred to as "solely aerobic", as it is designed to be low-intensity enough that all carbohydrates are aerobically turned into energy via mitochondrial ATP production. Mitochondria are organelles that rely on oxygen for the metabolism of carbs, proteins, and fats. Aerobic exercise causes a remodeling of mitochondrial cells within the tissues of the liver and heart. [12]

History

Athletes training for the 1896 Olympic marathon 1896 Olympic marathon.jpg
Athletes training for the 1896 Olympic marathon

Archibald Hill, a British physiologist, introduced the concepts of maximal oxygen uptake and oxygen debt in 1922. [13] [14] German physician Otto Meyerhof and Hill shared the 1922 Nobel Prize in Physiology or Medicine for their independent work related to muscle energy metabolism. [15] Building on this work, scientists began measuring oxygen consumption during exercise. Henry Taylor at the University of Minnesota and Swedish scientists Per-Olof Åstrand and Bengt Saltin made notable contributions in the 1950s and 60s. [16] Contributions were also made by the Harvard Fatigue Laboratory, Copenhagen Muscle Research Centre as well as various German universities. [17] [18]

After World War II, health-oriented recreational activities such as jogging became popular. [19] The Royal Canadian Air Force Exercise Plans, developed by Dr. Bill Orban and published in 1961, helped to launch modern fitness culture. [20] [21]

Physical therapists Col. Pauline Potts and Dr. Kenneth H. Cooper, [22] both of the United States Air Force, advocated the concept of aerobic exercise. In the 1960s, Cooper started research into preventive medicine. He conducted the first extensive research on aerobic exercise on over 5,000 U.S. Air Force personnel [23] [24] after becoming intrigued by the belief that exercise can preserve one's health. In 1966 he coined the term "aerobics". Two years later, in 1968, he published a book of the same name. In 1970, he created the Cooper Institute for non-profit research and education devoted to preventive medicine. He published a mass-market version of his book The New Aerobics in 1979. Cooper encouraged millions into becoming active and is now known as the "father of aerobics". [25] [26] Cooper's book inspired Jacki Sorensen to create aerobic dancing exercise routines, which grew in popularity in the 1970s in the U.S., and at the same time, Judi Missett developed and expanded Jazzercise.

In the 1970s, there was a running boom. It was inspired by the Olympics, the New-York marathon and the advent of cushioned shoes. [27]

Aerobics at home became popular worldwide after the release of Jane Fonda's Workout exercise video in 1982. [28] [29] Step aerobics was popular in the 1990s, driven by a step product and program from Reebok shoes.

Definition

Fox and Haskell formula shows the split between aerobic (light orange) and anaerobic (dark orange) exercise and heart rate. Exercise zones Fox and Haskell.svg
Fox and Haskell formula shows the split between aerobic (light orange) and anaerobic (dark orange) exercise and heart rate.

Aerobic exercise comprises innumerable forms. [1] In general, it is performed at a moderate level of intensity over a relatively long period of time. For example, running a long distance at a moderate pace is an aerobic exercise, but sprinting is not. Playing singles tennis, with near-continuous motion, is generally considered aerobic activity, while activities with brief bursts of energetic movement within longer periods of casual movement may not be aerobic. Some sports are thus inherently "aerobic", while other aerobic exercises, such as fartlek training or aerobic dance classes, are designed specifically to improve aerobic capacity and fitness. It is most common for aerobic exercises to involve the leg muscles, primarily or exclusively. There are some exceptions. For example, rowing to distances of 2,000 meters or more is an aerobic sport that exercises several major muscle groups, including those of the legs, abdominals, chest, and arms.

Examples

A step aerobics exercise instructor motivates her class to keep up the pace. US Army 51673 aerobathon.jpg
A step aerobics exercise instructor motivates her class to keep up the pace.

Moderate activities [30]

Vigorous activities

Versus anaerobic exercise

Aerobic exercise and fitness can be contrasted with anaerobic exercise, of which strength training and short-distance running are the most salient examples. The two types of exercise differ by the duration and intensity of muscular contractions involved, as well as by how energy is generated within the muscle. [34] Common kettlebell exercises combine aerobic and anaerobic aspects. Allowing 24 hours of recovery between aerobic and strength exercise leads to greater fitness. [35] [36]

New research on the endocrine functions of contracting muscles has shown that both aerobic and anaerobic exercise promote the secretion of myokines, with attendant benefits including growth of new tissue, tissue repair, and various anti-inflammatory functions, which in turn reduce the risk of developing various inflammatory diseases. [37] Myokine secretion in turn is dependent on the amount of muscle contracted, and the duration and intensity of contraction. As such, both types of exercise produce endocrine benefits.

