To the Editor.
—We applaud the efforts of the group of experts who wrote the excellent article entitled "Physical Activity and Public Health: A Recommendation From the Centers for Disease Control and Prevention and the American College of Sports Medicine."1 Their recommendation for increased participation in moderate physical activity among Americans of all ages is very exciting and long overdue. By increasing physical activity levels, our sedentary society can do much to mitigate the harmful aspects of our modern lifestyle.It should be recognized, however, that the one negative effect of increased physical activity is the increased risk of injury related to physical activity. This is true for people moving from low to moderate levels of activity as well as those with high activity levels. Physical activity-related injury is a substantial and costly health problem in our society,2 yet Dr Pate and colleagues did not include strategies for
Pugh CB, Waller AE, Marshall SW. Physical Activity and Public Health. JAMA. 1995;274(7):533. doi:10.1001/jama.1995.03530070031015