A Root Cause Medicine Approach
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November 7, 2023

The Remarkable Power of Exercise on Our Health: A Comprehensive Overview

Medically Reviewed by
Updated On
September 18, 2024

You’ve probably heard that exercise is important, and you might be curious about what all the fuss is about. It's not just a passing trend; there's a heap of science-backed reasons why getting active can make a big difference to your health. From the way it can boost your mood to how it helps your body stay strong, exercise is a game-changer. 

If you're on the fence about lacing up those sneakers or just want to understand the hows and whys, stick around! We're going to talk about all the ways staying active can help keep you in top form and why it should be a key part of your routine.

[signup]

Historical Context: Evolution of Exercise and Health 

Tracing the origins of exercise reveals its vital role in human health and survival. In the past, physical activity was not a scheduled part of one's day; it was naturally integrated into daily routines through work and social customs. This physical lifestyle was common across the globe, from the yoga practices in India to the martial arts in Africa and the endurance running of Native Americans. Physical activity was universally acknowledged as vital for health.

However, as societies advanced, particularly with the shift to agricultural and then industrial ways of life, active lifestyles began to diminish. More people led sedentary lives, a trend that has become increasingly prevalent over the last century. This shift from an active to a sedentary lifestyle has had significant health consequences. Today, we face numerous health challenges associated with inactivity, reinforcing the idea that regular physical activity is as important for our health now as it was for our survival in the past (8). 

Cardiovascular Benefits: Heart and Blood Vessels 

Engaging in regular exercise is a key factor for heart health and managing cardiovascular risk. When you exercise, your heart gets a good workout, too, becoming more efficient in pumping blood around your body. This efficiency can lead to lower blood pressure and better management of your weight and stress. Plus, when you're active, your body gets better at handling insulin, which can fend off type 2 diabetes—a big win for your blood vessels. Regular physical activity is like a tune-up for your heart, ensuring everything runs smoothly by enhancing blood circulation, delivering oxygen and nutrients where they're needed, and keeping inflammation at bay.

Beyond just improving heart health, the types of exercise you choose can also make a difference. Aerobic activities like brisk walking or cycling give your heart and lungs a boost, directly supporting exercise for heart health. Meanwhile, strength training will help you build up muscle and bone strength, adding to your body's overall endurance. And don't overlook the importance of flexibility and stretching; these keep your joints in good shape and improve your overall balance and coordination, which is great for maintaining an active lifestyle. Even gentle, meditative movements from practices like tai chi have been shown to help with high blood pressure and heart failure. So, by integrating these varied forms of exercise, you reduce the risk of heart disease and improve your overall health (13,18)! 

Metabolic and Weight Management: Keeping the Scales in Check 

Exercise plays a pivotal role in metabolic regulation and weight management, which becomes especially significant in the context of managing chronic conditions such as type 2 diabetes. Engaging in physical activity can initiate a metabolic boost that goes beyond the transient calorie burn during exercise itself. Muscle tissue, an active metabolic player, consumes more energy than fat tissue; thus, increasing muscle mass through regular exercise, including strength training, can elevate resting metabolic rate, keeping the energy expenditure scales tipped even outside of workout sessions. This is not just beneficial for those looking to manage their weight but is particularly advantageous for individuals with diabetes, as muscle cells become more efficient at absorbing glucose and using it for energy, thereby aiding in the regulation of blood sugar levels. As such, while exercise may not always directly translate to weight loss, its role in metabolic enhancement and the maintenance of a healthy weight range is undeniable.

Regular exercise is a cornerstone of therapy for a range of chronic conditions linked to metabolic dysfunction, not limited to but including type 2 diabetes. Physical activity for weight management and metabolic health is beneficial for a variety of reasons, as it positively influences the metabolic function of several key tissues. 

For instance, exercise reduces fat mass and inflammation in adipose tissue, both of which are critical factors in metabolic syndrome, cardiovascular diseases, and insulin resistance. It also enhances the liver's ability to regulate blood sugar and manage the conversion of food to energy, improving overall metabolic health. For those with chronic conditions, the implications are profound: engaging in consistent physical activity can lead to improvements in the body’s insulin sensitivity and systemic inflammation, two primary drivers of metabolic diseases. 

The physiological improvements extend across various metabolic tissues, contributing to a reduced risk of comorbidities associated with excess weight and metabolic imbalance. Exercise and metabolic boosts thus go hand in hand, providing a non-pharmacological approach to managing and potentially mitigating the effects of chronic metabolic conditions (10). 

