Regular exercise makes the heart stronger and the lungs fitter, enabling the cardiovascular system to deliver more oxygen to the body with every heartbeat and the pulmonary system to increase the maximum amount of oxygen that the lungs can take in. Exercise lowers blood pressure, somewhat decreases the levels of total and low-density lipoprotein (LDL) cholesterol (the bad cholesterol), and increases the level of high-density lipoprotein (HDL) cholesterol (the good cholesterol). These beneficial effects in turn decrease the risk of heart attack, stroke, and coronary artery disease. In addition, colon cancer and some forms of diabetes are less likely to occur in people who exercise regularly.
Exercise makes muscles stronger, allowing people to do tasks that they otherwise might not be able to do or to do them more easily. Every physical task requires muscle strength and some degree of range of motion in joints. Regular exercise can improve both of these qualities.
Exercise stretches muscles and joints, which in turn can increase flexibility and help prevent injuries. Exercise may also improve balance by increasing strength of the tissues around joints and throughout the body, thus helping to prevent falls. Weight-bearing exercise, such as brisk walking and weight training, strengthens bones and helps prevent osteoporosis. Exercise often can improve function and reduce pain in people with osteoarthritis, although regimens must be developed specifically for each person, and exercises that put undue strain on joints, such as jumping and running, may need to be avoided.
Exercise increases the body's level of endorphins, chemicals in the brain that reduce pain and induce a sense of well-being. Thus, exercise can help improve mood and energy levels and may even help relieve depression. Exercise may also help boost self-esteem by improving a person's overall health and appearance.
In addition to its other benefits, regular exercise helps older people remain independent by improving functional ability and by preventing falls and fractures (see also Exercise in the Elderly). It can strengthen the muscles of even the frailest older person living in a nursing or retirement home. It tends to increase appetite, reduce constipation, and promote quality sleep.
The benefits of exercise diminish within months after a person stops exercising. Heart strength, muscle strength, and the level of HDL cholesterol decrease, whereas blood pressure and body fat increase. Even former athletes who stop exercising do not retain measurable long-term benefits. However, people who were physically active in the past often can regain fitness faster.
Other reasons for exercise:
In addition to recommending exercise for general health and well-being, doctors may prescribe specific exercise plans in some situations. Before elective surgery, doctors may recommend people participate in exercise routines to enhance their recovery from surgery. Doctors also prescribe specific exercise programs to rehabilitate people after serious injuries or disorders such as heart attacks, strokes, major surgery, or injury (see Rehabilitation for Specific Problems).
Last full review/revision September 2014 by Brian D. Johnston