The Post-Modern Era: Chronic Disease and the Onslaught of a Sedentary Lifestyle

New technologies have speeded research in many areas of Exercise Science during the Post-Modern Era. Political interest in physical fitness and sport remains spasmodic, but the U.S. has finally introduced a scheme of universal health insurance. The cardiovascular disease epidemic is partially contained, but obesity and diabetes show a growing prevalence. Consensus conferences have underlined both the safety and the health benefits of physical activity and disease, and Universities offer an increasing range of doctoral programmes in Exercise Sciences and Kinesiology. However, optimal evidence-based exercise prescriptions have yet to be defined for many conditions. Health and fitness landmarks over the past 50 years include the standardization of test methodology, development of tools for population screening and testing, completion of representative National Health and Fitness surveys, quasi-experimental evaluations of school and employee fitness programmes, definition of minimum occupational fitness needs, demonstration of the beneficial effects of exercise on the aging process, and documentation of the high fitness levels associated with a hunter-gatherer lifestyle. Attempts to increase physical activity in the general population have as yet had only modest success. In Public Schools, the emphasis of Physical Educators is shifting from the training of sports teams to the teaching of life-long exercise skills. International sports programmes have received ever growing support from governments and commercial sponsors, with a multiplication of the corresponding professional associations. Olympic and Masters Games now cater to women, athletes with disability and the elderly, but athletic competition has lost much of its earlier idealism, and any positive impact upon population health and fitness is limited.