Since the accumulation of the superfluous carbon supplied by the food gives rise to morbid and diseased states of the body,[291] we shall now be enabled to understand why deficient exercise should be a source of physical ill-being, and why, on the contrary, the proper use of the muscles should be so essential a condition for the maintenance of health, since it is in them that the great formation of the eliminated carbon is effected. We shall also not fail to see why, since during exercise the excretion of water is so largely increased, the blood necessarily becomes less diluted and richer in quantity.

[291] “Deficient exercise is one of the causes which produce those nutritional alterations in the lung which we class as tuberculosis.”—Parkes.

Whilst insufficiency of exercise gives rise to a weak action of the heart, and very frequently to fatty degeneration of that organ, exercise that is not excessive, although it increases the beats of the heart from ten to thirty beyond this acceleration, and imparting greater force to the pulsations, does not interfere with their regularity. Furthermore, muscular exercise, by considerably augmenting the flow of the blood through the whole body, the heart included, exercises a most beneficial function, “since it causes in all organs a more rapid outflow of plasma and absorption—in other words, a quicker renewal. In this way also it removes the products of their action, which accumulate in organs, and restores the power of action to various parts of the body.”[292]

[292] Parkes.

Palpitation, enlargement, and valvular disease of the heart result from excessive or injudicious exercise. Wherever, therefore, fatigue or embarrassment of the heart shows itself rest must be had recourse to. Persons having weak hearts suffer greatly in ascending mountain or other heights.

The effect of exercise upon the kidneys is to diminish the quantity of water, as well as the chloride of sodium and other chlorides in the urine. As we have seen, the urea is very slightly lower; but after much exertion the uric acid is increased. There is also a slight increase in the amounts of sulphates and carbonic anhydride. Parkes could find no alteration in the phosphates. The diminution of water and the chlorides is due to the excretion of these by the skin, the function of which is greatly augmented by exercise. No urea escapes by the skin, but many acids (probably fatty ones) are liberated by that organ. Speck has shown that during exercise the amount of fluid is nearly double what it is when the body is quiescent.

This escape of fluid by perspiration doubtless affords an explanation of a diminution in the quantity of the excreta from the bowels. The fæces exhibit no decrease in nitrogen.

Exercise increases the growth of the muscles, making them at the same time harder,

and also causing them to obey more readily the behests of the will. Prolonged or excessive exertion, without sufficient rest, has been found to interfere with their nutrition, and to cause them to become soft.

There is a tolerably general impression that much exercise tends to cripple the development of the mental faculties, and this idea is said to have received support from the circumstance that the athletes at our universities seldom signalise themselves in contests of learning. But this fact, it has been suggested, may be explained by the athletic exercise being indulged in to such an extent as to leave no time for cultivating the mind. If an illustration were required to prove that great bodily energy is quite consonant with mental vigour it might be found in the life of the late Professor Wilson, of Edinburgh. On this point Dr Parkes says: “Considering that perfect nutrition is not possible except with bodily activity, we should infer that sufficient exercise would be necessary for the perfect performance of mental work.”