Dr. Day is a cardiologist/electrophysiologist at the Intermountain Medical Center Heart Institute in Salt Lake City, Utah. He graduated from Johns Hopkins Medical School and completed his residency and fellowships in cardiology and electrophysiology at Stanford University. He is the former president of the Heart Rhythm Society and currently serves as the president of the Utah chapter of the American College of Cardiology.
Just Thinking You Should Exercise More May Cause an Early Death
Do you ever feel like you should exercise more? If so, you may have just increased your risk of an early death by 71% according to a new Stanford study. In this article, I’ll review this latest study and offer practical tips to a more mindful approach to physical activity.
Like most young moms, Kristen had too many things on her plate. Trying to care for small children while at the same time meeting her employer’s demands and somehow also finding the time to get to the gym was too much.
She knew she should exercise more. However, there just were not enough hours in the day.
The guilt and shame that came from the feeling that she was slacking off on her exercise worried her. This worry ultimately led to heart palpitations, an emergency room visit, and then to a consultation with me.
Fortunately, all of Kristen’s tests came back normal. Knowing that her heart was still strong allowed me to help her develop a more practical and mindful approach to physical activity.
The I Should Exercise More Study
In another brilliant study on the mindfulness component to physical activity, Dr. Alia J. Crum and colleagues from Stanford University tackled the health risks that come from guilt and shame. To address these health risks, Dr. Crum studied 61,141 Americans over the course of 21 years.
In this study, Dr. Crum asked participants how they felt about the amount of exercise they were doing in comparison to others. Interestingly, those who felt that they just weren’t exercising enough were 71% more likely to die over the 21 years of the study.
What makes Dr. Crum’s study really interesting is that even if you were exercising, eating right, and maintaining a healthy weight, just thinking you were slacking off on your exercise increased your risk of dying prematurely. This study highlights the importance of a mindful approach to exercising. It also raises the possible dangers of a nocebo effect.
The Nocebo Effect
While everyone has heard of the placebo effect, many of you may not be aware of the flip side which is the nocebo effect. With the placebo effect, the mere thought that a food, supplement, medication, or procedure will help you causes it to be a self-fulfilling prophecy.
For example, studies show that a “dummy pill” can actually be curative in up to 62% of cases. Studies like these highlight the untapped power of the mind to heal us.
However, their is a flip side to the placebo effect. It is called the nocebo effect. With the nocebo effect, people who believe that a food, supplement, medication, or procedure will harm them also causes it to be a self-fulfilling prophecy.
I see the nocebo effect everyday in my cardiology practice. People who are convinced that a treatment won’t work for them are generally right. Conversely, those people who are convinced that a treatment will work are also generally right.
While the mind can heal us it can also cause disease. This study from Dr. Crum and her team at Stanford University raises the question that the feeling we just don’t measure up when it comes to exercise may put our hearts and our lives at risk.
Eliminate the Word Exercise
I wish we could eliminate the word exercise from the English language. The problem is that when many people hear the word they immediately feel guilt and shame from not measuring up.
Too often, when we hear the word exercise we feel like we should be going to the gym more often. While hitting the gym is a great way to exercise, it is also a huge time commitment.
Most busy people that I know don’t have one to two extra hours to spend at the gym everyday. Not to mention the fact that many people, myself included, hate going to the gym.
Replace Exercise with Physical Activity
The solution is to replace the word exercise with physical activity. Physical activity doesn’t carry all of the guilt and shame that exercise does. It is also something that is much more practical.
For example, if the goal is physical activity then you will probably be much more likely to take the stairs, rather than the elevator. Also, if the goal is physical activity then you will be much more likely to walk over to a colleague or a neighbor than to use the phone, email, or a text message.
With a mindfulness based approach, we can reengineer physical activity back into our lives. Exercise is modern day phenomenon. Historically, our ancestors didn’t exercise. Rather, they were just physically active throughout the day.