In almost all conditions, anaerobic exercise is accompanied by aerobic (in the presence of oxygen) exercises because the less efficient anaerobic metabolism must supplement the aerobic system due to energy demands that exceed the aerobic system's capacity. During anaerobic exercise, the body must generate energy through other processes than aerobic metabolism, including glycolysis paired with lactic acid fermentation, and the phosphocreatine system to generate energy in the form of ATP.

Fuel usage

Depending on the intensity of exercise, the body preferentially utilizes certain fuel forms to meet energy demands. The two main fuel sources for aerobic exercise in the body include fat (in the form of adipose tissue) and glycogen. At lower intensity aerobic exercise, the body preferentially uses fat as its main fuel source for cellular respiration, however as intensity increases the body preferentially uses glycogen stored in the muscles and liver or other carbohydrates, as it is a quicker source of energy. [38] Aerobic exercise at low or moderate intensity is not a very efficient way to lose fat in comparison to high intensity aerobic exercise. Lipolysis (hydrolysis of triglyceride into fatty acids), [39] not fat burning (conversion of fatty acid to carbon dioxide), explains the intensity-dependent fat mass reduction. It has been shown that fatty acid is consumed for wound healing, where moderate intensity exercise does not produce significant damage like high intensity exercise. The size of adipose tissue is determined by the magnitude of nutrient competition from muscle and lungs for cell regeneration and energy replenishment after exercise. [40] [ failed verification ]

Health effects

Among the possible health benefits of regular aerobic exercise are: [41]

Risks and disadvantages

Some drawbacks of aerobic exercise include:

Both the health benefits and the performance benefits, or "training effect", require that the duration and the frequency of exercise both exceed a certain minimum. Most authorities suggest at least twenty minutes performed at least three times per week. [54]

Commercialization

Aerobic exercise has long been a popular approach to achieving weight loss and physical fitness, often taking a commercial form.

See also

Related Research Articles

<span class="mw-page-title-main">Exercise</span> Physical activity that improves health

Exercise or workout is physical activity that enhances or maintains fitness and overall health. which is performed for various reasons, including weight loss or maintenance, to aid growth and improve strength, develop muscles and the cardiovascular system, prevent injuries, hone athletic skills, improve health, or simply for enjoyment. Many people choose to exercise outdoors where they can congregate in groups, socialize, and improve well-being as well as mental health.

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

Exercise physiology is the physiology of physical exercise. It is one of the allied health professions, and involves the study of the acute responses and chronic adaptations to exercise. Exercise physiologists are the highest qualified exercise professionals and utilise education, lifestyle intervention and specific forms of exercise to rehabilitate and manage acute and chronic injuries and conditions.

<span class="mw-page-title-main">Physical fitness</span> State of health and well-being

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.

<span class="mw-page-title-main">Anaerobic exercise</span> Physical exercise intense enough to cause lactate formation

Anaerobic exercise is a type of exercise that breaks down glucose in the body without using oxygen; anaerobic means "without oxygen". This type of exercise leads to a buildup of lactic acid. In practical terms, this means that anaerobic exercise is more intense, but shorter in duration than aerobic exercise.

<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.

<span class="mw-page-title-main">Strength training</span> Performance of physical exercises designed to improve strength

Strength training, also known as weight training or resistance training, involves the performance of physical exercises that are designed to improve physical strength. It is often associated with the lifting of weights. It can also incorporate a variety of training techniques such as bodyweight exercises, isometrics, and plyometrics.

<span class="mw-page-title-main">High-intensity interval training</span> Exercise strategy

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".

<span class="mw-page-title-main">Excess post-exercise oxygen consumption</span> Increased rate of oxygen intake following strenuous activity

Excess post-exercise oxygen consumption is a measurably increased rate of oxygen intake following strenuous activity. In historical contexts the term "oxygen debt" was popularized to explain or perhaps attempt to quantify anaerobic energy expenditure, particularly as regards lactic acid/lactate metabolism; in fact, the term "oxygen debt" is still widely used to this day. However, direct and indirect calorimeter experiments have definitively disproven any association of lactate metabolism as causal to an elevated oxygen uptake.

