In providing guidance to my patients about exercise, I used to be very general in my instructions: 20 to 30 minutes, at least 2 or 3 times a week, of whatever activity you like most (eg, walking, playing tennis, or swimming). My thought, to the extent I thought about it at all, was that if they liked the activity they engaged in, they would be more likely to persist in it. Similarly, if a patient told me that she swam 3 times a week, I was more than satisfied. It would not have occurred to me to say: swimming is great, but because it is not weightbearing, it is not good protection against osteoporosis. Although any form of exercise is better than a sedentary lifestyle, additional research in the field can guide prescriptions for exercise regimens as specific as our prescriptions for hypertension medications or human immunodeficiency virus antiretroviral therapy. They should consider not only patient preference but also the differential benefits of different forms of exercise.
Thank you for submitting a comment on this article. It will be reviewed by JAMA Internal Medicine editors. You will be notified when your comment has been published. Comments should not exceed 500 words of text and 10 references.
Do not submit personal medical questions or information that could identify a specific patient, questions about a particular case, or general inquiries to an author. Only content that has not been published, posted, or submitted elsewhere should be submitted. By submitting this Comment, you and any coauthors transfer copyright to the journal if your Comment is posted.
* = Required Field
Disclosure of Any Conflicts of Interest*
Indicate all relevant conflicts of interest of each author below, including all relevant financial interests, activities, and relationships within the past 3 years including, but not limited to, employment, affiliation, grants or funding, consultancies, honoraria or payment, speakers’ bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued. If all authors have none, check "No potential conflicts or relevant financial interests" in the box below. Please also indicate any funding received in support of this work. The information will be posted with your response.
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Web of Science® Times Cited: 2
Customize your page view by dragging & repositioning the boxes below.
More Listings atJAMACareerCenter.com >
Care at the Close of Life EDUCATION GUIDESPalliative Management of Fatigue at the Close of Life
All results at
Enter your username and email address. We'll send you a link to reset your password.
Enter your username and email address. We'll send instructions on how to reset your password to the email address we have on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.