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- Page navigation anchor for RE: MPEDIMENTS TO CLINICAL APPLICATION OF EXERCISE, NJ BOSOMWORTH, page 164, vol 65RE: MPEDIMENTS TO CLINICAL APPLICATION OF EXERCISE, NJ BOSOMWORTH, page 164, vol 65
Dr Bosomworth documents that occupational energy expenditure has dropped by 140 calories per day since the 1960's, and he postulates that this might be a contributing factor to increasing obesity rates. But I was disappointed that his otherwise excellent article failed to address a substantial decrease in energy expenditure related to transportation. My guess is that it would average far greater than 140 calories per day, as personal motor transport over the past 5 decades has defaulted to become the mode of choice for the vast majority of Canadians for almost all of their displacement. The medical community should favour all political intervention to make driving less convenient, slower and more expensive in order to motivate citizens to consider walking, cycling, E-bikes or transit, all of which not only constitute more physical activity but also benefit the environment as well as contributing to safer streets and roads for all users.
Dr Thomas DeMarco, Whistler
Competing Interests: None declared.