Poll: Should Physical Inactivity Be Considered a Medical Condition?

By , SparkPeople Blogger
Over the years as technology has advanced and made it easier for us to sit more throughout the day, humans in general have become less active. This continued inactivity has lead to increasing obesity trends, along with other ailments such as diabetes, heart disease, high blood pressure, etc. Like I mentioned in a previous blog, "many people might find that they spend 8+ hours sitting at work and then come home and sit some more, whether it is to watch TV or for some other sedentary activity."
According to this article,  all this inactivity is being labeled as a "pandemic" and states that physical inactivity is "responsible for 1 in 10 deaths worldwide." Inactivity is something that can be changed and Michael Joyner, a Mayo Clinic physiologist, says "that one way to deal with the problem is to make physical inactivity a mainstream medical diagnosis." With that idea, we would place some of the responsibility on our doctors to prescribe exercise for us rather than have us taking full responsibility. Just because our doctor prescribes exercise and activity for us, does that mean that we will actually follow through with it? In my experience, that is not likely. While being inactive can cause a lot of health problems, you have to want to be active and better your health for you to actually follow through with becoming more active and establishing healthier habits. Having a doctor's prescription for exercise won't automatically make every inactive person change their ways and become active. Although, if physical inactivity were considered a medical condition, perhaps insurance companies would start to provide coverage for more preventative measures, including gym memberships or a reduction in your insurance premiums for participating in healthy activities and leading a healthier lifestyle, along with possibly helping to remove some of the excuses for those that are physically inactive.

Will a doctor's prescription for exercise help solve the issue of inactivity? 

Do you think that physical inactivity should be considered a medical condition?

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ROCKS8ROX 1/10/2018
This article certainly sparks debate. I think that inactivity is a health issue. Many companies who offer health care watch their employee's weight and fitness. The more bad habits the employee has the more that employee pays for health care. Report
KAYABOBB 5/31/2017
In activity should not be a medical condition but it is a health problem. The issue is, is that we have made it too easy to be inactive. We have things like power scooters at the grocery store and there are people who really don't need them. The issue is, is that when it comes to activity its 100% about your mentality. If you don't FEEL like getting up or you keep saying it HURTS too much, then you likely won't finish what you started. We should encourage people to walk instead of giving them wheel chairs and letting all these excuses continue. Report
SLYDE-GLYDER 5/29/2017
As much as hitting yourself in the head with a baseball bat would be a physical condition. While either may result in a physical condition, a willful act is not. A doctors prescription will not result in much. To many people want a pill, that's why they go to the doctor, not to be told something they already know. Report
One potential benefit would be that you could submit claims to your insurance provider for help paying for things like gym membership or a personal trainer. I certainly think that would benefit many Americans, including myself. Report
JIBBIE49 5/29/2017
I read that HALF of all people who sign up for a gym membership never go one time, even though they continue to pay the payments for the year or two required. Report
BERRY4 4/17/2017
Inactivity is NOT a medical condition. As has been said already: IT IS A CHOICE. Report
MARTHA324 4/17/2017
Not sure, but if a doctor gave you a prescription for a health club/gym it might get more people to work out. Report
RYAN133HW 4/17/2017
if people don't listen to their doctors and do things like take their medicine, stay away from fatty foods if you have high cholesterol, avoid too much sugar if you are diabetic, etc., what makes anybody think that they would comply with an exercise "prescription"? come on, people, it's time to be responsible adults and own your decisions. doctors DO recommend exercise; they DO discuss different options; they DO ask how active the patient is. guess what. patients lie if they don't like what the doctor is going to say. inactivity is totally a choice and is controlled solely by the individual. you don't choose to have high blood pressure. you don't choose to have chronic migraines. you don't choose to have arthritis. you CHOOSE to exercise or not exercise. it is not a condition, it is a choice! Report
WISAMY 4/17/2017
No, but what is causing you to be inactive should be explored. It could be related to a mental health problem or a physical problem. The underlying issue should be diagnosed and treated. Report
GGRSPARK 4/17/2017
How many people do you know who just don't get it? We have friends who will chide us for putting fitness first. One of these cannot walk across a parking lot without resting, and there is nothing more than stubborn inactivity to blame. A doctor can recommend a lifestyle change, a company may have a fitness program on site with professional supervision, but only when failing health looms ahead do people get serious. True enough some of us are addicted to fitness ( I'm one !) but my gym habit has enhanced my life . I'm not an ironman, marathoner, nor do I play tennis anymore, but my fitness has carried me through an awful hurdle...
So for me, it's a YES, though it might be difficult to quantify levels of inactivity. There's a subject for discussion - if I work out for one hour and spend the rest of my awake time in my butt...how do I figure on a scale ... Report
CHERYLHURT 4/17/2017
It's a choice! Report
BUGGSBY 4/17/2017
I'm surprised that no one seems to mention the real reason we've become sedentary; civilization. The more modern conveniences we have, the less we have the NEED to be on our feet. It's only natural to want to work as little as possible, and living in this day and age means we don't have to hunt, scrub clothes by hand, haul water, or chop wood (at least a great many of us.) So many little daily things the men and women used to do we just don't have to do anymore so we just... don't.