Cognitive Clarity and Mental Health: The Brain-Exercise Connection

Physical exercise serves as a potent tool for enhancing mental clarity and mood, offering substantial protection against neurodegenerative diseases. Commitment to regular activity bolsters not only muscle strength but also brain health and mood. The biological response to exercise results in increased levels of neurotrophic factors, neurotransmitters, and hormones, all vital for neuronal survival and the enhancement of neuroplasticity. The brain, during physical activity, becomes a fertile ground for growth and repair, facilitating processes such as synaptic plasticity, neurogenesis, and angiogenesis, which collectively reinforce neural networks. 

PubMed (effect of exercise on the brain)

Moreover, the benefits of regular physical engagement extend deep into the fabric of neurological health, particularly for those facing the specter of Alzheimer’s and Parkinson’s disease. Research has illuminated the decline in risk factors associated with these conditions in individuals who integrate physical activity into their daily regimen. The ripple effects of exercise touch upon the nervous system's very core, fostering a harmonious dance between the autonomic and central nervous systems. This balance is critical for the preservation of cognitive functions, often compromised in neurodegenerative diseases. Exercise acts as a guardian of the brain’s intricate circuitry, not just combating the physical manifestations of aging but also providing a defense mechanism against the onset and progression of cognitive impairments (11,12). 

Musculoskeletal Strength: Building and Maintaining our Framework 

Exercise is a foundational pillar in maintaining musculoskeletal health, serving as a key player in the fortification of bones and muscles. The synergy between our skeletal and muscular systems is imperative for functional movement and stability, and engaging in targeted exercise is essential to preserve this intricate balance. Resistance exercise, in particular, is acclaimed for its role in combating osteosarcopenia—a condition characterized by the simultaneous deterioration of bone density and muscle mass primarily associated with aging. 

By applying mechanical stress to the bones through activities that go beyond the exertions of daily life, such as weightlifting or resistance bands, the muscles exert force on the bones. This force stimulates osteoblast activity—cells responsible for bone formation—thereby encouraging the accrual of bone mass. Moreover, as muscles contract and pull on the bones during these exercises, they grow stronger and more robust. For individuals navigating the challenges of aging, this increase in bone density and muscle strength is integral to reducing the risk of falls and fractures, ensuring that the body remains resilient against the physical declines that often accompany the later years.

The importance of exercise extends to joint health as well, as it helps to keep joints limber and reduces the burden on them by facilitating weight management. For every pound shed, there is a significant reduction in the load exerted on weight-bearing joints, which can alleviate discomfort and enhance functional capacity. 

A regular exercise regimen is not only instrumental in fostering strong bones and muscles, but it also underpins our ability to perform everyday activities with ease, improving posture and safeguarding our autonomy. While high-impact exercises may not be suitable for everyone, especially those with pre-existing joint issues or severe osteoarthritis, a tailored, moderate exercise program can offer a multitude of benefits. By incorporating suitable physical activities into our routines, we can ensure the longevity of our musculoskeletal framework, keeping it robust enough to carry us through our daily tasks with vigor and vitality.

Exercise for Longevity: Slowing Down the Aging Process 

The relationship between exercise and aging is becoming increasingly clear through scientific research. Engaging in regular physical activity is associated with an extended lifespan and reduced markers of aging, as comprehensive analyses of various studies have shown. Regular physical activity has been linked with a notable reduction in the risk of many life-threatening conditions such as hypertension, type 2 diabetes, heart disease, stroke, and several forms of cancer. Furthermore, a consistent exercise regimen has been correlated with an approximate 30% to 35% decrease in all-cause mortality when comparing physically active individuals to their inactive counterparts.

Studies have attempted to quantify the impact of exercise on life expectancy. Findings suggest that individuals who maintain regular physical activity can experience an increase in life expectancy ranging from 0.4 to nearly 7 years. This increase persists even after accounting for other risk factors for mortality. Although the literature shows consistently greater life expectancy in aerobic endurance athletes, there is variability when it comes to other types of physical activity, especially considering the lack of adjustment for mortality risk factors in these assessments (15). 

