Health & Fitness Journal of Canada Copyright © 2013 The Authors. Journal Compilation Copyright © 2013 Health & Fitness Program of BC Volume 6 May 30, 2013 Number 2 ! HISTORICAL!PERSPECTIVE! The developing understanding of Human Health and Fitness: 7. The Victorian Era Roy!J.!Shephard1!
Abstract! opportunities.'For'women,'the'relaxation'of'dress'codes' ' 'Physiological' research' flourished' during' the' allowed' an' ever Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'3'''' Understanding!of!Health!and!Fitness! ! 1837<1901'CE).'However,'for'the'purpose' “Belle' Epoch.”' ' Many' Europeans' also' of'our'present'review,'it'is'convenient'to' enjoyed' a' growing' material' wealth,' and' include' also' the' shorter' Edwardian' era' with' faith' in' the' potential' of' new' and' other' events' until' the' outbreak' of' technology' they' saw' the' first' signs' of' World'War'I,'in'August'of'1914.'' progress'towards'effective'health'care.'In' The' reign' of' Queen' Victoria' was' North' America,' it' was' the' “Gilded' Age,”' marked'by'a'prolonged'period'of'peace'in' marked' by' an' unprecedented' growth' in' Britain,'with'a'growing'prosperity'in'most' both' population' and' personal' wealth.' By' levels' of' society,' based' in' part' on' the' 1900,' the' per' capita' income' in' the' U.S.' exploitation' of' resources' from' distant' was' double' that' of' France' and' Germany,' colonies'and'in'part'on'growing'economic' and'50%'higher'than'that'in'Britain.'The' dividends' from' the' industrial' revolution.' “Robber' Barons”' of' North' American' With' passage' of' the' Reform' Act' of' 1832,' industry,'in'particular,'were'busy'making' the' British' parliament' became' much' an' ostentatious' display' of' their' more'representative'of'and'responsive'to' accumulated' fortunes.' But' in' many' parts' ordinary' people.' This' piece' of' legislation' of' the' Globe,' the' horrors' of' World' War' I' corrected' the' worst' abuses' of' “Rotten' and' the' Russian' Revolution' brought' a' Boroughs,”'and'increased'the'allocation'of' sudden' challenge' to' many' years' of' parliamentary' seats' to' large' industrial' apparent' progress,' with' a' sudden' cities' (Evans,' 1994).' Nevertheless,' most' disappearance' of' the' long' established' women' remained' disenfranchised.' distinction' between' a' leisured' class' and' “Public”' schools' such' as' Rugby' urged' their'servants.'' amateur'sport'upon'upper Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'4'''' Understanding!of!Health!and!Fitness! ! physical' education' often' assumed' the' Scientific! Societies.! ! The' nineteenth' form'of'militaristic'drill.'A'variety'of'new' century'was'marked'by'the'foundation'of' sports' emerged,' each' with' its' own' many' national' societies' devoted' to' the' national' and/or'international'regulatory' discussion' of' research' in' Physiology,' organization.' Some' of' these' initiatives' Public' Health' and' Sports' Science,' with' increased' possibilities' for' active' physical' individual' groups' developing' their' own' leisure,' but' many' simply' provided' specialty' journals.' The' emergence' of' alternative'opportunities'for'spectatorism' analogous' international' organizations' and'gambling.'' allowed' a' cross Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'5'''' Understanding!of!Health!and!Fitness! ! remained'virtually'non Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'6'''' Understanding!of!Health!and!Fitness! ! a' library' and' archives' and' the' descriptions' and' value' judgments.' The' introduction' of' a' scientific' approach' to' latter' approach' has' sometimes' proven' training' and' coaching.' The' Society' fruitful' in' the' areas' of' Sports' Sociology' enjoyed' the' patronage' of' the' Governor' and' Sport' History' (Andrews,' Mason' and' General' of' Canada' and' the' Mayor' of' Silk,' 2005;' Bain,' 2010).' It' is' also' worth' Montreal,' but' it' only' survived' for' a' year' remembering'that'supposedly'“objective”' or' so,' mainly' due' to' a' lack' of' operating' data,'such'as'the'usually'observed'age'and' funds'(Kidd,'1996).'