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Urgent wake-up call for India: Lancet study shows half of Indians physically unfit. Here’s how to begin exercising

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Urgent wake-up call for India: Lancet study shows half of Indians physically unfit. Here’s how to begin exercising

According to a recent study published in The Lancet Global Health journal, 57% of women in India were found to be insufficiently physically active, compared to men (42%), in line with trends across the South Asian region while almost 50% of adults in India engaged in insufficient levels of physical activity in 2022. Additionally, an international team of researchers, including those from the World Health Organization (WHO), claimed that the South Asian region also ranked the second highest in terms of adults being insufficiently physically active after high-income Asia Pacific region.

Urgent wake-up call for India: Lancet study shows half of Indians physically unfit. Here’s how to begin exercising (Image by Freepik)

If the current trends continue, the study projected that by 2030, 60% of the adults could be insufficiently engaging in physical activity as in India, a little over 22% of the adults engaged in insufficient physical activity in the year 2000 while in 2010, close to 34% of the adults were insufficiently physically active. This raises an urgent wake-up call for India as a 2023 Indian Council of Medical Research-India Diabetes (ICMR-INDIAB) study, published in The Lancet Diabetes and Endocrinology journal, estimated that 101 million people in India were diabetic in 2021 and about 315 million had hypertension the same year.

India’s Fitness Challenge:

Given our deteriorating health graph, it is crucial to start our fitness journey now and adopt actionable steps to get active and begin exercising. In an interview with HT Lifestyle, Dr Manish Pendse, Senior Consultant Physician and Diabetologist at Medicover Hospitals in Navi Mumbai, shared, “Poor lifestyles and unhealthy food choices are some of the main reasons behind the major population being unfit. People tend to choose processed, packaged, or junk food instead of eating healthy food. This significantly hampers their health resulting in several health issues like obesity, diabetes, cardiovascular diseases, digestive problems, high cholesterol, high blood pressure, stroke and skin problems.”

What You Can Do Now:

Dr Manish Pendse asserted, “It becomes essential to indulge in physical activities or exercise, to keep your body fit and away from multiple diseases. Your fitness regime could include low-impact exercises like walking, jogging, meditation and Yoga and intense physical activities like running, cardio, weight lifting, and hitting the gym. Being physically active for at least 30 to 40 minutes daily can stimulate metabolism helping in managing weight.”

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The health expert suggested, “Eat well-balanced food that contains equal amounts of essential nutrients like protein, vitamins, minerals, carbohydrates, and omega-3 fatty acids. Make healthy food choices that are low in calories, cholesterol, and saturated fats, and contain sugar, and salt in moderation. Keep a daily track of your body weight to see if you are gaining weight or losing weight. This can help you create a tailored plan to maintain your physical and psychological health.”

He cautioned, “Avoid unhealthy habits like drinking alcohol, chewing tobacco, smoking, sitting in one place for prolonged hours without taking adequate breaks and eating at unusual hours. Consult your doctor for expert guidance and tips to maintain fitness in this fast-paced life. Stress also leads to weight gain and gastric problems, It is imperative to de-stress by doing activities that calm you down.”

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Strategic Exercise Techniques to Maximize Mood Elevation – The Boca Raton Tribune

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Strategic Exercise Techniques to Maximize Mood Elevation – The Boca Raton Tribune
A Shift in Scientific Understanding Reveals That the ‘Runner’s High’ Stems from a Complex Cocktail of Chemicals, Including Endocannabinoids, Which Can Be Triggered by Adjusting Duration and Social Context. The widely reported phenomenon of exercise-induced euphoria—often known as the “runner’s high”—is rooted in specific alterations to neurochemistry that generate feelings of hope, calmness, and social […]
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Do you have sore hips? I asked a pain specialist why this happens and how to improve it

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Do you have sore hips? I asked a pain specialist why this happens and how to improve it

Hip soreness is a terribly common issue—it’s something that I certainly suffer with—so I’m always trying to get to the bottom of where this soreness originates from and what you can do about it.

According to Dr Shady Hassan, MD, an interventional pain and sports medicine physician and the founder of NefraHealth, immobility is the root cause of this discomfort.

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“No Pain No Gain” May Be Wrong: Science Says Slow Eccentric Exercise Builds Stronger Muscles

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“No Pain No Gain” May Be Wrong: Science Says Slow Eccentric Exercise Builds Stronger Muscles

Modern exercise culture has spent years glorifying exhaustion. The harder a workout feels, the more effective people assume it must be. Sore muscles became badges of honor, while gentle movements were often dismissed as ‘not real exercise.’ 

A man lifting a dumbbell. Image credits: Andres Ayrton/Pexels

However, according to a new study, some of the most efficient ways to build muscle strength may happen during the slow, controlled moments people usually ignore—walking downstairs, lowering weights, or carefully sitting into a chair. 