When looking at the specific types of physical activity, a blend of moderate and vigorous exercise appears most beneficial. The recommended guidelines suggest 150 to 300 minutes of moderate exercise or 75 to 150 minutes of vigorous exercise per week. However, exceeding these recommendations may lead to even greater benefits. For instance, individuals who engaged in 300 to 599 minutes of moderate exercise per week saw a reduction in all-cause mortality by 26% to 31%, while a 21% to 23% reduction was observed for those who exceeded vigorous exercise recommendations.

It is also essential to highlight that both long-term moderate and vigorous physical activity confer benefits regardless of age. While young people may gravitate towards more vigorous activities, moderate exercises remain popular among older adults without diminishing the positive impact on longevity. This suggests that not only does exercise contribute to slowing down the aging process, but it can be tailored to individual capabilities and still provide significant health benefits (3). 

Practical Steps: Integrating Exercise into Daily Life 

Incorporating exercise into daily routines can be seamless with the right strategies, fostering everyday exercise integration for long-lasting health. Start with small, manageable goals that fit into your existing schedule, such as a brisk ten-minute walk during your lunch break or using the stairs instead of the elevator. For those who spend long hours at a desk, setting reminders to stand and stretch every hour can combat the sedentary lifestyle. Gradually, these activities become part of your routine, laying the groundwork for making fitness a daily habit.

Consistency is the cornerstone of maintaining an active lifestyle and reaping long-term health benefits. It's more beneficial to engage in moderate activity regularly than to pursue intense workouts sporadically. This could mean opting for a daily bike ride to work, engaging in evening dance sessions, or even gardening. The key is to find activities you enjoy and weave them into your daily life, making fitness an ever-present, enjoyable part of your day.

[signup]

Summary

Wrapping up, it's clear that getting active is a game-changer for your health. It's not just about losing weight or building muscle; exercise touches everything from your heart's health to your mental clarity. History shows us that movement was once a natural part of our day, but now, with so much sitting around, we've got to make a conscious effort to get moving. It pays off big time – your heart works better, your metabolism kicks into higher gear, and your brain stays sharp. And the best part? You don't have to run marathons to see the benefits. Just find ways to sneak more activity into your day, like choosing the stairs over the elevator, and keep it consistent. It's about making your body feel good for the long haul so you can enjoy life to the fullest.

You’ve probably heard that exercise is important, and you might be curious about what all the fuss is about. It's not just a passing trend; there's a heap of science-backed reasons why getting active can make a big difference to your health. From the way it can boost your mood to how it helps your body stay strong, exercise is a game-changer. 

If you're on the fence about lacing up those sneakers or just want to understand the hows and whys, stick around! We're going to talk about all the ways staying active can help keep you in top form and why it should be a key part of your routine.

[signup]

Historical Context: Evolution of Exercise and Health 

Tracing the origins of exercise reveals its vital role in human health and survival. In the past, physical activity was not a scheduled part of one's day; it was naturally integrated into daily routines through work and social customs. This physical lifestyle was common across the globe, from the yoga practices in India to the martial arts in Africa and the endurance running of Native Americans. Physical activity was universally acknowledged as vital for health.

However, as societies advanced, particularly with the shift to agricultural and then industrial ways of life, active lifestyles began to diminish. More people led sedentary lives, a trend that has become increasingly prevalent over the last century. This shift from an active to a sedentary lifestyle has had significant health consequences. Today, we face numerous health challenges associated with inactivity, reinforcing the idea that regular physical activity is as important for our health now as it was for our survival in the past (8). 

Cardiovascular Benefits: Heart and Blood Vessels 

Engaging in regular exercise is a key factor for heart health and managing cardiovascular risk. When you exercise, your heart gets a good workout, too, becoming more efficient in pumping blood around your body. This efficiency can lead to lower blood pressure and better management of your weight and stress. Plus, when you're active, your body gets better at handling insulin, which can support healthy blood sugar levels—a big win for your blood vessels. Regular physical activity is like a tune-up for your heart, ensuring everything runs smoothly by enhancing blood circulation, delivering oxygen and nutrients where they're needed, and helping to maintain healthy inflammation levels.

Beyond just supporting heart health, the types of exercise you choose can also make a difference. Aerobic activities like brisk walking or cycling give your heart and lungs a boost, directly supporting exercise for heart health. Meanwhile, strength training will help you build up muscle and bone strength, adding to your body's overall endurance. And don't overlook the importance of flexibility and stretching; these keep your joints in good shape and improve your overall balance and coordination, which is great for maintaining an active lifestyle. Even gentle, meditative movements from practices like tai chi have been shown to help with high blood pressure and heart function. So, by integrating these varied forms of exercise, you may reduce the risk of heart disease and support your overall health (13,18)! 

