The True Meaning of Sedentary

The start of a new year sparks considerable conversation on losing weight, exercising more, and eating a healthier diet. While these are great stepping stones to leading a healthier lifestyle, they may not be enough to ward off chronic health conditions and mortality. Recent research findings are revealing that sitting too much during the day can be detrimental to an individual's health regardless of whether or not they meet the Physical Activity Guidelines for Americans. Today's society is consumed with advanced technology and a focus on convenience, which ultimately contributes to sedentary lifestyles among Americans. Fortunately, this sedentary lifestyle can be counteracted by adding in more movement throughout the day.

Health of People with Disabilities

There are approximately 54 million Americans with some type of disability. This amounts to about 20% of the population. Many consider health and disability and oxymoron, but in fact, persons with disabilities can lead healthy, active lifestyles when given the appropriate inclusive environment to succeed. The rate of obesity is far greater for both children and adults with disabilities than for the general population. 56% of people with disabilities do not engage in any leisure time physical activity, and 87% of people with disabilities experience at least one secondary condition. Self-reported health status is classified as poor in 37% of persons with disabilities compared to 8% in persons without disabilities. Physical inactivity and sedentary behavior is a national epidemic, but noticed more particularly in persons with disabilities due to few health professionals promoting regular physical activity for persons with disabilities, and a lack of community and health promotion programs inclusive of persons with disabilities. In order to develop a healthy, inclusive community, health messaging must include persons with disabilities. Below are strategies for creating an action plan to combat sedentary behavior and physical inactivity for everyone by adding movement in to the daily routine.

An Action Plan for Everyone

Simple adjustments to the daily routine can help make activity a default versus just an option. Get going and move more for an overall better health status.

In the workplace

1. If you are able to, try actively communiting to work by riding a bike or walking/wheeling. Inclusive communities that utilize Complete Streets are a win-win for everyone!
   
2. Make sure to always have a bottle of water at your desk. This will put you one step closer to achieving your recommended daily amount of water intake and will force you to have to get up to go to the bathroom.
3. Try walking/wheeling meetings instead of seated ones. The activity might just spark some new found creativity!
4. Utilize your lunch break for physical activity. Cut your lunch break in half so the other half can be filled with some kind of exercise. Midday activity helps you to wake up your brain, and may help to avoid that 2:00 p.m. burnout. Physical activity options include starting a walking club with coworkers or going to your local gym for a midday group fitness class.
5. Pace around your office while on a conference call.
6. Instead of emailing a co-worker, get up from your desk and converse in person.

In daily life

1. A pedometer is a great tool to monitor physical activity throughout the day. Achieving 10,000 steps may not be appropriate for everyone, so wear your pedometer to track movement on day one to achieve a baseline, and aim to increase that baseline each day.
2. Pets are great life companions and assets to your health. Take Fido for a walk daily to fit in some extra activity.
3. There is no shame in having a favorite television show, but try moving around the house or cleaning up while watching. You can also do simple exercises during commercial breaks, such as crunches, squats, or push-ups.
4. Almost any chore can be turned into a heart-pumping activity. Turn on some upbeat music and get working.
5. Take advantage of family time together on the weekends, and find a park to play in, a fun race to enter, or simply take a stroll or bike ride around the neighborhood together.

The Big Picture

Aside from the Physical Activity Guidelines for Americans recommended amount of physical activity per week, it is imperative that individuals simply move more throughout the day to reduce sedentary behavior and its associated health detriments. The Physical Activity Pyramid is a great way to start assessing daily movement levels in all individuals. Looking at physical activity in these categories makes it seem more attainable and included as a factor in every person's life. Now take a stand for a better health by moving more and getting active!

Recruitment is one of the biggest challenges that I have noticed regarding physical activity programs for people with disabilities. I experienced this first hand several years ago, when I was developing adaptive sports and exercise programs for students with disabilities at Kent State University. I remember I was very excited for the opportunity to provide such programs to students with disabilities, and also to have have students try activities that they did not think they could do, or that they knew existed.