Physical Activity in China’s Longevity Village
If you were to ask any of the centenarians in China’s longevity village what they do for exercise, they would look at you like you were crazy. No one exercised in the village. It never even occurred to them that they should be exercising.
The people in Longevity Village were physically active throughout the day. From the moment the sun rose until it set at night, their lives were in a state of continual motion. This perpetual physical activity helped them to escape most of the medical conditions that plague us in the modern world.
To better understand the people in China’s Longevity Village, as well as to learn the seven principles that may allow you to thrive to age 100 and beyond, please read our new book, The Longevity Plan.
As the thought I should exercise more may put you at risk of an early death, let me offer a few practical tips.
1. Set realistic expectations.
If you have a young family and a busy job, it will be hard for you to get to the gym. Likewise, if you are older and have mobility issues, it will also be hard for you to make it to the gym.
Rather than beat yourself up about not exercising enough, set realistic expectations. Start first with the simple things you can do to reengineer physical activity back into your life.
For example, if you have young children could you push them in a jogger stroller or pull them in a bike trailer? If your children are older, could you go on family bike rides?
At work, could you commit to never taking the elevator again? In addition, could you set your smartwatch or smartphone to remind you to get up and walk every 30 minutes?
At home, could you get rid of the TV remote control? Even better, could you either get rid of your TV or replace your couch with a treadmill? This would at least force you move your body more.
The key for busy people is to make the world “your gym.” If you view the world as your gym then it won’t be hard to reengineer physical activity back into your life.
2. Give yourself credit for what you are already doing.
Many people are too hard on themselves. Just like the 61,000 people in Dr. Crum’s study, many people are always comparing themselves to others.
Just because your friend is always wearing their workout clothes doesn’t mean they are any healthier than you are. Stop comparing yourself to other people.
Carrying a young child in your arms all day long may be a better work out than lifting weights at the gym. Likewise, walking up the stairs to the tenth floor may be a much better workout than the stair master or elliptical machines at the gym. Even the movements of yard work or house work may be as effective as stretching at the gym.
The importance of giving yourself credit for the physical activity you are already doing was brought home in a previous study by Dr. Crum. In this study, she studied hotel housekeepers.
These hotel housekeepers had a physically demanding job. Despite all of the physical activity associated with their jobs, they didn’t give themselves credit for this physical activity in their minds. Thus, they suffered from a myriad of chronic medical conditions.
However, once Dr. Crum educated them about the huge amounts of physical activity they were already doing, everything turned around for them. Suddenly, many of their chronic medical conditions started going away. This study reminds us that for the full benefit of physical activity, we need to give ourselves credit for what we are already doing.
3. Track yourself.
Tracking brings awareness. For many of us, life is kind of a blur.
Studies show that the mere act of tracking your steps subconsciously increases your daily step count by 2,491 steps! When you do the math, 2,491 steps translates into walking more than one extra mile each day.
I can’t think of an easier way to boost your physical activity. Just tracking yourself increases your daily walking by more than a mile with absolutely zero willpower required.
Long-term, tracking your physical activity could lead to the same scenario of “should exercise more.” With a more mindful approach to physical activity, you don’t need to track yourself forever. Just periodically check in to see if you are still on track.
As many people feel they should exercise more, probably an equally high number of people overestimate their physical activity. In my experience, not giving yourself enough credit and overestimating what you really are doing should both be avoided for optimal health and longevity.
What do you think?
What are your thoughts about this Stanford University study? Do you agree with their findings?
Please leave your thoughts and questions below. As always, I will do my very best to answer every question in a timely manner.
Disclaimer Policy: This website is intended to give general information and does not provide medical advice. This website does not create a doctor-patient relationship between you and Dr. John Day. If you have a medical problem, immediately contact your healthcare provider. Information on this website is not intended to diagnose or treat any condition. Dr. John Day is not responsible for any losses, damages or claims that may result from your medical decisions.