Metabolic and Weight Management: Keeping the Scales in Check 

Exercise plays a pivotal role in metabolic regulation and weight management, which becomes especially significant in the context of managing chronic conditions such as type 2 diabetes. Engaging in physical activity can initiate a metabolic boost that goes beyond the transient calorie burn during exercise itself. Muscle tissue, an active metabolic player, consumes more energy than fat tissue; thus, increasing muscle mass through regular exercise, including strength training, can elevate resting metabolic rate, keeping the energy expenditure scales tipped even outside of workout sessions. This is not just beneficial for those looking to manage their weight but is particularly advantageous for individuals with diabetes, as muscle cells become more efficient at absorbing glucose and using it for energy, thereby aiding in the regulation of blood sugar levels. As such, while exercise may not always directly translate to weight loss, its role in metabolic enhancement and the maintenance of a healthy weight range is undeniable.

Regular exercise is a cornerstone of therapy for a range of chronic conditions linked to metabolic dysfunction, not limited to but including type 2 diabetes. Physical activity for weight management and metabolic health is beneficial for a variety of reasons, as it positively influences the metabolic function of several key tissues. 

For instance, exercise reduces fat mass and helps maintain healthy inflammation levels in adipose tissue, both of which are critical factors in metabolic syndrome, cardiovascular health, and insulin sensitivity. It also enhances the liver's ability to regulate blood sugar and manage the conversion of food to energy, supporting overall metabolic health. For those with chronic conditions, the implications are profound: engaging in consistent physical activity can lead to improvements in the body’s insulin sensitivity and systemic inflammation, two primary drivers of metabolic health. 

The physiological improvements extend across various metabolic tissues, contributing to a reduced risk of comorbidities associated with excess weight and metabolic imbalance. Exercise and metabolic boosts thus go hand in hand, providing a non-pharmacological approach to managing and potentially mitigating the effects of chronic metabolic conditions (10). 

Cognitive Clarity and Mental Health: The Brain-Exercise Connection

Physical exercise serves as a potent tool for enhancing mental clarity and mood, offering substantial support for brain health. Commitment to regular activity bolsters not only muscle strength but also brain health and mood. The biological response to exercise results in increased levels of neurotrophic factors, neurotransmitters, and hormones, all vital for neuronal survival and the enhancement of neuroplasticity. The brain, during physical activity, becomes a fertile ground for growth and repair, facilitating processes such as synaptic plasticity, neurogenesis, and angiogenesis, which collectively reinforce neural networks. 

PubMed (effect of exercise on the brain)

Moreover, the benefits of regular physical engagement extend deep into the fabric of neurological health, particularly for those concerned about cognitive health. Research has illuminated the decline in risk factors associated with these conditions in individuals who integrate physical activity into their daily regimen. The ripple effects of exercise touch upon the nervous system's very core, fostering a harmonious dance between the autonomic and central nervous systems. This balance is critical for the preservation of cognitive functions, often compromised in neurodegenerative conditions. Exercise acts as a guardian of the brain’s intricate circuitry, not just supporting the physical manifestations of aging but also providing a defense mechanism against the onset and progression of cognitive impairments (11,12). 

Musculoskeletal Strength: Building and Maintaining our Framework 

Exercise is a foundational pillar in maintaining musculoskeletal health, serving as a key player in the fortification of bones and muscles. The synergy between our skeletal and muscular systems is imperative for functional movement and stability, and engaging in targeted exercise is essential to preserve this intricate balance. Resistance exercise, in particular, is acclaimed for its role in supporting bone density and muscle mass, which can be particularly beneficial as we age. 

By applying mechanical stress to the bones through activities that go beyond the exertions of daily life, such as weightlifting or resistance bands, the muscles exert force on the bones. This force stimulates osteoblast activity—cells responsible for bone formation—thereby encouraging the accrual of bone mass. Moreover, as muscles contract and pull on the bones during these exercises, they grow stronger and more robust. For individuals navigating the challenges of aging, this increase in bone density and muscle strength is integral to reducing the risk of falls and fractures, ensuring that the body remains resilient against the physical declines that often accompany the later years.

