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Fitness 11 min read

How Regular Exercise Prevents Chronic Disease

In this modern era and work culture, we are bound to sit for a long time, and due to that many of us are leading a sedentary lifestyle.…

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How Regular Exercise Prevents Chronic Disease

In this modern era and work culture, we are bound to sit for a long time, and due to that many of us are leading a sedentary lifestyle. Modern lifestyle has shown a decrease in physical activities. WHO estimates that nearly half of adults in India (49.4% in 2022) do not get enough physical activity.[1] Partly because of these factors, many people around the world are diagnosed with chronic disease every year; noncommunicable diseases (NCDs), also known as chronic diseases, caused at least 43 million deaths in 2021, equivalent to 75% of non-pandemic-related deaths globally.[2] Chronic diseases are broadly defined as conditions that last one year or more and require ongoing medical attention, limit daily activities, or both,[3] and many of them cannot be cured completely, although they can often be managed.

Let us understand more about chronic disease.

Diseases such as heart disease, diabetes, chronic respiratory diseases, and cancer are the major types of chronic diseases.[2] These are the result of a combination of genetic, physiological, environmental and behavioural factors.[2]

  • Heart Disease: Heart disease is a condition in which the functioning of the heart is affected. Factors like smoking, harmful use of alcohol, physical inactivity, unhealthy eating, raised cholesterol, obesity, and hypertension contribute to cardiovascular diseases such as stroke, coronary heart disease, arrhythmia, etc.[4]
  • Diabetes: Diabetes is a condition when your pancreas is not able to produce enough insulin or when the body cannot effectively use the insulin it produces.[5] Diabetes is also considered a condition of high blood sugar because the body is not able to keep its blood sugar level under control.
  • Cancer: Cancer is a health condition in which body cells start growing at a rapid pace, spreading to the neighboring cells. These abnormal tissues spread to the neighboring tissues and can eventually form tumors. Regular exercise is associated with a lower risk of developing several types of cancer.[6]
  • Chronic respiratory disease: Chronic respiratory disease is a disease that is caused due to improper functioning of the lungs and airway passage. These diseases are caused by numerous factors, which include smoking, occupational exposure to dust, fumes or chemicals, and air pollution.[7]

Benefits of Regular Exercise

Having a daily workout routine is necessary for every individual as it helps in maintaining health and wellness. Regular exercise not only improves physical health but also supports mental health and cardiovascular health, and strengthens muscles & bones.[8][9]

  • Cardiovascular Health: Regular physical activities involving aerobic exercises such as walking and cycling help increase the body’s cardiovascular functionality. Cardiovascular exercises not only improve blood circulation but also strengthen the heart, help maintain body weight, help lower blood pressure, and improve heart function.[8][10]
  • Diabetes Management: Exercise has many benefits such as improving insulin sensitivity, helping to maintain blood sugar levels, and reducing cardiovascular risk.[9] The risk of cardiovascular disease is higher among people with diabetes (about double for coronary heart disease in a pooled analysis of 102 prospective studies),[11] and hence regular physical activity is important to maintain health.
  • Weight Management: An individual should manage their weight because carrying excess weight can lead to overweight and eventually obesity. WHO defines a BMI of 25-29.9 as overweight and a BMI of 30.0 & above as obese.[12] For Asian Indians, Indian consensus guidelines use lower cut-offs: overweight from a BMI of 23 and obesity from a BMI of 25.[13] Further obesity is classified into three distinct categories namely class 1 obese, class 2 obese, and class 3 obese. If an individual does not engage in physical activity, excess weight can lead to various chronic health conditions. Hence, having a daily fitness routine is important for any individual.
  • Cancer Prevention: Cancer is one of the most common chronic diseases in the world. It is caused due to abnormal mutation of body cells. Regular exercise is associated with a lower risk of several types of cancer.[6] It also has anti-inflammatory effects, which are thought to contribute to its protective effect against chronic disease.[14]
  • Mental Health: Mental health conditions such as depression and anxiety often occur alongside chronic physical illness and can make it worse,[15] and depression is associated with a higher risk of stroke.[16] Regular physical activity is linked to fewer symptoms of anxiety and depression.[8] To help prevent and manage these conditions, an individual should have a fitness routine that should include aerobic exercise, strength training, yoga, hiking, etc.

Getting Started with Exercise

Initial days of exercise can be quite demotivating especially if you are a complete beginner. It is essential to have a regular exercise routine daily. There are a few steps that an individual should follow to maintain consistency. Some of them are listed below.

  1. Setting a goal: One should not overcommit on their initial days of fitness routine. Setting up small goals will work efficiently to achieve the goal.
  2. Choose fitness activities: A person should be wise when choosing exercise. Fitness activities like walking, jogging, cycling, dancing, and strength training are some of the most effective and important exercises that should be present in every fitness routine.
  3. Schedule: Choose a suitable time for your exercise, whether it is morning, afternoon, or evening.

Regular exercise is necessary in our daily routine as it helps lower the risk of chronic diseases such as diabetes, cancer, heart disease, and obesity.[8] Without physical activity, an individual’s body functioning depletes making them physically and mentally unhealthy. Exercise activities such as walking, jogging, cycling, playing outdoor sports, and weight training are some of the best forms of fitness activities that help keep the body fit and healthy.