Nowadays we have to make a *conscious effort of will* to be active and it's no surprise our brains are like "are you kidding me??? there's a couch right there...." Report
Look, physical inactivity is a problem. But it is one of decision making and motivation , not an issue of having a prescription for an insurance company cover the cost of a gym membership. Why would it be fair to pay for gym memberships for folks who aren't going to use them anyway (because they aren't motivated to go and have no desire to improve) when those of us who do have the motivation to go have to pay for the gym membership ourselves?!?! Has everyone given up on the concept of personal responsibility? Report
I voted no. However, major depressive disorder is a medical condition which can cause one to become inactive. One has to fight to become active, but it is a good fight to fight. Report
While I would never expect doctors to be trained as personal fitness trainers, I do believe that modern medicine tends to be more reactive than proactive, medicating for conditions but not educating patients or giving them resources to get to the possible root problem of a condition in order to prevent it. Doctors should recognize when exercise might help any condition and prescribe it - maybe by writing a prescription for a local gym membership or fitness training service. To achieve optimal personal health and well-being certainly takes dedication and hard work from the individual, but that doesn't mean that doctors shouldn't be a resource in this journey. Report
It seems that these days no one is responsible for anything. Having a doctor prescribe exercise - give me a break! I know my doctor has more important things to do. No matter where you live, you can go outside for a walk. A friend has issues that make it difficult to walk outside in the winter. Instead, she gets in between 3,000-5,000 steps by walking the halls and using the stairs of the she lives. Report
I agree with MISOTU! This isn't just an obesity issue, either. Physical activity improves a myriad of issues and today's culture seems to value what's written on a prescription pad as the most effective form of treatment. Talk about expensive!!! At least give the gym a try before the meds, it's a ton cheaper. What about a prescription to see a nutritionist? I'm shocked at the number of people who don't have any idea what their daily caloric intake should be. I'd much rather have to wait an extra 10 minutes to see my doctor because the gym rep was consulting with him about services they have to offer instead of watching that Pfizer guy waltz out. Report
Lifestyle is a choice, not a medical condition. You choose to be active or be sedentary and all choices have consequences. This is like saying alcoholism is a disease--IT'S NOT. You have to choose to take that first drink!! Comparing someone who made poor choices to someone who had no choice, like a cancer patient, is not only comparing apples to oranges, but I find it morally wrong. Inactivity is NOT a medical condition! Report
Choosing to live an unhealthy lifestyle is just that... a choice and not a medical condition! This is a ludicrous! Report
No, it should not. We need to take responsibility. That said, I think any good doctor would be concerned about how much physical activity their patients get and help them add it in. That may make someone wake up a little. Report
Definitely not. We need to quit looking for Big Pharmi, Big Medicine, Big government, etc. to save us from ourselves and provide us with just another source of excuses and learned helplessness. We need to put on our big girl panties, face the truth, adopt a positive attitude, and change the direction of our lives. A choice is not a disease. Quit going to Walmart to look for the next magic pill; buy some sneakers and freggies and hit the bricks. Report
It's more of a symptom of a medical condition, not an actual medical condition. I found out a year ago that I was anemic and that's what caused me to be so fatigued and not wanting to work out. I wasn't lazy. I simply had an iron deficiency. So no it's not a condition but it could be a symptom of a more serious problem/disease. Report
Sure, it would be great to have our insurance companies cover the costs of gym memberships, wouldn't it? Just make the insurance rates go up... and the cost of gyms go up, while the quality goes down, and they're forced to open their doors to everyone just like emergency rooms do.