Aerobic conditioning is the use of continuous, rhythmic movement of large muscle groups to strengthen the heart and lungs, as well as changes to the skeletal muscles. Improvement in aerobic conditioning occurs when athletes expose themselves to an increase in oxygen uptake and metabolism, but to keep this level of aerobic conditioning, the athletes must keep or progressively increase their training to increase their aerobic conditioning.

<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 voluntary exercise and incidental activity integrated into the daily routine. This integrated activity may not be planned, structured, repetitive or purposeful for the improvement of physical 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. In human beings, differences among individuals in the amount of physical activity have a substantial genetic basis.

Cardiorespiratory fitness (CRF) refers to the ability of the circulatory and respiratory systems to supply oxygen to skeletal muscles during sustained physical activity. Scientists and researchers use CRF to assess the functional capacity of the respiratory and cardiovascular systems. These functions include ventilation, perfusion, gas exchange, vasodilation, and delivery of oxygen to the body's tissues. As these body's functions are vital to an individual's health, CRF allows observers to quantify an individual's morbidity and mortality risk as a function of cardiorespiratory health.

Interval training is a type of training exercise that involves a series of high-intensity workouts interspersed with rest or break periods. The high-intensity periods are typically at or close to anaerobic exercise, while the recovery periods involve activity of lower intensity. Varying the intensity of effort exercises the heart muscle, providing a cardiovascular workout, improving aerobic capacity and permitting the person to exercise for longer and/or at more intense levels.

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.

<span class="mw-page-title-main">Sports nutrition</span> Study and practice of nutrition to improve performance

Sports nutrition is the study and practice of nutrition and diet with regards to improving anyone's athletic performance. Nutrition is an important part of many sports training regimens, being popular in strength sports and endurance sports. Sports nutrition focuses its studies on the type, as well as the quantity of fluids and food taken by an athlete. In addition, it deals with the consumption of nutrients such as vitamins, minerals, supplements and organic substances that include carbohydrates, proteins and fats.

<span class="mw-page-title-main">Outline of exercise</span> Overview of and topical guide to exercise

The following outline is provided as an overview of and topical guide to exercise:

<span class="mw-page-title-main">Bioenergetic systems</span> Metabolic processes for energy production

Bioenergetic systems are metabolic processes that relate to the flow of energy in living organisms. Those processes convert energy into adenosine triphosphate (ATP), which is the form suitable for muscular activity. There are two main forms of synthesis of ATP: aerobic, which uses oxygen from the bloodstream, and anaerobic, which does not. Bioenergetics is the field of biology that studies bioenergetic systems.

Second wind is a phenomenon in endurance sports, such as marathons or road running, whereby an athlete who is out of breath and too tired to continue, finds the strength to press on at top performance with less exertion. The feeling may be similar to that of a "runner's high", the most obvious difference being that the runner's high occurs after the race is over. In muscle glycogenoses, an inborn error of carbohydrate metabolism impairs either the formation or utilization of muscle glycogen. As such, those with muscle glycogenoses do not need to do prolonged exercise to experience "hitting the wall". Instead, signs of exercise intolerance, such as an inappropriate rapid heart rate response to exercise, are experienced from the beginning of an activity, and some muscle GSDs can achieve second wind within about 10 minutes from the beginning of the aerobic activity, such as walking. (See below in pathology).

<span class="mw-page-title-main">Cardiovascular fitness</span> Heart-related component of physical fitness

Cardiovascular fitness is a component of physical fitness, which refers to a person's ability to deliver oxygen to the working muscles, including the heart. Cardiovascular fitness is improved by sustained physical activity (see also Endurance Training) and is affected by many physiological parameters, including cardiac output (determined by heart rate multiplied by stroke volume), vascular patency, and maximal oxygen consumption (i.e. VO2 max).

The physiology of marathons is typically associated with high demands on a marathon runner's cardiovascular system and their locomotor system. The marathon was conceived centuries ago and as of recent has been gaining popularity among many populations around the world. The 42.195 km distance is a physical challenge that entails distinct features of an individual's energy metabolism. Marathon runners finish at different times because of individual physiological characteristics.