Study author Kazunori Nosaka, who is the director of exercise and sports science at Edith Cowan University, argues that eccentric exercise—a type of muscle action that occurs while muscles lengthen under tension, may offer a more practical alternative. Its opposite, concentric exercise, is the shortening (lifting) phase where muscles produce force to overcome resistance.

Instead of demanding maximum effort, these movements appear to train muscles while placing less stress on the body.  

“The idea that exercise must be exhausting or painful is holding people back. Instead, we should be focusing on eccentric exercises which can deliver stronger results with far less effort than traditional exercise – and you don’t even need a gym,” Nosaka said.

Muscles work differently on the way down

The study examines decades of earlier research on eccentric exercise rather than presenting a single laboratory experiment. It focuses on a simple but often overlooked detail of human movement, which is how muscles behave differently depending on whether they are shortening or lengthening.

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When someone lifts a dumbbell, climbs stairs, or rises from a chair, muscles shorten as they generate force. Scientists call this a concentric contraction. Eccentric contractions happen during the opposite phase—when the muscle stays active while stretching. 

Examples include lowering the dumbbell back down, descending stairs, or slowly lowering the body into a seated position. According to the review, muscles can tolerate and produce greater force during eccentric actions while using comparatively less energy and oxygen. 

“Eccentric contractions are distinguished by their ability to generate greater force than concentric or isometric contractions, while requiring less metabolic cost,” Nosaka notes.

Researchers believe this happens because muscles act more like controlled braking systems during lengthening movements, resisting gravity rather than directly overpowering it. As a result, people may gain strength without putting the same level of demand on the cardiovascular system. 

This difference could make eccentric exercise especially useful for individuals who find traditional workouts physically overwhelming.

“Eccentric exercise training provides numerous benefits for physical fitness and overall health, making it suitable for a wide range of individuals from children to older adults, clinical populations to athletes, and sedentary to highly active people,” Nosaka added.

Gravity may be doing more training than we realized

To support this argument, the study brings together findings from several earlier research works. For instance, one study from 2017 tracked elderly women with obesity who repeatedly walked either upstairs or downstairs over a 12-week period. 

While climbing stairs is normally considered the tougher workout, the women assigned to walk downstairs showed stronger improvements in measures including blood pressure, heart rate, and physical fitness. The results suggested that resisting gravity during downward movement may provide a surprisingly powerful training effect.

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The review also discusses eccentric cycling, where participants resist pedals driven backward by a motor instead of pushing them forward in the usual way. 

Although the movement feels unusual and requires concentration, earlier studies found it improved muscle power, balance, and cardiovascular health while feeling less exhausting than standard cycling workouts.

Another important part of the review addresses muscle soreness, one of the main reasons eccentric exercise never became widely popular outside rehabilitation settings. People often experience delayed onset muscle soreness, or DOMS, after unfamiliar eccentric workouts. 

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“Unaccustomed eccentric exercise is often associated with muscle damage characterized by delayed onset muscle soreness (DOMS) and a reduction in muscle force-generating capacity lasting more than a day. However, this effect diminishes or at least is attenuated when the same eccentric exercise is repeated (known as the repeated bout effect),” Nosaka explained

Many eccentric exercises require little or no equipment. Slow squats into a chair, heel-lowering movements, controlled wall push-ups, or even maintaining posture against gravity can activate eccentric muscle work. 

Moreover, some studies referenced in Nosaka’s review suggest that just a few minutes of these exercises each day can still produce measurable improvements in health and strength.

The future of fitness may feel less punishing

The findings challenge the mindset surrounding fitness itself. Many people abandon exercise routines because they associate physical activity with pain, fatigue, or lack of time. Eccentric exercise suggests that effective movement does not always need to feel extreme. 

If future research continues to support these findings, eccentric exercise could influence far more than gym routines. It may reshape physical rehabilitation, elderly care, injury recovery programs, and public-health recommendations aimed at increasing physical activity among sedentary populations. 

These exercises also place lower demands on the heart and lungs while still strengthening muscles. They could help people who are unable or unwilling to follow intense training programs.

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Nosaka suggests that “we should establish eccentric exercise as standard practice, and make it common, accessible, and widely accepted as the ‘new normal’ of exercise to improve life performance and high (athletic) performance.”

However, this does not mean eccentric exercise is a universal replacement for all forms of physical activity. The current paper is a review of previous studies, and its findings still need to be validated through experiments and large-scale clinical trials.

Nosaka also notes that “Future studies should investigate mechanisms underpinning the effects of eccentric exercises in comparison to other types of exercises (e.g., isometric exercises, concentric exercises, aerobic exercises),”  

This could help scientists design safer and more personalized exercise programs for different age groups and health conditions.

The study is published in the Journal of Sport and Health Science.

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