With the increase in incidence of obesity, teachers are becoming concerned about energy balance as it affects not only energy intake but also energy expenditure. Physical activity helps children and adults: expend energy and increase muscle and bone strength; increase lean muscle mass and decrease body fat; maintain weight; and enhance psychological well-being. Physical inactivity is considered a risk factor for developing coronary artery disease and increases the risk of stroke, obesity, high blood pressure, low HDL cholesterol levels, and diabetes. The American Heart Association recommends a daily combination of moderate and vigorous physical activity for both children and adults. Persons of all ages should include physical activity in a comprehensive program of health promotion and disease prevention and should increase their habitual physical activity to a level appropriate to their capacities, needs, and interests. All children age 5 and older should participate in at least 30 minutes of enjoyable, moderate-intensity activities every day, and a minimum of 30 minutes of vigorous physical activity at least 3 to 4 days each week, to achieve cardiovascular fitness. Adults and children should therefore allow a total of 60 minutes per day for physical activity whether at school or home.
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