Are you in Canada? Click here to proceed to the HK Canada website.

For all other locations, click here to continue to the HK US website.

Human Kinetics Logo

Purchase Courses or Access Digital Products

If you are looking to purchase online videos, online courses or to access previously purchased digital products please press continue.

Mare Nostrum Logo

Purchase Print Products or eBooks

Human Kinetics print books and eBooks are now distributed by Mare Nostrum, throughout the UK, Europe, Africa and Middle East, delivered to you from their warehouse. Please visit our new UK website to purchase Human Kinetics printed or eBooks.

Feedback IconFeedback
Physical Activity Epidemiology 2nd Edition PDF

Physical Activity Epidemiology 2nd Edition PDF

$105.95 CAD

Available As

vitalsource bookshelf

Accessing our ebooks is as easy as 1-2-3

1. We email you an access code after you place your order.

2. You redeem the code on the VitalSource Bookshelf.

3. Enjoy!


    Physical Activity Epidemiology, Second Edition, provides a comprehensive discussion of current population-level studies showing the influence of physical activity on disease. Updated with extensive new research collected in the eight years since the previous edition, the second edition adds the expertise of respected epidemiologist I-Min Lee. To assist readers in understanding the public health significance of physical activity, Dishman, Heath, and Lee present a detailed review of research findings and what those findings suggest regarding the relationship between physical activity and a variety of health risks.

    The second edition of this groundbreaking text has been exhaustively updated to reflect the wealth of new research published in this fast-moving field of study. With more than 100 pages of additional content, the text also offers more detailed coverage of all-cause and coronary heart disease mortality, expanded coverage of pathophysiology and biological plausibility, new information on physical activity among various racial–ethnic populations, and the effects of physical activity on cognitive function, dementia, and HIV/AIDS. More than 250 tables and figures, twice the number found in the previous edition, highlight the latest epidemiological information in an easy-to-understand visual format.

    Physical Activity Epidemiology, Second Edition, assists readers in understanding how leisure-time physical activity can enhance people’s quantity and quality of life by summarizing the available knowledge, detailing the methods used to obtain it, considering its implications for public health, and outlining the important questions that remain. Readers will find comprehensive discussion of these topics:

    • Evidence that physical activity protects against the development of coronary heart disease and stroke and premature death from all causes

    • Population-based studies and clinical experiments providing evidence that physical activity and exercise play a role in the primary and secondary prevention of mild hypertension, dyslipidemia, and obesity

    • Contemporary epidemiologic evidence that physical activity reduces the risk of type 2 diabetes and osteoporosis and protects against the development of breast and colon cancers, some inflammatory diseases, depression, and anxiety disorders

    • Considerations in the promotion of a safe, physically active lifestyle among all segments of the population

    Physical Activity Epidemiology, Second Edition, will engage and challenge students by examining the state of current research in all of its variation and even ambiguity. The text details the methodology and findings of classic and contemporary studies and then helps students begin to analyze the results. Special Strength of the Evidence sections found at the end of most chapters summarize the findings to determine the extent to which correlation and causation can be proven. Chapter objectives, chapter summaries, and sidebars in each chapter assist students in focusing on the key points of study, and an extensive glossary with detailed definitions provides a handy reference for review. Instructors will find a new image bank in this edition to enhance their class lecture materials.

    Physical Activity Epidemiology, Second Edition, offers students, sport and exercise scientists, health and fitness professionals, and public health administrators a comprehensive presentation of significant studies, how these studies contribute to understanding the relationship between activity and disease prevention, and how this information can be used in leading individuals, communities, and global society toward increased health and longevity.

    Table of Contents

    Part I. Introduction to physical Activity Epidemiology

    Chapter 1. Origins of Physical Activity Epidemiology

    Ancient History of Physical Activity and Health

    Modern History of Physical Activity and Health

    Physical Activity for Health Promotion in the United States and the World



    Chapter 2. Concepts and Methods in Physical Activity Epidemiology

    Epidemiologic Measures

    Crude, Specific, and Standardized Rates

    Research Design in Epidemiologic Studies

    Evaluating Associations in Epidemiologic Studies

    Models in Physical Activity Epidemiology

    Inferring Cause in Epidemiologic Studies

    Criteria for Causation



    Chapter 3. Measurement and Surveillance of Physical Activity and Fitness

    Why Is Behavioral Epidemiology Important?

    What Is Physical Activity?

    Measures of Physical Activity

    What Is Physical Fitness?

