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Advice on exercise in general practice is effective in improving
physical activity and quality of life in sedentary people aged 40-79 and has no adverse effects. Elley and colleagues (p 793) conducted a
randomised controlled trial in New Zealand on the effectiveness of a
physical activity counselling programme that takes place within a
normal practice consultation. Over 12 months the patients had increased
their leisure exercise and self reports of general health and vitality.
There was a trend towards decreasing blood pressure, but no significant
changes in the risk of coronary heart disease.

(Credit: BIRGIT UTECH/PHOTONICA)