! sex' differences' in' muscular' strength,' ! reflect' in' part' age' and' sex Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'7'''' Understanding!of!Health!and!Fitness! ! In'1855,'Karl'von'Vierordt'(1818<1884' Immediately,!on!this!suggestion,!I!rolled!a! CE),' Professor' of' Physiology' at' the' quire! of! paper! into! a! kind! of! cylinder! and! University'of'Tübingen,'pointed'out'that'if' applied! one! end! of! it! to! the! region! of! the! a'sufficient'external'pressure'was'applied' heart!and!the!other!to!my!ear,!and!was!not! to'a'human'artery,'the'distal'pulse'could' a!little!surprised!and!pleased!to!find!that!I! be' temporarily' obliterated.' He' and' could! thereby! perceive! the! action! of! the! Samuel' Siegfried' Karl' von' Basch' (1817< heart! in! a! manner! much! more! clear! and! 1905' CE),' personal' physician' of' the' distinct!than!I!had!ever!been!able!to!do!by! emperor' Maximilian' of' Mexico,' both' the!immediate!application!of!my!ear.”! developed' blood' pressure' meters' based' ' on' this' observation.' However,' the' cuff' Laennec' quickly' replaced' this' sphygmomanometer' was' brought' to' its' improvised' device' with' a' wooden' tube' presently' used' clinical' format' by' the' that'he'called'a'stethoscope,'deriving'the' Italian' internist' Scipione' Riva Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'8'''' Understanding!of!Health!and!Fitness! ! with' a' completely' irregular' rhythm,' subsequent' research.' Einthoven' corresponding' to' atrial' fibrillation' described' the' sequential' changes' of' (Mackenzie,'1902).''' electrical'potential'that'occurred'over'the' A' somewhat' related' device' (the' course' of' a' cardiac' cycle,' setting' these' “heartometer”)'was'long'used'by'Dr.'Tom' observations' in' the' theoretical' Cureton' (1901<2002' CE),' Professor' of' framework'of'his'“triangle”'of'limb'leads.' Physical' Education' at' the' University' of' In' 1906,' he' constructed' a' delicate' string' Illinois,' in' his' studies' of' the' cardiac' galvanometer' that' could' record' the' ECG' response' to' exercise.' Cureton’s' reliance' of' a' recumbent' subject.' ' However,' much' upon'this'instrument'offers'an'interesting' further' technical' progress' was' needed' commentary' on' the' need' of' Physical' before' clear' ECG' recordings' could' be' Educators' to' use' very' indirect' obtained'when'a'patient'was'exercising.' measurements' of' physical' fitness' and' In' addition' to' being' a' brilliant' cardiac'function'until'the'latter'half'of'the' laboratory' investigator,' Einthoven' was' a' 20th'century.' strong' believer' in' regular' physical' ) activity.'During'the'long'hours'of'medical' The) Electrocardiogram.) ) For' the' instruction,' he' repeatedly' urged' his' medically' qualified' clinician,' the' fellow' students' "not' to' let' the' body' diagnostic' potential' of' pulse' wave' perish".'He'became'President'of'the'local' recording'was'soon'eclipsed'by'the'ability' Gymnastics' and' Fencing' Union,' and' was' to' record' the' electrical' activity' of' the' one'of'the'founders'of'the'Utrecht'Student' human' heart.' The' British' physiologist' Rowing'Club.''''''''' Augustus' Desiré' Waller' (1856<1922' CE)' ' used' Lippmann’s' mercury' capillary' Cardiac) output.' Sir' Thomas' Lewis' electrometer' for' this' purpose,' but' the' (1891<1945'CE)'was'a'British'cardiologist' inertia' of' the' mercury' column' precluded' (although' he' himself' preferred' to' call' accurate'recordings'of'the'changes'in'the' himself' a' cardiovascular' disease' heart's' electrical' potential' (Katz' and' specialist).' He' coined' the' term' “Clinical' Hellerstein,' 1964).' The' principle' of' the' Science,”'and'founded'the'journal'“Clinical! string' galvanometer,' as' described' by' the' Science.”' ' He' spent' his' entire' career' at' French' engineer' Clément' Ader' (1897),' University' College' Hospital' in' London,' allowed' Willem' Einthoven' (1860<1927' establishing' the' reputation' of' that' CE)' to' obtain' ECG' tracings' of' greatly' institution' as' a' leading' centre' of' clinical' improved'quality.'Einthoven''was'born'in' physiological' research.' Lewis' became' a' Indonesia,' but' he' returned' to' Holland' to' pioneer' in' applying' ECG' recording' to' complete' his' education' (Snellen,' 