    Surveys and Surveillance of Physical Activity



    Part II. Physical Activity and Disease Mortality

    Chapter 4. All-Cause Mortality

    Life Expectancy at Birth

    Major Causes of Mortality

    Physical Activity and All-Cause Mortality

    Sedentary Behavior and All-Cause Mortality

    Physical Fitness and All-Cause Mortality

    Changes in Physical Activity or Fitness and All-Cause Mortality

    Are the Associations Real?

    Strength of the Evidence

    How Much Physical Activity Is Needed to Decrease Risk of Premature Mortality?



    Chapter 5. Coronary Heart Disease

    History and Magnitude of the Problem

    Coronary Heart Disease Risk Factors

    Coronary Heart Disease Etiology

    Physical Activity and Coronary Heart Disease

    Sedentary Behavior and Coronary Heart Disease Risk

    Physical Fitness and Coronary Heart Disease Risk

    Individuals With Other Risk Factors or Existing Coronary Heart Disease

    Physical Inactivity Compared With Other Risk Factors

    Are the Associations Real?

    Strength of the Evidence

    How Much Physical Activity Is Needed to Decrease Coronary Heart Disease Risk?



    Chapter 6. Cerebrovascular Disease and Stroke

    Magnitude of the Problem

    Risk Factors for Stroke

    Etiology of Stroke

    Physical Activity and Stroke Risk: The Evidence

    Strength of the Evidence



    Part III. Physical Activity and Risk Factors

    Chapter 7. Physical Activity and Hypertension

    Magnitude of the Problem

    Treating Hypertension

    Hypertension Etiology

    Autonomic Nervous System

    Physical Activity and Reduced Hypertension Risk: The Evidence

    Physical Activity and Treatment of Hypertension: The Evidence

    Strength of the Evidence



    Chapter 8. Physical Activity and Dyslipidemia

    Magnitude of the Problem

    Drug Treatment

    Dyslipidemia Etiology and Physical Activity

    Physical Activity and Lipoprotein Levels: The Evidence

    Strength of the Evidence



    Chapter 9. Physical Activity and Obesity

    Magnitude of the Problem

    Treatment of Overweight and Obesity

    Assessing and Defining Overweight and Obesity

    Etiology of Overweight and Obesity: Set Point or Settling Point?

    Physical Activity and Fitness and the Health Risks of Obesity: The Evidence

    Physical Activity and Prevention of Excess Weight Gain: The Evidence

    Physical Activity and Weight Loss: The Evidence

    Physical Activity and Weight Maintenance: The Evidence

    The Ultimate Goal: Weight Loss or Risk Reduction?



    Part IV. Physical Activity and Chronic Diseases

    Chapter 10. Physical Activity and Diabetes

    Magnitude of the Problem

    Demographics of Diabetes

    Clinical Features

    Health Burden of Diabetes

    Risk Factors

    Insulin and Glucose Transport

    Etiology of Type 2 Diabetes

    Effects of Physical Activity on Diabetes Risk: The Evidence

    Strength of the Evidence



    Chapter 11. Physical Activity and Osteoporosis

    Magnitude of the Problem

    Fractures and Mortality

    Etiology of Osteopenia and Osteoporosis

    Risk Factors and Prevention

    Bone Measurement Techniques

    Physical Activity and Osteoporosis: The Evidence

    Strength of the Evidence



    Part V. Physical Activity, Cancer, and Immunity

    Chapter 12. Physical Activity and Cancer

    Magnitude of the Problem

    Etiology of Cancer

    Risk Factors

    Population Studies of Physical Activity: Specificity of Protection?

    Colon and Rectal Cancer

    Breast Cancer

    Other Cancers

    Physical Activity and Cancer Survivors



    Chapter 13. Physical Activity and the Immune System

    An Abridged History of Immunology

    HIV and AIDS

    The Immune System

    Immunomodulation by the Nervous and Endocrine System

    Physical Activity and Immunity: The Evidence

    Mechanisms of Alterations in Monocytes, Granulocytes, and Natural Killer Cells After Acute Exercise