Frequently Asked Questions

Yes. WHO guidelines suggest that adults do at least 150–300 minutes of moderate-intensity aerobic activity per week (or 75–150 minutes of vigorous-intensity activity).[8] Compared with being inactive, reaching 150 minutes a week is associated with roughly 17% lower risk of cardiovascular disease and 26% lower risk of type 2 diabetes,[17] provided it is consistent.

In some cases exercise can improve a chronic disease substantially, but whether it can be reversed depends on the condition and the person. For hypertension, fatty liver disease, and early-stage Type 2 Diabetes, regular exercise (usually combined with healthier eating) can improve control: exercise training lowers blood pressure,[10] both aerobic and resistance exercise reduce liver fat in fatty liver disease,[18] and in the Look AHEAD trial an intensive diet-and-exercise programme led to partial or complete diabetes remission in 7.3% of participants after four years, compared with 2.0% in the control group.[19]

Absolutely. Strength training is recommended for adults on 2 or more days a week[8] and helps build muscle strength; it is a key part of managing Sarcopenia (age-related muscle loss).[20][21] Exercise also has a small but positive effect on bone density in postmenopausal women, which is relevant to Osteoporosis.[22] Resistance training may also modestly raise resting metabolic rate,[23] which can support the weight management that helps lower the risk of other chronic illnesses.

There is a “bi-directional” link. Chronic physical illness is often accompanied by depression/anxiety, and depression is associated with a higher risk of some chronic diseases such as stroke.[15][16] Regular physical activity is linked to fewer symptoms of anxiety and depression,[8] which may help break the stress cycle that often worsens physical disease.

A scale can’t tell the difference between “healthy” weight and “dangerous” weight. An InBody scan estimates your Visceral Fat (the fat around your organs), which is an independent risk marker for chronic diseases like heart disease and diabetes.[24] The estimate correlates with CT-measured visceral fat (r = 0.76 in one study of 53 patients), though it is an estimate rather than an exact measurement.[25]

InBody 270 body composition analyzer used in Indian gyms and clinics
InBody 270 body composition analyzer used in Indian gyms and clinics

Key Takeaways

  • Metabolic Defense System: Regular exercise improves insulin sensitivity and glucose metabolism.[9] By helping to keep blood sugar levels in check, it is an important way to lower the risk of Type 2 Diabetes: in the Indian Diabetes Prevention Programme, lifestyle modification (diet and physical activity advice) cut the 3-year risk of progressing to diabetes by 28.5% in Asian Indians with impaired glucose tolerance.[26]
  • Cardiovascular Resilience: Physical activity strengthens the heart muscle and improves arterial elasticity. This helps lower blood pressure[10] and is associated with a lower risk of stroke and coronary artery disease.[8][17]
  • The Inflammation Neutralizer: Chronic, low-grade inflammation contributes to many diseases. Exercise causes muscles to release signalling proteins called “myokines”, and regular exercise has anti-inflammatory effects.[14][27]
  • Skeletal Muscle as an Organ: Muscle is more than just for movement; it is an active secretory (endocrine) organ that releases signalling molecules.[27] Maintaining muscle mass through resistance training helps preserve strength and metabolic health as you age.[20][28]
  • The Precision Requirement: General “activity” is good, but intensity and consistency matter: guidelines recommend at least 150–300 minutes of moderate-intensity (or 75–150 minutes of vigorous-intensity) activity a week.[8] Tracking your activity and body composition can help you check whether you are meeting those targets.
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References

