“Many people think they’re too old to start an exercise program,” says Tufts University’s Miriam Nelson. “They think it’s unsafe because they have heart disease or diabetes or because they’re too out of shape to start.”
The same goes for people with chronic diseases. “People say they can’t exercise because they have arthritis,” she adds. “But we see some of the greatest benefits in people with arthritis. Exercise reduces pain and increases range of motion, strength, and mobility.”
That doesn’t mean that anyone can plunge into a bout of vigorous exercise, regardless of health history. In a recent study, ordinarily inactive people — especially men who had high cholesterol or angina or were smokers or obese — were ten times more likely to have a heart attack within an hour of exerting themselves (usually by jogging or heavy lifting) than at other times.2 Anyone with multiple risk factors for heart disease should check with a physician and start slowly.
As for the all-too-common “I don’t have time to exercise,” Nelson responds, “somehow, you’ve got to make the time, or you’re going to have medical problems like heart disease, diabetes, or osteoporosis. And it will take a lot more time to deal with them than it takes to exercise.”
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