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 |  Table of Content - Volume 16 Issue 3 - December 2020
  
    
      
        
          
          
            Outdoor and indoor workout - which is better? - A review article     INTRODUCTION Physical  activity is known to provide a wide range of health benefits that can protect  individuals from diseases and enhances their mental and physical health.1Regular   physical activity can prevent and manage  a range of chronic conditions , including cardiovascular disease, type 2 diabetes,  and certain cancers and improve musculoskeletal health, weight management, motor skill development in children, and mental health  problems.1,2Consistent physical activity helps to maintain the  physical functioning of the human body3, improves mental wellbeing4, and most of all reduces risks for chronic diseases 3,5,6.  Given these widely published benefits, one would expect participation in  physical activity to be the norm. But, unfortunately, this is not the case. However, global estimates show that around one-quarter of adults aged 18 years  and above are insufficiently active, worldwide.1. As a result,  physical inactivity is one of the leading risk factors for global premature  mortality, responsible for 9% of early deaths worldwide.7.  Recommendations for health-enhancing physical activity targeted to different  population sub-groups, often make explicit reference to the activity mode,  duration, intensity, and frequency. In the past decades, however, the  environment in which physical activity takes place has emerged as an additional  element that can determine the activity’s health benefit. In particular, it has  been postulated that physical activity in the presence of nature, a practice  also known as green exercise, can provide additional health benefits and, thus,  have greater value for preventing disease and enhancing health in the  population8. Overall, increasing physical  activity and the motivation for physical activity among people presents a major  challenge. There is a huge variety of motivation levels between people starting  from the people who have a lack of any kind of motivation to engage in any form  of physical activity, and ending to the people who exercise for their inherent  interest and enjoyment of the activity itself.9 Generally,  people are driven to be physically active or inactive for a variety of reasons.  An important factor motivating participation in physical activity, among all  adult age groups, is health .9,10,11,12,13. Now a days when one thinks of exercise, the first thing that comes to mind is  going to a gym. Nobody thinks about the traditional methods (walking, jogging,  cycling etc) of exercise. So, a question arises that, is there a great benefit  of going to a gym which is one of the form of indoor exercise, rather  performing any indoor exercise versus out outdoor exercise? To get this  question answered one should know the positive and negative aspects of  exercising outdoors and indoors, which will help to make the choice that is  best for one’s fitness needs. This may also help to those who are just getting  started on the fitness journey and may help them to decide where to start, in  terms of location. It may be also helpful to regular exercisers to change up  their usual exercise routine.14 Evidence suggests that the positive  influence of the natural environment on human well-being occurs through  different pathways: environmental psychology, enhanced immune function,  promotion of healthy behaviors, and improvement of environmental quality.15 Outdoor Exercises-Advantages (positive benefits) of outdoor  exercises are :-  1,Mood  Boosting, 2. Soaking up of vitamin D, 3. To move from one place to another. 
              Mood Boosting:Sun  is a mood booster as it helps in production of key vitamins . According to a  study ,people who exercise outdoor, reported in increase in energy ,decrease in  hunger and had an overall revitalization feeling. Compared with people who  exercised indoors, those who exercised outdoors were more likely to exercise  again, so if one is not too keen of exercising ,going outside can just be a  motivator.Soaking up of  Vitamin D: Vitamin D promotes calcium  absorption and vitamin D is produced by body when exposed to sun , Calcium  keeps bones healthy ,which is especially important for women ,who are at a  higher risk of osteoporosis.To move from one  place to another: It can  be very boring to run on a treadmill, staring at nothing but while exercising  outdoor ,one can run through your favourite park or through the streets, It is  also reported in New York Times that running or cycling outside actually  results in better workout than simply running on a treadmill or riding a  stationary bike . There are  several ways in which the added health benefits of green exercise might arise.  Simply having better access to natural environments, such as parks, playing  fields, or woodlands, provides the space and facilities for physical activity,  which may in turn foster a more active lifestyle. Though intuitive, evidence  that having good access to natural environments (green and blue space) can  promote physical activity is equivocal16–18. A review of 50  epidemiological studies of objectively measured access to greenspace and  physical activity found positive associations in 20 studies, whereas 28 studies  offered little support and two reported negative associations17.  However, this field of research is dominated by studies with cross-sectional  design that often prevent the identification of causal relationships between  availability of natural environments and increased physical activity in the  local population19,20. Therefore, a question remains about the  possibility of a ‘self-selection’ phenomenon: do natural environments elicit  increased physical activity and well-being, or do physically active individuals  choose to live in areas with more opportunities for physical activity?  Secondly, there is evidence that people tend to engage in physical activity  when in green space and might be active for longer and or at higher intensities  in natural environments21. For example, the activities that might be  well supported by outdoor environments, such as running, hiking, mountain  biking, or horse riding, are those that might be undertaken for longer periods  of time (compared with indoor activities)22. Other studies in  trained athletes have indicated that they might be able to exercise at higher  intensities in natural environments as they are more distracted from internal  signs of fatigue23 or have lower perceived effort24,25.  