to account, that is whether it was daily chores or a workout at the gym that had led to it. He said, "Like other studies, we asked people what they did. There was no difference with or without structured exercise."

He also said that people in the highest third of expended energy were more likely to work for pay and walk two flights of stairs a day. It was found that they burned an average of 600 calories more a day than those in the lowest third.

According to Manini the 600 calories represents "about two hours of activity," Manini said. "It doesn't have to be a certain activity. It can include washing dishes, vacuuming and sweeping, as well as structured exercise."

Co-researcher Dr. James Everhart, chief of the epidemiology and clinical trials branch of the U.S. National Institute of Diabetes and Digestive and Kidney Diseases said, "We were quite surprised to find this effect with a relatively small number of participants, When we started talking about it, maybe 10 years ago, we thought we would need twice as many participants to show an effect."

Everhart said that the study had objectively shown that energy use is associated with a lower risk of dying.

The American Heart Association -suggests several ways to achieve this goal without actually exercising including walking the dog, pushing a lawnmower rather than riding one, parking on the far side of the shopping center and walking to the store, and standing rather than sitting while talking on the telephone.


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