The importance of exercise extends to joint health as well, as it helps to keep joints limber and reduces the burden on them by facilitating weight management. For every pound shed, there is a significant reduction in the load exerted on weight-bearing joints, which can alleviate discomfort and enhance functional capacity. 

A regular exercise regimen is not only instrumental in fostering strong bones and muscles, but it also underpins our ability to perform everyday activities with ease, improving posture and safeguarding our autonomy. While high-impact exercises may not be suitable for everyone, especially those with pre-existing joint issues or severe osteoarthritis, a tailored, moderate exercise program can offer a multitude of benefits. By incorporating suitable physical activities into our routines, we can ensure the longevity of our musculoskeletal framework, keeping it robust enough to carry us through our daily tasks with vigor and vitality.

Exercise for Longevity: Slowing Down the Aging Process 

The relationship between exercise and aging is becoming increasingly clear through scientific research. Engaging in regular physical activity is associated with an extended lifespan and reduced markers of aging, as comprehensive analyses of various studies have shown. Regular physical activity has been linked with a notable reduction in the risk of many life-threatening conditions such as hypertension, type 2 diabetes, heart health issues, stroke, and several forms of cancer. Furthermore, a consistent exercise regimen has been correlated with an approximate 30% to 35% decrease in all-cause mortality when comparing physically active individuals to their inactive counterparts.

Studies have attempted to quantify the impact of exercise on life expectancy. Findings suggest that individuals who maintain regular physical activity can experience an increase in life expectancy ranging from 0.4 to nearly 7 years. This increase persists even after accounting for other risk factors for mortality. Although the literature shows consistently greater life expectancy in aerobic endurance athletes, there is variability when it comes to other types of physical activity, especially considering the lack of adjustment for mortality risk factors in these assessments (15). 

When looking at the specific types of physical activity, a blend of moderate and vigorous exercise appears most beneficial. The recommended guidelines suggest 150 to 300 minutes of moderate exercise or 75 to 150 minutes of vigorous exercise per week. However, exceeding these recommendations may lead to even greater benefits. For instance, individuals who engaged in 300 to 599 minutes of moderate exercise per week saw a reduction in all-cause mortality by 26% to 31%, while a 21% to 23% reduction was observed for those who exceeded vigorous exercise recommendations.

It is also essential to highlight that both long-term moderate and vigorous physical activity confer benefits regardless of age. While young people may gravitate towards more vigorous activities, moderate exercises remain popular among older adults without diminishing the positive impact on longevity. This suggests that not only does exercise contribute to slowing down the aging process, but it can be tailored to individual capabilities and still provide significant health benefits (3). 

Practical Steps: Integrating Exercise into Daily Life 

Incorporating exercise into daily routines can be seamless with the right strategies, fostering everyday exercise integration for long-lasting health. Start with small, manageable goals that fit into your existing schedule, such as a brisk ten-minute walk during your lunch break or using the stairs instead of the elevator. For those who spend long hours at a desk, setting reminders to stand and stretch every hour can combat the sedentary lifestyle. Gradually, these activities become part of your routine, laying the groundwork for making fitness a daily habit.

Consistency is the cornerstone of maintaining an active lifestyle and reaping long-term health benefits. It's more beneficial to engage in moderate activity regularly than to pursue intense workouts sporadically. This could mean opting for a daily bike ride to work, engaging in evening dance sessions, or even gardening. The key is to find activities you enjoy and weave them into your daily life, making fitness an ever-present, enjoyable part of your day.

[signup]

Summary

Wrapping up, it's clear that getting active is a game-changer for your health. It's not just about losing weight or building muscle; exercise touches everything from your heart's health to your mental clarity. History shows us that movement was once a natural part of our day, but now, with so much sitting around, we've got to make a conscious effort to get moving. It pays off big time – your heart works better, your metabolism kicks into higher gear, and your brain stays sharp. And the best part? You don't have to run marathons to see the benefits. Just find ways to sneak more activity into your day, like choosing the stairs over the elevator, and keep it consistent. It's about making your body feel good for the long haul so you can enjoy life to the fullest.

The information in this article is designed for educational purposes only and is not intended to be a substitute for informed medical advice or care. This information should not be used to diagnose or treat any health problems or illnesses without consulting a doctor. Consult with a health care practitioner before relying on any information in this article or on this website.

