60-Second Health

Doc Calls Deconditioning a Condition

A Mayo Clinic doc says physicians may miss the signs of extreme deconditioning and prescribe medication instead of long-term exercise programs. Katherine Harmon reports














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Doctors know a lot about prescribing medications. “Take two brisk walks and call me in the morning.” But for many patients, a light get-moving plan might be just what the doctor should have ordered.

Many of us aren't exactly in peak physical condition. But a large number of people are actually deconditioned. So says the Mayo Clinic's Michael Joyner in an essay in The Journal of Physiology. [Michael Joyner, Standing Up for Exercise: Should Deconditioning Be Medicalized?]

After surgery, illness, pregnancy or extended inactivity for any reason, people might feel faint or fatigued when they try even mild exercise. These signs, Joyner argues, should be recognized by doctors not as symptoms that should be treated with drugs, but rather as a medical state of deconditioning that might be better helped with a gentle, guided exercise program.

It might sound counterintuitive that fatigue can be beat back with exercise. But remember Newton—Isaac, not Fig. A body at rest stays at rest. And a body in motion needs to resist external forces acting upon it that might slow it down.

—Katherine Harmon

[The above text is a transcript of this podcast.]     


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  1. 1. ASHIK 05:29 AM 8/16/12

    I agree with doc.

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  2. 2. lamorpa 09:30 AM 8/16/12

    Is he saying the natural human condition is not to sit on a couch watching TV while eating potato chips and expect doctors to dispense pills to make you feel good?

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  3. 3. Liwang 10:36 AM 9/1/12

    I am having a hard time figuring out the quotation from Newton. Does the 'external force' there refer to the deconditioning state. And we have to fight it to enjoy good health. If so, where does 'exercise' fit into all this. I think the quotation was being made to explain why it is not counterintuitive to beat back fatigue with exercise. Unfortunately, after the explanation, I am still in the dark.

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