The internal and external muscular work of the body together amount to about 1 ∕ 7th to 1 ∕ 8th of the total force obtainable from the food.

Every healthy man probably ought to take an amount of exercise represented by 150 tons raised 1 foot, which is equal to the work done in walking 8½ to 9 miles on a level road. A certain amount of this exercise is taken in performing one’s daily work; but apart from this, out-door exercise should be taken equivalent in amount to a walk of five or six miles. It is impossible to lay down rules to suit all cases, but a less amount of exercise than that named is probably incompatible with perfect health.

Effects of Deficient Exercise.—The muscles themselves become enfeebled and wasted. Some wasting of muscle occurs after a few days’ confinement to bed; and a limb confined in a splint speedily loses its healthy, rounded contour. Oxidation processes are diminished; less carbonic acid is eliminated, and it tends to accumulate in the system, owing to the diminished activity of respiration. In consequence of the diminished oxidation, the temperature of the body is not well maintained, and the heat is not uniformly distributed. Cold feet are a common complaint of those who lead sedentary lives, though seldom complained of by others.

Along with the other muscles, the heart becomes enfeebled and the circulation less perfect. Digestion is enfeebled; the appetite is poor. The nervous system also suffers; nervous irritability is a common result, while sleeplessness—a thing almost unknown among those who live by the sweat of their brow—is becoming much more common among the worried and ill-exercised inhabitants of our towns.

Many diseases are favoured by deficient exercise, and can be averted by systematic exercises and the concomitant increased supply of pure air. It is often difficult to appraise the relative merits of exercise and pure air; but there can be no doubt that both are of extreme importance.

The prevention of consumption, even in those with a strong hereditary tendency, is greatly helped by systematic exercises, especially those directed to the expansion of the chest cavity. In cases of consumption there is commonly a history of deficient exercise or an occupation involving a cramped position, as well as of living in an impure air.

Various deformities are induced by defective exercise of particular groups of muscles. Thus drooping shoulders may be caused by shoulder-straps confining the action of the shoulder-muscles in the earlier years of life. Stooping is favoured by sitting in cramped positions in school, and by the use of desks not inclined at the proper angle. Lateral curvature of the spine is due to weakness of the muscles of the back, and is best treated in its earlier stages by gymnastic exercises specially directed to strengthening these muscles. The tendency to such curvatures is greatly increased in girls by the fact that their trunks are imprisoned in corsets as if in splints, and so exercise of the trunk muscles is reduced to a minimum.

Rules respecting Exercise. 1. The clothing during exercise should not be excessive, and should not interfere with the free play of the limbs, nor with full expansion of the chest. Flannel is the best material to wear next the skin, as it absorbs perspiration without becoming non-porous.

2. Avoid chill after exercise. It is well, if there has been any perspiration during exercise, to strip and scrub the skin, particularly about the chest and arm-pits, with a rough towel.

3. Exercise should be systematic and regular. It is important to avoid sudden, violent, and competitive exercise. No severe exercise ought to be undertaken without a gradual training.