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

References

  1. 1 2 "Exercise and Physical Fitness". medlineplus.gov. Retrieved 2020-04-30.
  2. 1 2 Plowman SA, Smith DL (1 June 2007). Exercise Physiology for Health, Fitness, and Performance. Lippincott Williams & Wilkins. p. 61. ISBN   978-0-7817-8406-1 . Retrieved 13 October 2011.
  3. Can stress heal?. Thomas Nelson Inc. 1997. p. 40. ISBN   978-0-7852-8315-7 . Retrieved 19 October 2011.
  4. McArdle WD, Katch FI, Katch VL (2006). Essentials of exercise physiology. Lippincott Williams & Wilkins. p. 204. ISBN   978-0-7817-4991-6 . Retrieved 13 October 2011.
  5. WHO (June 26, 2024). "Physical Activity". Physical Acitivity. Retrieved Sep 23, 2024.
  6. 1 2 3 4 5 6 7 8 9 "10 great reasons to love aerobic exercise". Mayo Clinic. Retrieved 2024-05-15.
  7. "Physical activity guidelines for adults aged 19 to 64". NHS. 2022-01-25. Retrieved 2023-08-21.
  8. "How much physical activity do adults need?". Centers for Disease Control and Prevention. 2023-06-22. Retrieved 2023-08-21.
  9. "Physical activity". WHO. Retrieved 2023-08-21.
  10. "Small amounts of exercise protect against early death, heart disease and cancer". NIHR Evidence (Plain English summary). National Institute for Health and Care Research. 2023-08-14. doi:10.3310/nihrevidence_59256. S2CID   260908783.
  11. Garcia, Leandro; Pearce, Matthew; Abbas, Ali; Mok, Alexander; Strain, Tessa; Ali, Sara; Crippa, Alessio; Dempsey, Paddy C; Golubic, Rajna; Kelly, Paul; Laird, Yvonne; McNamara, Eoin; Moore, Samuel; de Sa, Thiago Herick; Smith, Andrea D (2023-02-28). "Non-occupational physical activity and risk of cardiovascular disease, cancer and mortality outcomes: a dose–response meta-analysis of large prospective studies". British Journal of Sports Medicine. 57 (15): 979–989. doi:10.1136/bjsports-2022-105669. ISSN   0306-3674. PMC   10423495 . PMID   36854652.
  12. O’Reilly, Colleen L.; Miller, Benjamin F.; Lewis, Tommy L. (2023-01-01). "Exercise and mitochondrial remodeling to prevent age-related neurodegeneration". Journal of Applied Physiology. 134 (1): 181–189. doi:10.1152/japplphysiol.00611.2022. ISSN   8750-7587. PMC   9829476 . PMID   36519568.
  13. Hale T (February 2008). "History of developments in sport and exercise physiology: A. V. Hill, maximal oxygen uptake, and oxygen debt". Journal of Sports Sciences. 26 (4): 365–400. doi:10.1080/02640410701701016. PMID   18228167. S2CID   33768722.
  14. Bassett DR, Howley ET (May 1997). "Maximal oxygen uptake: "classical" versus "contemporary" viewpoints". Medicine and Science in Sports and Exercise. 29 (5): 591–603. doi: 10.1097/00005768-199705000-00002 . PMID   9140894.
  15. "The Nobel Prize in Physiology or Medicine 1922". NobelPrize.org. Retrieved 2018-10-11.
  16. Schantz P (December 2015). "Along paths converging to Bengt Saltin's early contributions in exercise physiology". Scandinavian Journal of Medicine & Science in Sports. 25 Suppl 4 (S4): 7–15. doi:10.1111/sms.12594. PMC   4670711 . PMID   26589112.
  17. Seiler S (2011). "A Brief History of Endurance Testing in Athletes" (PDF). Sportscience. 15 (5).
  18. "History of Exercise Physiology". Human Kinetics Europe. Retrieved 2018-10-11.
  19. Fit Bodies. Fitness Culture and Gym Sassatelli, Roberta. 2006.
  20. Krucoff C (1998-06-22). "Going Back to the Basics With Calisthenics". Los Angeles Times. ISSN   0458-3035 . Retrieved 2018-10-08. In fact, the popularity of the Royal Canadian Air Force's calisthenics program in the late 1950s helped launch the modern fitness movement.
  21. "Five basic exercises for fitness in 1961". CBC Archives. Retrieved 2018-10-08. The program became famous worldwide.