    Exercise and Cytokines



    Part VI. Physical Activity and Special Concerns

    Chapter 14. Physical Activity and Mental Health


    Magnitude of the Problem

    Results From the National Comorbidity Survey

    Etiology of Depression

    Brain Neurobiology in Depression

    Treatment of Depression

    Physical Activity and Depression: The Evidence

    Anxiety Disorders

    Magnitude of the Problem

    Etiology of Anxiety Disorders

    Brain Neurobiology in Anxiety Disorders

    Treatment of Anxiety Disorders

    Physical Activity and Anxiety: The Evidence

    Cognitive Function and Dementia

    Physical Activity and Cognitive Function: The Evidence



    Chapter 15. Physical Activity and Special Populations

    Physical Activity Among Diverse Racial–Ethnic Populations

    Physical Activity and Disability

    Inactivity and Aging

    Physical Activity and Long-Term Health Amoung People With Disabilities

    Role of Physical Activity in the Prevention of Secondary Complications



    Chapter 16. Adverse Events and Hazards of Physical Activity

    Magnitude of the Problem

    Evaluating Risk

    Methods of Research

    Myocardial Infarction and Sudden Death

    Joint and Muscle Injury

    Injury Features

    Risk of Physical Activity Injuries: The Evidence

    Other Medical Hazards

    Psychological Hazards



    Chapter 17. Adopting and Maintaining a Physically Active Lifestyle

    Individual Barriers to Physical Activity

    How Do People Decide to Be Active?

    Environmental Barriers to Physical Activity

    Genetics of Physical Activity

    Environmental Intervention and Self-Regulation

    Effectiveness of Physical Activity Interventions

    Interventions to Increase Physical Activity

    Mediators and Moderators of Physical Activity Change and Interventions

    Features of Physical Activity That Promote Adoption and Maintenance



    About the Author

    Rod K. Dishman, PhD, is a professor of exercise science, adjunct professor of psychology, and the director of the Exercise Psychology Laboratory at the University of Georgia at Athens. He is also adjunct professor in the Arnold School of Public Health at the University of South Carolina at Columbia. Dr. Dishman is a reviewer for more than 50 journals, including Journal of the American Medical Association (JAMA) and American Journal of Public Health. He has served on editorial boards of numerous journals in preventive medicine and public health, such as Exercise and Sport Science Reviews, Medicine & Science in Sports & Exercise, and Health Psychology and as an exercise consultant to public health agencies in the United States, Canada, and Europe. He has published approximately 150 peer-reviewed articles and written or edited several books related to physical activity and health.

    Dr. Dishman is an American College of Sports Medicine fellow, where he has served as a member of the Research Advisory Committee and the Board of Trustees. He was a member of the jury for selection of the Olympic Prize in Sport Sciences awarded by the International Olympic Committee's Medical Commission and served on the scientific advisory committee for the 2008 Physical Activity Guidelines for Americans. He resides in Athens, Georgia.

    Gregory Heath, DHSc, MPH, has been contributing to the field of exercise science and health promotion for over 25 years. Dr. Heath is Guerry professor and head of the department of health and human performance at the University of Tennessee at Chattanooga. Previously, he worked at the Centers for Disease Control and Prevention as lead health scientist in the Physical Activity and Health Branch. He has extensive experience in conducting studies and data analyses in the areas of physical activity epidemiology and public health practice.

    Dr. Heath is a fellow in the Council on Epidemiology and Prevention, the American Heart Association, and the American College of Sports Medicine. He earned his doctor of health science degree in applied physiology and nutrition and his master's of public health in epidemiology from Loma Linda University.

    I-Min Lee, MBBS, MPH, ScD, is an associate professor of medicine at Harvard Medical School, an associate professor of epidemiology at Harvard School of Public Health, and associate epidemiologist at Brigham and Women's Hospital in Boston. Her main research interest is in the role of physical activity in promoting health and preventing chronic disease. This extends to characteristics associated with a physically active way of life, such as maintenance of ideal body weight. She also is concerned with issues relating to women's health. Lee has published more than 190 peer-reviewed articles and is a frequent invited presenter, teacher, and speaker at local, national, and international levels.

    A reviewer for 30 journals, including Lancet and New England Journal of Medicine, Lee also serves on the editorial board for Harvard Women’s Health Watch, Medicine & Science in Sports & Exercise, and the Brazilian Journal of Physical Activity and Health.

    Lee is an elected member of the American Epidemiological Society and a member of the Society for Epidemiologic Research, the American Heart Association, and the International Society for Physical Activity and Health. She is a member and fellow of the American College of Sports Medicine (ACSM) and has served on the ACSM’s Research Advisory Committee and Board of Trustees. Dr. Lee also served on the scientific advisory committee for the 2008 Physical Activity Guidelines for Americans.

    Lee is the recipient of numerous awards and recognitions, in particular the Young Epidemiologist Award from the Royal Society of Medicine in the United Kingdom (1999); the William G. Anderson Award from the American Alliance for Health, Physical Education, Recreation and Dance (2007); the Charles C. Shepard Award from the Centers for Disease Control and Prevention (2009); and the ACSM’s Citation Award (2011).

    Lee resides in Brookline, Massachusetts.


    All ancillaries are free to adopting instructors and available online.

    Image bank. Includes most of the figures, tables, and photos from the text, sorted by chapter, that can be used in developing a customized presentation based on specific course requirements.