1995).' issues' of' clinical' diagnosis.' He' also' While' attending' Medical' School,' he' studied' blood' flow' in' the' human' limbs,' showed' great' intellectual' talent,' and' he' using' the' somewhat' cumbersome' device' was' appointed' Professor' in' Utrecht' even' of' a' water Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'9'''' Understanding!of!Health!and!Fitness! ! The' German' physiologist' Otto' Frank' Attempts' to' determine' the' output' of' (1865<1944' CE)' inherited' the' passion' the' human' heart' were' facilitated' by' a' that' Carl' Ludwig' (1816<1895' CE)' and' Dissenting' clergyman' and' amateur' Herman' Helmholz' (1821<1894' CE)' had' chemist,'Joseph'Priestley'(1733<1804'CE).' shown' in' applying' mathematical' He' was' the' discoverer' of' oxygen,' and' a' principles' to' circulation' of' the' blood' scholar' who' tried' to' reconcile' and' fuse' (Zimmer,' 1996).' ' Frank' sought' to' apply' Enlightenment'rationalism'with'Christian' the' concepts' of' length' and' force' Theism.' In' 1772,' Priestley' synthesized' previously' established' in' studies' of' nitrous' oxide,' then' termed' “Laughing' skeletal' muscle' to' describe' myocardial' Gas”' or' “phlostigated' nitrous' air”' (Keys,' function,' and' he' constructed' rigorous' 1941).' This' gas' was' highly' soluble' in' pressure Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'10'''' Understanding!of!Health!and!Fitness! ! (the' supposed' distinction' between' 'In' 1863,' the' French' physiologist' inorganic'and'organic'matter).''Acetylene' Etienne Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'11'''' Understanding!of!Health!and!Fitness! ! was'the'originator'of'the'Periodic'Table'of' Barcroft'carried'out'his'research'in'the' chemical' elements.' He' appreciated' that' audacious' tradition' of' early' British' oxygen' was' carried' in' the' blood' stream' Human'Physiology,'not'hesitating'to'serve' not'only'in'physical'solution,'but'also'as'a' himself'as'a'subject'in'dangerous'human' loose,' unstable' compound' with' a' red' experiments.' Working' in' what' was' then' pigment' that' the' Cambridge' termed' the' Royal! Engineers! Experimental! mathematician' George' Gabriel' Stokes' Station! on' Porton' Down' (a' laboratory' (1819<1903' CE)' had' termed' Cruorine' where' I' also' served' for' 6' years)' he' (Meyer,'1857;'Stokes,'1863<4).'Because'of' carried' out' experiments' on' asphyxiating' this' chemical' bonding,' Meyer' found' that' gases,'exposing'himself'to'an'atmosphere' the' amount' of' oxygen' released' from' the' containing'hydrogen'cyanide.'On'another' blood' when' the' atmospheric' pressure' occasion,'he'remained'in'a'glass'chamber' was' reduced' was' less' than' would' have' for' seven' days' in' order' to' calculate' the' been'predicted'by'application'of'Dalton’s' minimum'quantity'of'oxygen'required'for' Law'of'partial'pressures.!! survival,' and' in' a' third' experiment' he' The' German' anatomist' Karl' Bogislaus' exposed' himself' to' such' a' low' Reichert' (1811<1883' CE)' succeeded' in' temperature' that' he' collapsed' into' crystallizing' haemoglobin' in' 1849.' unconsciousness.' Shortly' afterwards,' Ernst' Felix' Hoppe< Details' of' the' gas Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'12'''' Understanding!of!Health!and!Fitness! ! Rooms' of' those' selling' Life' Insurance' The' main' limitation' of' Victorian' (Bishop,'1977;'Petty,'2002):' spirometers'was'the'substantial'inertia'of' ' the' water' seal;' this' did' not' compromise' “we!have!no!hesitation!in!recording!our! static'measurements,'but'it'precluded'the' deliberate!opinion,!that!it!forms!one!of!the! accurate' recording' of' dynamic' lung' most!valuable!contributions!to!physiologic! volumes.' A' further' century' would' elapse' science! that! we! have! met! with! for! some! before' the' introduction' of' Perspex' time.! In! all! future! investigations! into! the! spirometer' bells' and' electronic' flow' phenomena!of!the!respiratory!process,!the! meters'resolved'this'mechanical'problem' name! of! Mr.! Hutchinson! must! receive! (Shephard,'1955).' honorable!notice.”