NEPA: A Toronto Physiotherapist’s Cure for “Inactivity Physiology”
The second point brought up in the previous couple posts relates to the risks of too much sitting and limiting everyday, non-exercise activity.
I’ve already spoken about the dangers of sitting in a quite a few of my previous physiotherapy blog posts, so I won’t belabour that point.
What I will say is that even for those who are fairly physically active, prolonged sitting will still cause problems, the same as it will for those who are more sedentary.
This is where NEPA comes into play.
NEPA or Non-Exercise Physical Activity (I’ve talked about it as NEAT or non-exercise activity thermogenesis previously) is all the other movement you do during your day that doesn’t count as exercise. The “everyday life activity”. This is where that leisurely stroll, the housework, and yes, even the fidgeting comes in to play.
Why is NEPA important?
Think of it this way…It’s a lot easier to get a few minutes of NEPA frequently throughout the day than it would be to set up an intense exercise activity regularly and consistently through your day.
If you can increase your non-exercise physical activity by 15-20 minutes a day in spurts of 1-2 minutes at a time, over the course of your week you will have added around 2 hours of increased movement. And most of you won’t even notice the added bouts of 1 minute movement.
It won’t interrupt your day.
It won’t cost you much in terms of time to take the stairs instead of the elevator, but the health benefits multiplied over a long period of time can be significant.
This takes me back to an article I was emailed some time ago.
According to that article, in the past 150 years non-exercise related calorie burning has dropped by about 2000 calories a day.
Yup.
2000.
That’s the same number that is used as the baseline total daily calories for calculating percentage of daily values for nutrient requirements in American food labeling.
150 years ago, we used to burn more calories with non-exercise related activities than we are supposed to take in daily today.
Now that’s something to think about.
Yours in movement.
Dev Chengkalath