  1. World Health Organization Regional Office for South-East Asia. Physical Activity Profile 2024: India (country factsheet; estimated prevalence of insufficient physical activity among adults aged 18+, 2022). Geneva/New Delhi: WHO; 2024. WHO factsheet (PDF)
  2. World Health Organization. Noncommunicable diseases (fact sheet). Geneva: WHO; accessed 1 October 2026. WHO fact sheet
  3. Centers for Disease Control and Prevention. About Chronic Diseases. Atlanta: CDC; page dated 14 May 2026; accessed 1 October 2026. CDC web page
  4. World Health Organization. Cardiovascular diseases (CVDs) (fact sheet). Geneva: WHO; accessed 1 October 2026. WHO fact sheet
  5. World Health Organization. Diabetes (fact sheet). Geneva: WHO; accessed 1 October 2026. WHO fact sheet
  6. Moore SC, Lee IM, Weiderpass E, Campbell PT, Sampson JN, Kitahara CM, et al. Association of Leisure-Time Physical Activity With Risk of 26 Types of Cancer in 1.44 Million Adults. JAMA Intern Med. 2016;176(6):816-825. PubMed · DOI
  7. World Health Organization. Chronic obstructive pulmonary disease (COPD) (fact sheet). Geneva: WHO; accessed 1 October 2026. WHO fact sheet
  8. Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med. 2020;54(24):1451-1462. PubMed · DOI
  9. Colberg SR, Sigal RJ, Yardley JE, Riddell MC, Dunstan DW, Dempsey PC, et al. Physical Activity/Exercise and Diabetes: A Position Statement of the American Diabetes Association. Diabetes Care. 2016;39(11):2065-2079. PubMed · DOI
  10. Cornelissen VA, Smart NA. Exercise training for blood pressure: a systematic review and meta-analysis. J Am Heart Assoc. 2013;2(1):e004473. PubMed · DOI
  11. Emerging Risk Factors Collaboration, Sarwar N, Gao P, Seshasai SR, Gobin R, Kaptoge S, et al. Diabetes mellitus, fasting blood glucose concentration, and risk of vascular disease: a collaborative meta-analysis of 102 prospective studies. Lancet. 2010;375(9733):2215-2222. PubMed · DOI
  12. World Health Organization. Obesity and overweight (fact sheet). Geneva: WHO; accessed 1 October 2026. WHO fact sheet
  13. Misra A, Chowbey P, Makkar BM, Vikram NK, Wasir JS, Chadha D, et al. Consensus statement for diagnosis of obesity, abdominal obesity and the metabolic syndrome for Asian Indians and recommendations for physical activity, medical and surgical management. J Assoc Physicians India. 2009;57:163-170. PubMed
  14. Gleeson M, Bishop NC, Stensel DJ, Lindley MR, Mastana SS, Nimmo MA. The anti-inflammatory effects of exercise: mechanisms and implications for the prevention and treatment of disease. Nat Rev Immunol. 2011;11(9):607-615. PubMed · DOI
  15. Moussavi S, Chatterji S, Verdes E, Tandon A, Patel V, Ustun B. Depression, chronic diseases, and decrements in health: results from the World Health Surveys. Lancet. 2007;370(9590):851-858. PubMed · DOI
  16. Pan A, Sun Q, Okereke OI, Rexrode KM, Hu FB. Depression and risk of stroke morbidity and mortality: a meta-analysis and systematic review. JAMA. 2011;306(11):1241-1249. PubMed · DOI
  17. Wahid A, Manek N, Nichols M, Kelly P, Foster C, Webster P, et al. Quantifying the Association Between Physical Activity and Cardiovascular Disease and Diabetes: A Systematic Review and Meta-Analysis. J Am Heart Assoc. 2016;5(9):e002495. PubMed · DOI
  18. Hashida R, Kawaguchi T, Bekki M, Omoto M, Matsuse H, Nago T, et al. Aerobic vs. resistance exercise in non-alcoholic fatty liver disease: A systematic review. J Hepatol. 2017;66(1):142-152. PubMed · DOI
  19. Gregg EW, Chen H, Wagenknecht LE, Clark JM, Delahanty LM, Bantle J, et al. Association of an intensive lifestyle intervention with remission of type 2 diabetes. JAMA. 2012;308(23):2489-2496. PubMed · DOI
  20. Liu CJ, Latham NK. Progressive resistance strength training for improving physical function in older adults. Cochrane Database Syst Rev. 2009(3):CD002759. PubMed · DOI
  21. Kalra S, Shaikh IA, Shende S, Kapoor N, Unnikrishnan AG, Sharma OP, et al. An Indian Consensus on Sarcopenia: Epidemiology, Etiology, Clinical Impact, Screening, and Therapeutic Approaches. Int J Gen Med. 2025;18:1731-1745. PubMed · DOI
  22. Howe TE, Shea B, Dawson LJ, Downie F, Murray A, Ross C, et al. Exercise for preventing and treating osteoporosis in postmenopausal women. Cochrane Database Syst Rev. 2011(7):CD000333. PubMed · DOI
  23. Westcott WL. Resistance training is medicine: effects of strength training on health. Curr Sports Med Rep. 2012;11(4):209-216. PubMed · DOI
  24. Neeland IJ, Ross R, Després JP, Matsuzawa Y, Yamashita S, Shai I, et al. Visceral and ectopic fat, atherosclerosis, and cardiometabolic disease: a position statement. Lancet Diabetes Endocrinol. 2019;7(9):715-725. PubMed · DOI
  25. Ogawa H, Fujitani K, Tsujinaka T, Imanishi K, Shirakata H, Kantani A, et al. InBody 720 as a new method of evaluating visceral obesity. Hepatogastroenterology. 2011;58(105):42-44. PubMed
  26. Ramachandran A, Snehalatha C, Mary S, Mukesh B, Bhaskar AD, Vijay V, et al. The Indian Diabetes Prevention Programme shows that lifestyle modification and metformin prevent type 2 diabetes in Asian Indian subjects with impaired glucose tolerance (IDPP-1). Diabetologia. 2006;49(2):289-297. PubMed · DOI
  27. Pedersen BK, Febbraio MA. Muscles, exercise and obesity: skeletal muscle as a secretory organ. Nat Rev Endocrinol. 2012;8(8):457-465. PubMed · DOI
  28. Srikanthan P, Karlamangla AS. Relative muscle mass is inversely associated with insulin resistance and prediabetes. Findings from the third National Health and Nutrition Examination Survey. J Clin Endocrinol Metab. 2011;96(9):2898-2903. PubMed · DOI
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