  22. Zhu W (June 2018). "What a Journey! What a Contribution!-An Interview With Dr. Kenneth H. Cooper, the 'Father of Aerobics'". Research Quarterly for Exercise and Sport. 89 (2): 135–142. doi:10.1080/02701367.2018.1452488. PMID   29693511. S2CID   13824541.
  23. Cooper KH (1983) [1968]. Aerobics (revised, reissue ed.). Bantam Books. ISBN   978-0553274479.
  24. Netburn D (March 30, 2009). "Dr. Kenneth Cooper got a nation moving through aerobics". Los Angeles Times .
  25. ""Father of Aerobics" Kenneth Cooper, MD, MPH to receive Healthy Cup Award from Harvard School of Public Health". News. 2008-04-16. Retrieved 2018-10-08.
  26. "Dr. Kenneth Cooper and How He Became Known as the Father of Aerobics". Club Industry. 2008-09-01. Archived from the original on 2018-10-09. Retrieved 2018-10-08.
  27. Stracher C (3 November 2012). "Running on Empty: An American Sports Tradition Fades". The New York Times. Retrieved 2018-10-11.
  28. Andreasson J, Johansson T (1 January 2014). "The Fitness Revolution. Historical Transformations in the Global Gym and Fitness Culture". Sport Science Review. 23 (3–4). doi:10.2478/ssr-2014-0006. S2CID   73636110.
  29. Stern M (2008). "The Fitness Movement and the Fitness Center Industry, 1960-2000" (PDF). Business and Economic History On-line. Retrieved 2018-10-07.
  30. "Aerobic Exercise Health: What Is It, Benefits & Examples". Cleveland Clinic. Retrieved 2021-11-19.
  31. "10 great reasons to love aerobic exercise". Mayo Clinic. Retrieved 2024-05-15.
  32. "Give your heart a workout: MedlinePlus Medical Encyclopedia". medlineplus.gov. Retrieved 2021-03-31.
  33. Mellett LH, Bousquet G (April 2013). "Cardiology patient page. Heart-healthy exercise". Circulation. 127 (17): e571–e572. doi: 10.1161/CIRCULATIONAHA.112.000880 . PMID   23630089.
  34. "Anaerobic: MedlinePlus Medical Encyclopedia". medlineplus.gov. Retrieved 2022-03-26.
  35. Robineau J, Babault N, Piscione J, Lacome M, Bigard AX (March 2016). "Specific Training Effects of Concurrent Aerobic and Strength Exercises Depend on Recovery Duration". Journal of Strength and Conditioning Research. 30 (3): 672–683. doi:10.1519/JSC.0000000000000798. PMID   25546450. S2CID   30607588.
  36. Sporer BC, Wenger HA (November 2003). "Effects of aerobic exercise on strength performance following various periods of recovery". Journal of Strength and Conditioning Research. 17 (4): 638–644. doi:10.1519/1533-4287(2003)017<0638:eoaeos>2.0.co;2. PMID   14636098. S2CID   22340684.
  37. Patel H, Alkhawam H, Madanieh R, Shah N, Kosmas CE, Vittorio TJ (February 2017). "Aerobic vs anaerobic exercise training effects on the cardiovascular system". World Journal of Cardiology. 9 (2): 134–138. doi: 10.4330/wjc.v9.i2.134 . PMC   5329739 . PMID   28289526.
  38. Murray B, Rosenbloom C (April 2018). "Fundamentals of glycogen metabolism for coaches and athletes". Nutrition Reviews. 76 (4): 243–259. doi:10.1093/nutrit/nuy001. PMC   6019055 . PMID   29444266.
  39. Merrick, David; Seale, Patrick (June 2020). "Skinny Fat Cells Stimulate Wound Healing". Cell Stem Cell. 26 (6): 801–803. doi: 10.1016/j.stem.2020.04.021 . ISSN   1934-5909. PMID   32502400.
  40. Harris MB, Kuo CH (2021). "Scientific Challenges on Theory of Fat Burning by Exercise". Frontiers in Physiology. 12: 685166. doi: 10.3389/fphys.2021.685166 . PMC   8290478 . PMID   34295263.
  41. 1 2 3 "Aerobic exercise: Top 10 reasons to get physical". Mayo Clinic .
  42. Mairbäurl H (2013). "Red blood cells in sports: Effects of exercise and training on oxygen supply by red blood cells". Frontiers in Physiology. 4: 332. doi: 10.3389/fphys.2013.00332 . ISSN   1664-042X. PMC   3824146 . PMID   24273518.
