SlideShare a Scribd company logo
Professor Mike Trenell Newcastle University, UK www.MoveLab.org 
@miketrenell
Oeppen, J. & Vaupel, J. W. Science 296, 1029–1031 (2002). 
Kirkwood TBL. Nature 451, 664-667 (2008)
The challenge 
Everyday life? 
Metabolic 
Deregulation? 
Cellular defects? 
Adapted from: Barabási AL. 
N Engl J Med. 2007 26;357(4):404-7. 
Muscular 
dystrophy Dementia 
NAFLD 
Type 2 
Diabetes 
CVD
Christakis N Engl J Med 2007; Avery Diab Care 2013
Your health decisions Are being made over here 
Christakis N Engl J Med 2007; Avery Diab Care 2013
Cardiorespiratory Fitness 
(max METs) 
Men 
Women 
15 
10 
5 
30 80 
Cardiorespiratory Fitness 
(% peak) 
100 
80 
60 
20 40 50 60 70 90 
Jackson, et al. Arch Intern Med 169, 1781–1787 (2009)
Women 
Cardio fitness 
(max METs) 
15 
10 
15 
10 
Jackson, et al. Arch Intern Med 169, 1781–1787 (2009) 
BMI 20; PAI 3 
BMI 20; PAI 0 
5 
20 30 40 50 60 70 80 90 
Men 
Cardio fitness 
(max METs) 
5 
BMI 30; PAI 3 
BMI 30; PAI 0 
Age years
Cardiovascular fitness and mortality: over 60yrs 
1 
0.75 
0.5 
0.25 
1 2 3 4 5 
Quintiles of maximal exercise capacity 
Relative risk of death 
Adjusted for age, sex, exam year, smoking status, 
ECG response, baseline health conditions 
As red but also % body fat 
<8.7 
>18.4 
8.7 – 11.2 
11.3 – 13.6 
13.7 – 18.3 
Sui X, et al. JAMA 298: 2507-2516 (2007) 
2603 adults aged 60 years or older
examined was one with historically high test scores. Collectively these data indicate that, at the very 
least, time spent in physical activity programmes does not hinder academic performance, and it 
might indeed improve performance. Given the positive health benefits that are derived from 
physical activity, these studies support PE as an important component of children’s health and 
wellbeing. Bottom panels adapted from REF. 97 (1996) Appleton & Lange. 
examined was one with historically high test scores. Collectively these data indicate that, at the very 
least, time spent in physical activity programmes does not hinder academic performance, and it 
might indeed improve performance. Given the positive health benefits that are derived from 
physical activity, these studies support PE as an important component of children’s health and 
wellbeing. Bottom panels adapted from REF. 97 (1996) Appleton & Lange. 
Mathematics achievement 
Reading achievement 
200 
200 
180 
180 
160 
160 
140 
140 
120 
120 
y = 150.44 + 0.68906x R2 = 0.232 y = 150.64 + 0.57422x R2 = 0.160 
y = 150.44 + 0.68906x R2 = 0.232 y = 150.64 + 0.57422x R2 = 0.160 
200 
180 
160 
140 
120 
0 10 20 30 40 50 60 70 80 
0 10 20 30 40 50 60 70 80 
Aerobic capacity Aerobic capacity 
200 
180 
160 
140 
120 
100 
0 10 20 30 40 50 60 70 80 
100 
Intraparietal PFC 
sulcus 
PCC 
Mathematics achievement 
Reading achievement 
Aerobic capacity Aerobic capacity 
100 
0 10 20 30 40 50 60 70 80 
100 
Intraparietal PFC 
sulcus 
PCC 
Hillman et al. Nat Rev Neurosci 2008
Hillman et al. Nat Rev Neurosci 2008
Moore et al. MoveLab, Unpublished Data 2014
Larsson et al. Ann Intern Med, 2006
Your health decisions Are being made over here 
Christakis N Engl J Med 2007; Avery Diab Care 2013
Professor Mike Trenell Newcastle University, UK www.MoveLab.org 
@miketrenell

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Mike Trenell presents @ Alzheimer's Research UK Meeting Newcastle

