Abstract
Physicians recognize the importance of exercise to health. Exercise, or lack of it, is often a significant factor in the control of obesity, diabetes, cardiovascular diseases, orthopedic disease, and emotional disorders. Evidence is continually being accumulated which indicates that fitness developed through vigorous activity and exercise can be preventive, as well as therapeutic, in nature. Therefore, to be complete, medical examinations must include an evaluation of physical fitness. Examining a patient who is sitting or lying inactive on an examining table provides only a limited opportunity to evaluate his health. His response to physical activity should also be evaluated. This is just as true for adults over 30 as for younger persons. Physical Fitness In the positive sense, health includes abundant energy and vitality. A healthy person is physically fit to the extent that he can (a) perform his daily work and tasks without undue fatigue, (b) maintain adequate reserves

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