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  1. 7 Early Signs Of Insulin Resistance. (2021, October 11). Rupa Health. https://www.rupahealth.com/post/what-is-insulin-resistance
  2. Beavers, K. M., Brinkley, T. E., & Nicklas, B. J. (2010). Effect of exercise training on chronic inflammation. Clinica Chimica Acta, 411(11-12), 785–793. https://doi.org/10.1016/j.cca.2010.02.069
  3. Berg, S. (2023, January 26). Massive study uncovers how much exercise is needed to live longer. American Medical Association. https://www.ama-assn.org/delivering-care/public-health/massive-study-uncovers-how-much-exercise-needed-live-longer
  4. Bliddal, H., Leeds, A. R., & Christensen, R. (2014). Osteoarthritis, obesity and weight loss: evidence, hypotheses and horizons - a scoping review. Obesity Reviews, 15(7), 578–586. https://doi.org/10.1111/obr.12173
  5. Cox, C. E. (2017). Role of Physical Activity for Weight Loss and Weight Maintenance. Diabetes Spectrum, 30(3), 157–160. https://doi.org/10.2337/ds17-0013
  6. Gremeaux, V., Gayda, M., Lepers, R., Sosner, P., Juneau, M., & Nigam, A. (2012). Exercise and longevity. Maturitas, 73(4), 312–317. https://doi.org/10.1016/j.maturitas.2012.09.012
  7. Here’s Why Losing Weight Is the Key to Losing Joint Pain. (2020, December 7). Cleveland Clinic. https://health.clevelandclinic.org/if-you-lose-weight-you-can-lose-joint-pain-too/
  8. Historical Background and Evolution of Physical Activity Recommendations | Surgeon General Report . (2020). Centers for Disease Control and Prevention. https://www.cdc.gov/nccdphp/sgr/intro2.htm
  9. Hong, A. R., & Kim, S. W. (2018). Effects of Resistance Exercise on Bone Health. Endocrinology and Metabolism, 33(4), 435. https://doi.org/10.3803/enm.2018.33.4.435
  10. Kirwan, J. P., Sacks, J., & Nieuwoudt, S. (2018). The essential role of exercise in the management of type 2 diabetes. Cleveland Clinic Journal of Medicine, 84(7), 15–21. https://doi.org/10.3949/ccjm.84.s1.03
  11. Mahalakshmi, B., Maurya, N., Lee, S.-D., & Bharath Kumar, V. (2020). Possible Neuroprotective Mechanisms of Physical Exercise in Neurodegeneration. International Journal of Molecular Sciences, 21(16), 5895. https://doi.org/10.3390/ijms21165895
  12. Mahindru, A., Patil, P., & Agrawal, V. (2023). Role of Physical Activity on Mental Health and Well-Being: A Review. Cureus, 15(1). https://doi.org/10.7759/cureus.33475
  13. Nystoriak, M. A., & Bhatnagar, A. (2018). Cardiovascular Effects and Benefits of Exercise. Frontiers in Cardiovascular Medicine, 5(135). https://doi.org/10.3389/fcvm.2018.00135
  14. Owen, N., Sparling, P. B., Healy, G. N., Dunstan, D. W., & Matthews, C. E. (2010). Sedentary Behavior: Emerging Evidence for a New Health Risk. Mayo Clinic Proceedings, 85(12), 1138–1141. https://doi.org/10.4065/mcp.2010.0444
  15. Reimers, C. D., Knapp, G., & Reimers, A. K. (2012). Does Physical Activity Increase Life Expectancy? A Review of the Literature. Journal of Aging Research, 2012(243958), 1–9. https://doi.org/10.1155/2012/243958
  16. Sharma, A., Madaan, V., & Petty, F. D. (2006). Exercise for mental health. Primary Care Companion to the Journal of Clinical Psychiatry, 8(2), 106. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1470658/
  17. Simple Exercises for Joint Health. (n.d.). WebMD. https://www.webmd.com/osteoarthritis/ss/everyday-exercises-for-oa-slideshow
  18. The Role of Physical Activity in Promoting Heart Health. (2023, July 3). Rupa Health. https://www.rupahealth.com/post/the-role-of-physical-activity-and-exercise-in-promoting-heart-health-including-the-use-of-alternative-exercise-modalities-such-as-tai-chi-and-qigong
  19. Cloyd, Dr. J. (2023a, April 10). A Functional Medicine Hypertension Protocol. Rupa Health. https://www.rupahealth.com/post/functional-medicine-hypertension-protocol

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