It has been two years since First Lady Michelle Obama's Let's Move! initiative prompted families, individuals and organizations to take their health into their own hands. The campaign has given American families the motivation to live a healthier life through physical activity and nutrition, and continue the fight against childhood obesity.

Along with Let's Move!, the National Physical Activity Plan, Exercise is Medicine^(R)(EIM), Childhood Obesity Awareness Month and countless other initiatives are strengthening the movement. Each of these initiatives brings something unique. Exercise is Medicine Month in May is the special recognition month for EIM and a time for everyone to idenfity, emphasize and celebrate the valuable health benefits of exercise on a national scale.

In 2012, American College of Sports Medicine (ACSM) members were involved in the Let's Move Faith & Communities' Communities on the Move Video Challenge. The popular choice award went to a video called "100 Citizens: Role Models for the Future." 100 Citizens promotes the message that ending childhood obesity begins at home with the family.

USA Today's Family Fitness Challenge, which launched this month, paired six families with fitness experts to help them reach their health goals within four months. While sharing stories about their progress, they will also provide tips, tools and guidance everyone can use to start living a healthier life.

Along with these programs and initiatives, we continue to learn more every day from new research about exercise, nutrition, physiology and motivation. Our programs and policies are more effective than ever because of our growing base of information. From molecular-level, basic science to studies of group interaction and epidemiology, new knowledge is providing a solid base of evidence to underpin our efforts.

How do your efforts complement the work of Let's Move!, the National Physical Activity Plan and other initiatives?

The True Meaning of Sedentary

The start of a new year sparks considerable conversation on losing weight, exercising more, and eating a healthier diet. While these are great stepping stones to leading a healthier lifestyle, they may not be enough to ward off chronic health conditions and mortality. Recent research findings are revealing that sitting too much during the day can be detrimental to an individual's health regardless of whether or not they meet the Physical Activity Guidelines for Americans. Today's society is consumed with advanced technology and a focus on convenience, which ultimately contributes to sedentary lifestyles among Americans. Fortunately, this sedentary lifestyle can be counteracted by adding in more movement throughout the day.

Health of People with Disabilities

There are approximately 54 million Americans with some type of disability. This amounts to about 20% of the population. Many consider health and disability and oxymoron, but in fact, persons with disabilities can lead healthy, active lifestyles when given the appropriate inclusive environment to succeed. The rate of obesity is far greater for both children and adults with disabilities than for the general population. 56% of people with disabilities do not engage in any leisure time physical activity, and 87% of people with disabilities experience at least one secondary condition. Self-reported health status is classified as poor in 37% of persons with disabilities compared to 8% in persons without disabilities. Physical inactivity and sedentary behavior is a national epidemic, but noticed more particularly in persons with disabilities due to few health professionals promoting regular physical activity for persons with disabilities, and a lack of community and health promotion programs inclusive of persons with disabilities. In order to develop a healthy, inclusive community, health messaging must include persons with disabilities. Below are strategies for creating an action plan to combat sedentary behavior and physical inactivity for everyone by adding movement in to the daily routine.

An Action Plan for Everyone

Simple adjustments to the daily routine can help make activity a default versus just an option. Get going and move more for an overall better health status.

In the workplace

1. If you are able to, try actively communiting to work by riding a bike or walking/wheeling. Inclusive communities that utilize Complete Streets are a win-win for everyone!
   
2. Make sure to always have a bottle of water at your desk. This will put you one step closer to achieving your recommended daily amount of water intake and will force you to have to get up to go to the bathroom.
3. Try walking/wheeling meetings instead of seated ones. The activity might just spark some new found creativity!
4. Utilize your lunch break for physical activity. Cut your lunch break in half so the other half can be filled with some kind of exercise. Midday activity helps you to wake up your brain, and may help to avoid that 2:00 p.m. burnout. Physical activity options include starting a walking club with coworkers or going to your local gym for a midday group fitness class.
5. Pace around your office while on a conference call.
6. Instead of emailing a co-worker, get up from your desk and converse in person.

In daily life

1. A pedometer is a great tool to monitor physical activity throughout the day. Achieving 10,000 steps may not be appropriate for everyone, so wear your pedometer to track movement on day one to achieve a baseline, and aim to increase that baseline each day.
2. Pets are great life companions and assets to your health. Take Fido for a walk daily to fit in some extra activity.
3. There is no shame in having a favorite television show, but try moving around the house or cleaning up while watching. You can also do simple exercises during commercial breaks, such as crunches, squats, or push-ups.
4. Almost any chore can be turned into a heart-pumping activity. Turn on some upbeat music and get working.
5. Take advantage of family time together on the weekends, and find a park to play in, a fun race to enter, or simply take a stroll or bike ride around the neighborhood together.

The Big Picture

Aside from the Physical Activity Guidelines for Americans recommended amount of physical activity per week, it is imperative that individuals simply move more throughout the day to reduce sedentary behavior and its associated health detriments. The Physical Activity Pyramid is a great way to start assessing daily movement levels in all individuals. Looking at physical activity in these categories makes it seem more attainable and included as a factor in every person's life. Now take a stand for a better health by moving more and getting active!

A newfound - or renewed - commitment to health is a common sentiment each year after the holiday season of sweet treats, calorie-laden cocktails and scarce free time to stick to a fitness routine. Year after year, many people resolve to lose weight, get fit and be healthier, using the turn of a new year as motivation to turn over a new leaf. Many resolutions, made with the best of intentions, are broken almost before the New Year's Eve confetti is cleaned up, and few last until spring.

The keys to lifelong healthy habits include:

• Setting realistic expectations, based on a knowledge of the facts and of your own goals, motivation and lifestyle
• Building physical activity into your daily life and following healthy eating habits
• Understanding that you will have lapses, plateaus and changes of circumstance that need not derail your overall progress
• Knowing where to turn for factual information and personal support

Enjoyable alternatives offer healthy activity

The Physical Activity Guidelines for Americans recommends at least 150 minutes (or 2 hours and 30 minutes) of moderate-to-vigorous physical activity per week. If you're not currently physically active, this might be a great time to return to an activity you loved in the past or to get involved with a team sport. Not competitive? Don't like to run? A dance-based fitness class or yoga might be for you. Don't forget that consulting a certified trainer, exercise physiologist, or medical professional is always an important step before starting a new fitness program.

Cost need not be a concern

Financial constraints also weigh heavy on the minds of many as the new year begins. However, being healthy and fit doesn't require an expensive investment. Body weight training, or exercise that uses the body as resistance instead of equipment, was the most upwardly mobile activity on ACSM's 2013 fitness trends forecast. Body weight training can be done anywhere, including at home, and doesn't require a financial investment.

Beyond being buff - staying healthy throughout life

A desire to be fit isn't all about vanity. The most common diseases plaguing our world today are diseases caused by sedentary lifestyle - like hypertension, diabetes, and cardiovascular disease, among others. Our daily lives are becoming increasingly scheduled around sitting: sitting at work, sitting in the car during long commutes, and sitting in the evening in front of the television. Committing to a healthy lifestyle not only can help you look good and feel good, but can keep the doctor away too.

For further reading on this topic, visit: "New Year, New Fitness Habits."