With the help of the fitness coordinator and student disability services, I was able to set up a variety of adaptive programs - chair aerobics, yoga, aquatics, archery, rock climbing, skiing and an introduction to wheelchair basketball. I assumed that once these activities were available, students would be lining up to join. The truth was, hardly any of the students voluntarily signed up for any of the programs, and the rest had to be encouraged.

Some students are simply not interested in these types of activities, but others, I believe, just had a lack of knowledge - not knowing these programs exist, and not knowing that they can participate in sports and exercise activities even if they do have a physical disability. Also, sports and exercise are generally introduced early to children. But due to the competitive nature of sports, children with disabilities often don't get to reap the benefits of physical activity at all, or are exposed to them much later in their lives.

Temple University in Philadelphia, PA has one of the most creative programming ideas that I've come across. It's called the Workout Buddy Program, and is one of many available from their Adaptive Recreation Department. The goal of the Workout Buddy Program is to provide an opportunity for students with disabilities to experience various sports and exercise activities. Students with disabilities who want to participate are partnered up with a fellow student/volunteer, and they participate together in whatever activity they choose - tandem walking/jogging, handcycling, aquatics, weight traning, cardiovascular conditioning, etc.

Since many individuals with disabilities are not aware of adaptive sports/recreation programs, there needs to be introductory programs that expose young individuals with disabilities to various physical activities. This group also needs to learn about how exercise and sports can benefit them physically and emotionally, and understand that participating in physical activity improves their health and wellbeing. Universities and colleges in particular should be providing such programs for their students since the setting is ideal for fostering new experiences and self-growth.

What other ways can colleges and universities encourage students with disabilities to join sports, exercise, or recreation programs? Also, should there be more focus on attitudinal change from the nondisabled student population?

One of my favorite things to do during the summertime when I was in grade school was going to the pool at my community's recreation center. It was convenient because I lived in town and it was a place where I could socialize with friends.

Looking back almost 20 years later, I realize the importance of the recreation center for me and rest of the community. I grew up in a family where I was encouraged and pushed to be active, regardless of my physical disability. Today, children are less physically active, and instead, playing video games and watching TV. As someone who loves various physical activities, I understand the positive impact physical activity has on an individual's physical and mental well-being. I think this is especially true for children with disabilities. One of the biggest issues is the availability of community physical activity programs for children with disabilities.

With the high obesity rate among Americans - even higher in people with disabilities - communities have the responsibility to provide fitness or physical activity programs for people of all abilities. Today, it's amazing to find so many adaptive sports and recreational opportunities available to people with disabilities, while twenty years ago many of these opportunities were non-existent.

Many of these adaptive sport and physical activity programs are run by non-profit organizations, and now park districts are providing programs. However, it's still not enough. Local communities should be collaborating with school districts to provide programs. Disabilities in general are more "visible" and recognizable in mainstream society now. And, people with disabilities who are living in every community have the right to have fitness/physical activity programs be available to them - just like individuals without disabilities.

Besides the availability of community fitness/physical activity programs, there lies another issue - getting the word out to people. One of the complaints among parents and people with disabilities is that they are unaware these kinds of programs exist. One of the reasons why so many individuals with disabilities do not participate in physical activity is because they don't realize they can, and that it's available. Agency outreach activity needs to be expanded.

In order to get people with disabilities to participate in fitness/physical activity programs they need to be available in communities. This would eliminate people having to search for programs, and accessing them would be easy. One challenge that seems to occur is engaging people with disabilities. I believe that the solution starts in communities, and in collaboration with school districts.

In addition, providing inclusive programs, as well as programs for young children, is a great start. By exposing children to fitness/physical activity programs at an early age, they will continue the behavior as they get older, and receive the health benefits from it. The key is to have programs be available and accessible - the community is a perfect place to start!

What are other ways communities can engage people with disabilities to be physically active?