Physical Activity and Health: A Report of the Surgeon General

Message from Donna E. Shalala

Secretary of Health and Human Services

The United States has led the world in understanding and promoting the benefits of physical activity. In the 1950s, we launched the first national effort to encourage young Americans to be physically active, with a strong emphasis on participation in team sports. In the 1970s, we embarked on a national effort to educate Americans about the cardiovascular benefits of vigorous activity, such as running and playing basketball. And in the 1980s and 1990s, we made breakthrough findings about the health benefits of moderate-intensity activities, such as walking, gardening, and dancing.

Now, with the publication of this first Surgeon General's report on physical activity and health, which I commissioned in 1994, we are poised to take another bold step forward. This landmark review of the research on physical activity and health - the most comprehensive ever - has the potential to catalyze a new physical activity and fitness movement in the United States. It is a work of real significance, on par with the Surgeon General's historic first report on smoking and health published in 1964.

This report is a passport to good health for all Americans. Its key finding is that people of all ages can improve the quality of their lives through a lifelong practice of moderate physical activity. You don't have to be training for the Boston Marathon to derive real health benefits from physical activity. A regular, preferably daily regimen of at least 30-45 minutes of brisk walking, bicycling, or even working around the house or yard will reduce your risks of developing coronary heart disease, hypertension, colon cancer, and diabetes. And if you're already doing that, you should consider picking up the pace: this report says that people who are already physically active will benefit even more by increasing the intensity or duration of their activity.

This watershed report comes not a moment too soon. We have found that 60 percent - well over half - of Americans are not regularly active. Worse yet, 25 percent of Americans are not active at all. For young people - the future of our country - physical activity declines dramatically during adolescence. These are dangerous trends. We need to turn them around quickly, for the health of our citizens and our country.

We will do so only with a massive national commitment - beginning now, on the eve of the Centennial Olympic Games, with a true fitness Dream Team drawing on the many forms of leadership that make up our great democratic society. Families need to weave physical activity into the fabric of their daily lives. Health professionals, in addition to being role models for healthy behaviors, need to encourage their patients to get out of their chairs and start fitness programs tailored to their individual needs. Businesses need to learn from what has worked in the past and promote worksite fitness, an easy option for workers. Community leaders need to reexamine whether enough resources have been devoted to the maintenance of parks, playgrounds, community centers, and physical education. Schools and universities need to reintroduce daily, quality physical activity as a key component of a comprehensive education. And the media and entertainment industries need to use their vast creative abilities to show all Americans that physical activity is healthful and fun - in other words, that it is attractive, maybe even glamorous!

We Americans always find the will to change when change is needed. I believe we can team up to create a new physical activity movement in this country. In doing so, we will save precious resources, precious futures, and precious lives. The time for action - and activity - is now.