  • 1. Professor Mike Trenell Newcastle University, UK www.MoveLab.org @miketrenell
  • 2. Oeppen, J. & Vaupel, J. W. Science 296, 1029–1031 (2002). Kirkwood TBL. Nature 451, 664-667 (2008)
  • 3.
  • 4. The challenge Everyday life? Metabolic Deregulation? Cellular defects? Adapted from: Barabási AL. N Engl J Med. 2007 26;357(4):404-7. Muscular dystrophy Dementia NAFLD Type 2 Diabetes CVD
  • 5. Christakis N Engl J Med 2007; Avery Diab Care 2013
  • 6. Your health decisions Are being made over here Christakis N Engl J Med 2007; Avery Diab Care 2013
  • 7.
  • 8. Cardiorespiratory Fitness (max METs) Men Women 15 10 5 30 80 Cardiorespiratory Fitness (% peak) 100 80 60 20 40 50 60 70 90 Jackson, et al. Arch Intern Med 169, 1781–1787 (2009)
  • 9. Women Cardio fitness (max METs) 15 10 15 10 Jackson, et al. Arch Intern Med 169, 1781–1787 (2009) BMI 20; PAI 3 BMI 20; PAI 0 5 20 30 40 50 60 70 80 90 Men Cardio fitness (max METs) 5 BMI 30; PAI 3 BMI 30; PAI 0 Age years
  • 10. Cardiovascular fitness and mortality: over 60yrs 1 0.75 0.5 0.25 1 2 3 4 5 Quintiles of maximal exercise capacity Relative risk of death Adjusted for age, sex, exam year, smoking status, ECG response, baseline health conditions As red but also % body fat <8.7 >18.4 8.7 – 11.2 11.3 – 13.6 13.7 – 18.3 Sui X, et al. JAMA 298: 2507-2516 (2007) 2603 adults aged 60 years or older
  • 11.
  • 12. examined was one with historically high test scores. Collectively these data indicate that, at the very least, time spent in physical activity programmes does not hinder academic performance, and it might indeed improve performance. Given the positive health benefits that are derived from physical activity, these studies support PE as an important component of children’s health and wellbeing. Bottom panels adapted from REF. 97 (1996) Appleton & Lange. examined was one with historically high test scores. Collectively these data indicate that, at the very least, time spent in physical activity programmes does not hinder academic performance, and it might indeed improve performance. Given the positive health benefits that are derived from physical activity, these studies support PE as an important component of children’s health and wellbeing. Bottom panels adapted from REF. 97 (1996) Appleton & Lange. Mathematics achievement Reading achievement 200 200 180 180 160 160 140 140 120 120 y = 150.44 + 0.68906x R2 = 0.232 y = 150.64 + 0.57422x R2 = 0.160 y = 150.44 + 0.68906x R2 = 0.232 y = 150.64 + 0.57422x R2 = 0.160 200 180 160 140 120 0 10 20 30 40 50 60 70 80 0 10 20 30 40 50 60 70 80 Aerobic capacity Aerobic capacity 200 180 160 140 120 100 0 10 20 30 40 50 60 70 80 100 Intraparietal PFC sulcus PCC Mathematics achievement Reading achievement Aerobic capacity Aerobic capacity 100 0 10 20 30 40 50 60 70 80 100 Intraparietal PFC sulcus PCC Hillman et al. Nat Rev Neurosci 2008
  • 13. Hillman et al. Nat Rev Neurosci 2008
  • 14. Moore et al. MoveLab, Unpublished Data 2014
  • 15. Larsson et al. Ann Intern Med, 2006
  • 16.
  • 17. Your health decisions Are being made over here Christakis N Engl J Med 2007; Avery Diab Care 2013
  • 18. Professor Mike Trenell Newcastle University, UK www.MoveLab.org @miketrenell

Editor's Notes

  1. LET ME BE SURROUNDED BY FAT MERRY MEN?
  2. total 8760 sleep 2920 awake 5840 If you have Type 2 diabetes – you will see you your doctor twice a year for 10 minutes per session. Assuming that they sleep for 8hs a day that means that for 5839hours and foutry minutes…….they are going to be surrounded by things that influence decisions on what to eat, what to drink, how to act. Indeed, I would be wrong to think that the way I dress is my choice? How I have dressed today….it is understanding these behaviours that is the challenge, for each of us.
  3. Data in white in maximal METS achieved during a progressive exercise test
  4. total 8760 sleep 2920 awake 5840 If you have Type 2 diabetes – you will see you your doctor twice a year for 10 minutes per session. Assuming that they sleep for 8hs a day that means that for 5839hours and foutry minutes…….they are going to be surrounded by things that influence decisions on what to eat, what to drink, how to act. Indeed, I would be wrong to think that the way I dress is my choice? How I have dressed today….it is understanding these behaviours that is the challenge, for each of us.