  43. "Cardiovascular fitness is linked to intelligence".[ dead link ]
  44. Knips L, Bergenthal N, Streckmann F, Monsef I, Elter T, Skoetz N, et al. (Cochrane Haematological Malignancies Group) (January 2019). "Aerobic physical exercise for adult patients with haematological malignancies". The Cochrane Database of Systematic Reviews. 1 (1): CD009075. doi:10.1002/14651858.CD009075.pub3. PMC   6354325 . PMID   30702150.
  45. Snowling, N. J., & Hopkins, W. G. (2006). Effects of Different Modes of Exercise Training on Glucose Control and Risk Factors for Complications in Type 2 Diabetic Patients A meta-analysis. Diabetes Care, 29(11), 518–2527. http://doi.org/10.2337/dc06-1317
  46. Barha CK, Dao E, Marcotte L, Hsiung GR, Tam R, Liu-Ambrose T (October 2021). "Cardiovascular risk moderates the effect of aerobic exercise on executive functions in older adults with subcortical ischemic vascular cognitive impairment". Scientific Reports. 11 (1): 19974. Bibcode:2021NatSR..1119974B. doi:10.1038/s41598-021-99249-1. PMC   8497597 . PMID   34620933.
  47. "10 great reasons to love aerobic exercise". Mayo Clinic. Retrieved 2023-10-16.
  48. CDC (2023-08-01). "Benefits of Physical Activity". Centers for Disease Control and Prevention. Retrieved 2023-10-16.
  49. Tong X, Chen X, Zhang S, Huang M, Shen X, Xu J, Zou J (2019-04-18). "The Effect of Exercise on the Prevention of Osteoporosis and Bone Angiogenesis". BioMed Research International. 2019: 8171897. doi: 10.1155/2019/8171897 . PMC   6500645 . PMID   31139653.
  50. Aghjayan SL, Bournias T, Kang C, Zhou X, Stillman CM, Donofry SD, et al. (2022-02-17). "Aerobic exercise improves episodic memory in late adulthood: a systematic review and meta-analysis". Communications Medicine. 2 (1): 15. doi:10.1038/s43856-022-00079-7. ISSN   2730-664X. PMC   9053291 . PMID   35603310. S2CID   246963477.
  51. 1 2 Scheer, Volker; Tiller, Nicholas B.; Doutreleau, Stéphane; Khodaee, Morteza; Knechtle, Beat; Pasternak, Andrew; Rojas-Valverde, Daniel (2022-04-01). "Potential Long-Term Health Problems Associated with Ultra-Endurance Running: A Narrative Review". Sports Medicine. 52 (4): 725–740. doi:10.1007/s40279-021-01561-3. ISSN   1179-2035. PMC   8450723 . PMID   34542868.
  52. Kreher, Jeffrey B.; Schwartz, Jennifer B. (2012). "Overtraining Syndrome". Sports Health. 4 (2): 128–138. doi:10.1177/1941738111434406. ISSN   1941-7381. PMC   3435910 . PMID   23016079.
  53. Ito S (July 2019). "High-intensity interval training for health benefits and care of cardiac diseases – The key to an efficient exercise protocol". World Journal of Cardiology. 11 (7): 171–188. doi: 10.4330/wjc.v11.i7.171 . PMC   6763680 . PMID   31565193.
  54. 'aerobic exercise', Food and Fitness: A Dictionary of Diet and Exercise, Michael Kent, Oxford University Press, 1997.
  55. Hallett V (July 8, 2014). "Jazzercise: After 45 years, it's still here, and it's still evolving". The Washington Post. Retrieved July 8, 2014.
  56. McCormack P (October 16, 1981). "Womans' World: Aerobic Dancing: 'hips, hips' away!". United Press International. Retrieved September 17, 2020.
  57. "This Day in History: April 24: 1982: Jane Fonda's First Workout Video Released". History Channel. Retrieved March 7, 2023.
  58. "Billy Blanks Is Fit, Fired Up, and Still Swinging at 65". Men's Health. 2021-08-10. Retrieved 2023-03-07.
  59. Hartford T (September 23, 2019). "Step Reebok's Rise To Success… With Angel Martinez". SGB Online. Retrieved September 20, 2020.

Further reading