I mean, I'm looking forward to joining a gym when I get benefits from my new job--because free gym membership is one benefit this place is great enough to offer, as long as you commit to a certain number of visits per week. And otherwise, I don't have the income to afford a gym. But there's always the Y (not particularly local for me, but...) and the park, and the streets I can walk/jog on, or the mall to mall-walk at if I feel the need to be indoors for my workout. There's DVDs and free workout videos here at SP and on YouTube. If you can't afford dumbbells or a machine at home, there's cans of soup in the pantry and used bikes available inexpensively online. Inactivity is... well... the only thing that doctors could prescribe that would be sure to work would be attitude... and that's not something that can just be handed to you. If it's going to be something that's medically defined and handled, I think it has to go in with the mental issues, not with physical ones. It's not an ailment so much as a state of mind, and it really is up to individuals to turn themselves around. Report
Reward and allow insurance coverage for laziness? Right. Anybody who is not comatose, is capable of activity, even those with injuries. Passive activity has been part of every CP or other patient's routine for a hundred years. Report
Everyone MUST be responsible for themselves. That includes exercising, eating right and contributing to the world in a positive manner! Report
Inactivity is not a medical condition. It is a lifestyle choice. Human beings make bad choices and have to live with the consequences. If inactivity is a medical condition, then doctors will become lifestyle cops rather than healers. People will avoid their doctors to avoid criticism. Not much of an incentive for a healthy life. Report
Be careful what you wish for. Right now my company is giving incentives for "healthy lifestyle choices" with bribes of $400. But to sign up for the gym membership, etc you also have to submit to biometrics scanning. Right now it is voluntary, but I see the day where it will become mandatory. And punitive. Either in increased insurance costs or even loss of jobs. What happens to a person like myself who has lost over 50 pounds but still has 50 to go. My biometrics aren't going to be stellar but where's the proof of the improvement I made all on my own without big brother nanny-ing me? Report
My cardiologist wrote me a presciption to work out 5 days a week. lol, I was only doing 3 days. My employer pays $50 for attending your gym at least 8 days a month. 8 days!!! and only about 10 out of 100 employess take advantage. It's up to the individual to do what's best for their body/life. Report
This is an emotionally charged topic. Inactivity in and of itself is not exactly a medical condition. However; inactivity does lead to several health conditons that are detrimental to health and reduce quality of life. I think instead of prescribing excercise, we need to find the root of inactivity. Is it from depression, mental illness, physical disability, or just plane laziness? We all know that cigarettes contain carcinogens and are not good for our health. Yet, people still smoke them. I don't think we need to put the blame and the responsibility on health professionals. We all need to be accountable for our actions, our health, and the consequences of bad choices. I am taking the first step by joining spark and making choices for a healthier life style. It is not necessary for a doctor to write on a prescription pad to track my food and excercise intake when there are web programs such as spark that are very easily accessible. It is time we expect people to take responsibility for their own actions. Report
I agree with the many people who think we are absconding ourselves from our personal responsibility to take care of the most miraculous creation of all times - our body. As long as we are not afflicted with an incurable ailment or a genetic condition that does not allow for any form of physical activity, we need to be responsible for our health and well-being and that's all there is to that. Report
Physical inactivity is no more a medical condition than having unsafe sex or smoking. It's an unwise behavior that can lead to a medical condition. Doctors often tell people to get exercise, just as they tell them to use condoms and stop smoking. Regarding coverage for gyms and such, there are some insurance plans and employers that do offer a discounted gym membership along with other preventive healthcare. At the end of the day, they have actuaries crunching the numbers to figure out what will save them the most money. My guess is they've figured out that you could give everyone a free treadmill for their home, and most people would still sit down and watch TV. Report
I voted "yes". But I think, if things were ever to go in this direction - in the first instance, "not exercising" should be classed as a mental/emotional/psychological issue rather than a physical illness.
Leaving exercise to schools is, in a way, dodging the issue, as children learn so much in their first 2 or 3 years. To me, that means time at home. So the parental focus for this needs to be sorted, as well as requiring schools to provide plent of exercise (and fresh air to go with it).
Maybe there should be a package of legislation for schools - fresh air, exercise, and healthy foods. Those would be better subjects to reduce the time available for the basics - The 3 Rs: reading, riting and rithmetic! -rather than the subjects which could be left till the next schooling stage. Report
ARE YOU KIDDING ME? So, from what I get this is just another way for us to not have to take responsibility for our own actions. Now we are going from telling our kids, you are always a winner to telling ourselves it is never your fault. Why, as a planet at this point, are we trying to always blame someone else. I AM the reason I am inactive, I AM the reason my diet is crap, and I AM the only one who can change it. My doctor can talk all he or she wants but I AM the only one who can change it, no matter what they say. Report
Question could be better phrased ....like physical activity for kids....esp in school....and in nursing homes....and on the job......in churches.....hospitals.....etc. Report
Is not brushing your teeth a dental condition?

No. Although I suppose someone could have a medical condition that makes it difficult or impossible to do it, it is not in and of itself neither a medical condition nor a dental one. It will lead to one or more dental conditions - cavities, gum disease...

Likewise inactivity is not a medical condition. Although sometimes there may be medical conditions that make it difficult or impossible.

