Abstract:
Motivating others to incorporate exercise into lifestyle is both imperative and onerous. Despite the challenge of uptake, the compelling health benefits from exercise are not novel or bewildering. On angina pectoris, even in 1772, British physician William Heberden detailed how one of his patients took up sawing wood for half an hour every day and was “nearly cured” of his obesity (or corpulence) induced health problems [1]. In 1816, William Wadd who noted “the value of exercise consists… particularly…in cutaneous perspiration,” accounted numerous exercise triumphs in reversing corpulence-induced health problems, including one sickly, obese man who reversed his disease by rowing a heavy boat across a lake daily, and another who improved his health mightily by running up a hill near his home every two hours [2]. In delivering evidence-based lifestyle medicine, what achievable, effective exercise modalities could be made available to nearly everyone? How can clinicians describe simple, measurable fitness aims for patients with type 2 diabetes mellitus (T2D), thus reducing both excuses and barriers?