physical activity – Go Retire Psychiatrist

I don’t get out often to the mall to do mall walking, but I did today. I put on a little over 2.5 miles on my step counter. Mall walking is OK for exercise although I have to drive over there. Right next door to the entrance to the mall is the outdoor entrance to Planet Fitness, which is kind of ironic. But you have to pay a membership fee to use the facilities there. You can just walk through the mall for free and it opens an hour before the other shops just to accommodate mall walkers.

I think mall walking does wonders for my lower back. I see a lot of older people who look like they make mall walking regular exercise. They’re my age or older. Some of them have physical challenges that may be the reasons why they mall walk, that is, for conditioning. Their physicians might have even recommended it.

A minority of mall walkers I see are young, so this isn’t just for the elderly. Occasionally I’ll see a group who are challenged in various ways. Today it looked like the guy who was blind and using a cane was right out in front, actually leading the group.

Mall walking has advantages over, say, walking downtown. It beats getting clobbered by an exploding manhole lid, bit by a dog, or mugged.

There are some studies about mall walking, but the authors of a 2015 review mainly noted that there’s a need for more rigorous studies. Their conclusion sounds a little grumpy:

“We found the potential for mall walking programs to be implemented in various communities as a health promotion measure. However, the research on mall walking programs is limited and has weak study designs. More rigorous research is needed to define best practices for mall walking programs’ reach, effectiveness, adoption, implementation, and maintenance.”

Farren L, Belza B, Allen P, Brolliar S, Brown DR, Cormier ML, Janicek S, Jones DL, King DK, Marquez DX, Rosenberg DE. Mall Walking Program Environments, Features, and Participants: A Scoping Review. Prev Chronic Dis. 2015 Aug 13;12:E129. doi: 10.5888/pcd12.150027. PMID: 26270743; PMCID: PMC4552141.

Maybe the authors need to go for a walk.

It’s inspiring to see some of the mall walkers out there despite having major disability of one kind or another. I often see a lady who uses a wheeled walker and cannot hold her head up straight. When she sits down for a break, it looks like she’s collapsed. But she just gets up and at it again a few minutes later.

Mall walking may be understudied—but it’s also underestimated as a sign of resilience in anyone young or old.

If you want a quick read for how every minute counts in physical activity for your health, see the JAMA article “Physical Activity for Health—Every Minute Counts” (Katzmarzyk PT, Jakicic JM. Physical Activity for Health—Every Minute Counts. JAMA. 2023;330(3):213–214. doi:10.1001/jama.2023.11014).

Just for fun, I tried to see if about 5 minutes of juggling would result in a change in the step counter on my cell phone. Unfortunately, it didn’t but I sure could feel the effort!

As the authors state, public health recommendations for physical activity set a bar of 150-300 minutes a week of moderate intensity aerobic activity to get substantial health benefit.

But you benefit from just about any increment below that level. Your step counter probably won’t register it, but you can feel it.

I made a short demo video to show what good exercise juggling is. I didn’t cut any mistakes (and obviously increased the speed on it because 5 minutes is a bit long). Anybody can tell I’m pretty puffed out at the end.

Try juggling for physical activity!