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<br />Recommended Physical <br />Activity <br /> <br />. It is recommended that <br />Americans accumulate at <br />least 30 minutes (adults) <br />or 60 minutes (children) of <br />moderate physical activity <br />mO,st days of the week. <br />More may be needed to <br />prevent weight g"in, to iose <br />weight or to maintain weight <br />loss. <br /> <br />. Less than 1/3 of adults engage <br />in therecommended <br />amount of physical activity, <br /> <br />Many peopieliYe,sedentary <br />lives; 40 percEintof adults <br />inthe Uniteq, states do not <br />participat~in any leisure <br />time physiC,,! aCtivity. <br /> <br />; 43 percent of adolescents <br />watCh more than 2 hours of <br />television each day. <br /> <br />. Physical activity is impoliant <br />in preventing and treating <br />overweight and obesity <br />and is extremely helpful in <br />. , maintaining weight loss, . <br />, especially wh'en combined <br />"" 'with healthy ~ating. <br />" .......'.......,',:-". ".' , <br /> <br />;':>:,:\:,~,s,~;w~sn..G~~e;al';; Ove~eight <br />" and Obesity At a Glance, 2001 <br />. ....,' ...,....... ""',.,.. <br /> <br />";.:,;, <br /> <br />2 <br /> <br />Health, Physical Activity & <br /> <br />Community Design <br /> <br />America faces a national health crisis of epidemic <br />proportions. Physical inactivity combined with overeating <br />has, in just a few decades, made us a nation of fat and out-of- <br />shape people. The incidence of overweight or obese adults <br />increased from 47 percent in 1976, to 56 percent in ]994, and <br />61 percent in 1999. The prevalence of overweight children <br />and adolescents almost doubled during the same period. <br /> <br />Obesity, diabetes, heart disease, stress and a host of other <br />ills are increasing. Physical inactivity and obesity rank <br />second to smoking in their contribution to total mortality <br />in the United States. Nearly 80 percent of obese adults have <br />diabetes, high blood cholesterol levels, high blood pressure, <br />coronary artery disease or other ailments) <br /> <br />About 60 percent of overweight children between five <br />and 10 years of age already demonstrate risk factors such <br />as elevated blood pressure and increased insulin levels <br />associated with heart disease. These factors lead to chronic <br />diseases later in life. <br /> <br />Moderate, daily physical activity, such as bicycling or <br />walking, has long been recognized as an essential ingredient <br />of a healthy lifestyle. Yet many Americans, both young <br />and old, lead a sedentary lifestyle. Our workplaces are <br />increasingly automated. Many jobs require workers to spend <br />hours at a desk. We use the automobile as our primary <br />means of travel even for short trips. <br /> <br />We don't walk or bicycle as much as we used to, partly <br />because our communities - designed around the <br />automobile -lack walkways and bikeways that would <br />otherwise accommodate and encourage such activity. Even <br />where facilities exist, features that support driving, such <br />as wide roads and intersections, large parking lots and <br />drive-through businesses, create an environment that is <br />uncomfortable and unsafe for non-motorists. <br /> <br />Spread-out, isolated destinations typical of car-oriented <br />suburban development also discourage walking and <br />bicycling. Even in communities where most places are near <br />enough to walk or bicycle, people may not feel safe because <br />of high motor vehicle speeds and volumes. <br /> <br />1 (K Flegal, et af., Overweight and obesity in Ihe United States: prevalence and <br />trends,1960-1994, Int J Obesity, 199B). <br />