Now a prescription for exercise would not be a bad thing. Not a bad idea at all. Report
Torn on this one but voted "yes"...I think gym memberships and fitness equipment should be covered by insurance, but there would have to be a tangible/creative way to track its use. Imagine something like a safe driver discount...if one were willing to participate, s/he could have their health/fitness goals monitored and as s/he meets these goals, their deductible or premiums could be decreased, or benefits such as gym memberships that are being used increased. Just a thought. I do think people need to take responsibility for their own fitness and nutrition--as I did, resulting in a 50-lb weight loss and BP reduction from outrageously high to low-normal--but at the same time, there is such an epidemic of obesity, diabetes, high blood pressure and culture of inactivity in this country, people who are actively working to make change and break these patterns should be recognized with benefits for preventive health care rather than incurring costs for treatment. Just my thoughts... Report
Being inactive is apt to make one OUT of condition, but being inactive is not a medical condition; it is a condition of attitude, of mind, so to speak.

Labeling it medical seems to relieve the inactive one of responsibility for doing anything about it--it's like a scolding.

I wonder sometimes where the education to BE responsible went, when it stopped being part of our moral/social environment. I miss it. Report
You're kidding right? Report
We have a "condition" for everything. What a CROCK! -- Nothing like passing the buck, once again, and making it "somebody else's issue" vs. owning our lives, our choices, our "stupid".
People say they believe in evolution. Hmmmm.... Survival of the fittest???? Report
Though I don't believe that inactivity should be a medical diagnosis, I do believe more effort should be made to educate peoople on what exercises, food, etc. they can do. They need to do this in all communities, but especially in poor communities because access to healthy food and nutrition is lacking. Some communities have fast food joints that are a few steps away yet have to drive miles to get to a supermarket with fresh food choices. There are people who don't know where even to begin as regards to physical activity. There should be mobile buses that go around the country to teach people about exercise and nutrition, maybe put in an incentive like gifts cards, movie tickets, discount cards for supermarkets, gym trial cards and such to bring people out? Report
putting the burden on your doctor to "prescribe" exercise is like blaming McDonald's for obesity. no one makes you buy food at mcdonald's and no one needs a doctor to tell them they need to have some type of physical activity, even if it is very modified. people need to accept responsiblity for their choices, not blame someone else. Report
I don't believe that physical inactivity should be labeled as a disease. I have been told by my doctor to not walk as it will cause further problems with the knees and ankles. I have been doing tsi chi while being seated and this is helping me. But I have not been told to do this by a doctor although they are happy with my ability to do so. Report
After a severe neck injury in an accident, neck surgery and neck braces for 3 months, I expected a round of rehab. I was shocked when the doctor said "No. Just walk every day. That is the best therapy."
But I got busy back with life, work, family, church. I kept MEANING to walk, but...

If the doctor had written on a prescription pad "WALK!" I might have.

It wasn't until 5 years later, when I read a Spark article with a photo of a prescription pad with "EXERCISE" on it, that it finally CLICKED!
I take my blood pressure medicine daily, so why not walk daily as medicine too!?!?!
So SIMPLE. Yet some of us have to learn the hard way - like after gaining 30 pounds from inactivity.
THANKS to Spark for leading me/us to healthier, hopefully longer, lives! Report
Your activity level is a choice that you make all on your own. yes, the doctors can start telling patients to get more exercise but it is still up to the patient whether or not they actually do it. Also, you do not need a gym membership to be healthy and active, imo that is a lame excuse and should never be used. Report
Inactivity is a choice NOT a medical condition! Even a prescription from a doctor does not mean that a person will follow through. If it is made a medical condition then insurance companies might have to start paying for gym memberships and exercise equipment that will probably go unused by many of the people who just choose to be inactive. I do not beleive I should have to pay in increased insurance premiums, for other peoples' choice to not step out the door in a pair of walking/running shoes. Report
Physical inactivity is a choice not a medical condition. Report
I think we all need to exercise especially those of us who are sedentary ,most of the day.I just bought an elliptical machine and use it everyday...so far,suspect it will get boring soon but I also have a bicyle to ride and I do walk often hope everyone out there has some form of exercise they enjoy or at least do everyday !! Report
Inactivity is a contributor to some health conditions, but it isn't a health condition by itself. Activity is a treatment for other health conditions. It's analogous to altitude -- I live at 9,400 ft, which is not good for anyone with hypertension. It's harder to control at altitude. Should living at altitude be considered a health condition? No. It contributes to uncontrolled hypertension, but it isn't a healt condition itself. Report
If it could make insurance companies cover things like gym memberships & nutritionists (which mine does not) then yes it should be considered a medical condition. Report
Inactivity is a MENTAL condition. . i have it. i call it laziness. Report
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