These two effects can interact, resulting in people being more active than they  would be in other settings, thus gaining greater health benefits26.  Finally, being physically active in natural environments may confer additional  health benefits, compared with those that would result from the equivalent  activity in an urban/built or indoor environment27–29. This is  associated with the notion that exposure to scenes of nature can elicit  positive psychological states such as increased positive affect and reduction  of psychophysiological stress27–29. The underlying mechanism linking  nature exposure to such psychological outcomes is not yet clear. Possible  explanations have included evolutionary perspectives30,31, elicited  feelings of connectedness with nature32,33, and visual recognition  of characteristic features such as the colour green34, and  geometrical fractals35. Irrespective of the underlying processes, a  2010 review of 25 studies comparing responses to activities (mostly walking or  running) in natural versus non-green outdoor built environments or indoor  environments found that the former were associated with greater energy and  reduced anxiety, anger, fatigue, and sadness27. However, by  conflating non-green outdoor built environments and indoor environments, as  well as exercise and non-exercise conditions, this review might have not taken  into account possible confounders such as factors eliciting negative emotional  responses (e.g., street traffic) or the acute psychophysiological responses to  physical exercise. Thompson Coon et al.29 reviewed the  effects of physical activity in natural environments compared with physical  activity indoors on mental and physical wellbeing, health-related quality of  life, and long-term adherence to physical activity in 11 studies. The authors  reported beneficial effects of natural environments for a range of  psychological outcomes, such as revitalization, positive engagement, tension,  confusion, anger, depression, and energy. There was also evidence of greater  enjoyment and satisfaction with outdoor activity, with indications of greater  intent to repeat the activity. However, the review was limited by the small  number of papers included, poor methodological quality of the available  evidence, and the heterogeneity of outcome measures employed. This made  interpretation and extrapolation of the findings difficult. DISADVANTAGES OF OUTDOOR EXERCISES: One  and only one major disadvantage of outdoor exercises is the weather Hazards.  Some hazards are as follows, 1, Extreme  Heat 2, Extreme cold 3,Precipitation etc. 
              Extreme Heat: Exercising  during hot weather increases care body temp, so body has to work harder to keep  oneself cool. Loss of water occurs doing exercising in the form of sweat which  is very more in hot weather so body should be adequately hydrated.Extreme cold: In  winter, when temp is low it becomes very difficult to get up early in the  morning for exercise.Precipitation: Rain  Snow, Hail-Any type of precipitation makes it very difficult for exercising  outdoor. Our health  and the environment are intertwined. Still, this relationship is most often  viewed from a perspective of the adverse health effects resulting from contaminants  in the environment.36 But this is not the matter of concern. So while  exercising outdoor one has to keep in mind all above weather conditions and  work as per. However, for those who live in places with more extreme weather  have to take necessary precautions before venturing outdoors for exercise and  also dress appropriately, according to the weather. INDOOR EXERCISES: Advantages of indoor exercises are: 1. Group  Fitness Classes, 2. Personal Trainers, 3. Gyms or playing indoor sports like  badminton,table tennis etc. 
              Group fitness  classes: Like yoga, laughter clubs etc allow to get trained in exercise  which one may not have learned on your own .These classes are run by certified  professionals , they help to get the correct form of the particular exercise.  Exercising with improper guidance or training can lead to serious injuries and  also sometimes are not helpful to get complete benefit of that form of  exercise. Even while going to a class helps to skip all those difficult moves  as the trainer is around.Personal Trainers: They  determine ,what you want to get out of your exercise and then suggest which  exercise will effectively help to achieve the goal i:e weight losing ,muscle  building ,or just doing exercise to maintain health and fitness. As personal  trainers are certified professionals, they are able to show the correct form of  that particular exercise.Gyms:Going  to highly equipped gyms with latest amenities is a great reward. Playing indoor  games or going to gyms help in without break weather controlled exercise,  conveniently. DIADVANTAGES OF INDOOR EXERCISES, 
              While talking about gyms they  charge huge membership fees which is not affordable to all. Some are also  cheap, but they don’t usually cover all latest amenities and many things like  personal trainers ,etc.Getting to the gym is also a  difficult task. If gym is far away, to get the gym can be a psychological  hurdle, which is tough to overcome.Gymtimidation can also be one of  the drawback- at least for those who really can’t overcome that fear and are  conscious of their physique.It may seem silly, but poor body image is no joke.  According to studies,body image is a leading reason why already overweight  women avoid going to gyms.   CONCLUSION  Ultimately,where  you do exercise is totally up to you. No matter ,whether one prefers to  exercise outdoor or indoor, what’s important is that to stay active .Go for a  run in the park or take a gym or a fitness class ,but just get out there and exercise.  Despite the differences between outdoor and indoor exercises there is no clear    “winner”  to this debate .The true answer is based on each and every individuals  preference.   REFERENCES 
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