! ' ' Metabolic) gas) exchange.' The' idea' of' It' is' thus' no' surprise' that' soon' after' using' some' form' of' spirometer' to' study' completing' his' survey,' Hutchinson' the' metabolic' gas' exchange' of' human' obtained' a' rewarding' contract' as' subjects' was' advanced' by' August' Krogh' consultant' to' the' Insurance' Industry.' (1874<1949' CE)' in' Denmark' (Krogh,' Given' the' prevalence' of' tuberculosis' in' 1916),' and' by' Francis' Gano' Benedict' Victorian' London,' he' used' his' tables' of' (1870<1957' CE)' in' the' United' States' vital' capacity' to' make' quite' successful' (Benedict'and'Emmes,' 1915;' Shephard' actuarial' predictions' of' an' individual’s' and' Aoyagi,' 2012).' At' Oxford' University' likely'longevity.'' in' England,' C.G.' Douglas' (1892<1944' CE)' The' issue' of' longevity' had' earlier' and' John' Scott' Haldane' (1860<1936' CE)' attracted' the' attention' of' James' Easton,' developed' the' alternative' "open Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'13'''' Understanding!of!Health!and!Fitness! ! Zuntz'underlined'the'importance'of'the' bodies!of!men!and!animals!by!the!means!of! respiratory' dead' space' to' the' overall' thermo`electric!effects.”'' process' of' gas' exchange,' and' after' many' ' years' of' lively' exchange' at' scientific' He' succeeded' in' introducing' a' meetings' and' in' peer Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'14'''' Understanding!of!Health!and!Fitness! ! universities.' He' is' known' both' for' his' 1937).' The' same' amount' of' energy' was' studies' of' visual' physiology' and' his' released' from' foodstuffs' whether' they' contributions' to' chemical' were'burnt'in'a'laboratory'calorimeter'or' thermodynamics.'He'thought'it'important' consumed' by' body' metabolism' (Bischoff' to'confirm'that'no'energy'was'lost'during' and'von'Voit,'1860).' muscular' movement,' and' that' ) intervention' of' a' “vital' force”' could' be' von) Mayer.) A' German' country' doctor,) excluded.' To' prove' this' point,' he' Robert' von' Mayer' (1814<1878' CE),' developed' very' sensitive' thermocouples,' provided' early' estimates' for' the' establishing' the' close' relationship' mechanical' efficiency' of' effort.' He' found,' between' heat' production' and' the' quite' correctly,' that' humans' converted' muscular' work' performed' only' about' a' fifth' of' food' energy' into' (Koenigsberger,'1906).'' useful' mechanical' work,' with' the' ' remainder' of' the' energy' appearing' as' Voit.) Carl' von' Voit' (1831<'1909'CE),' heat.' Perhaps' because' this' report' Professor' of' Physiology' in' Munich,' emanated'from'a'private'residence'rather' obtained'what'was'for'the'19th'century'a' than'a'prestigious'university,'his'paper'on' very' substantial' research' grant' (8000' this' topic' was' rejected' by' the' Editors' of' Guilders,' about' $3600)' for' metabolic' several'scientific'journals!' studies' on' human' subjects.' He' built' a' ) chamber'large'enough'to'accommodate'a' Rubner,' Max' Rubner' (1854<1932' CE)' bed' or' a' cycle' ergometer' (Shephard' and' was' the' founder' of' the' Max' Planck' Aoyagi,' 2012).' He' estimated' the' Institut' für' Arbeitsphysiologie'in'Berlin.' metabolic' rate' of' his' subjects' by' He' provided' detailed' calorimetric' collecting' expired' carbon' dioxide' in' an' estimates'of'the'energy'yielded'by'various' alkaline'solution'and'noting'the'resultant' foodstuffs,' confirming' the' principle' of' gain'in'mass'of'the'solution.'He'found'that' energy' conservation' within' the' human' the'protein'requirements'of'an'individual' body' (Rubner,' 1885).' He' related' the' were' determined' largely' by' a' person's' resting' rate' of' metabolism' to' body' size,' body'mass,'rather'than'by'the'amount'of' concluding'that'the'daily'heat'production' work'that'he'or'she'performed.''Thus,'he' of' animals' ranging' in' size' from' dogs' to' disproved' an' earlier' postulate' of' Liebig,' mice' approximated' 4.16' MJ'per' m2'of' showing' that' fat' or' carbohydrate' rather' body'surface'area'(Johnson,'2007).'''' than' protein' was' the' normal' fuel' for' the' ' performance'of'physical'activity.'' Atwater.' Wilbur' Atwater' (1844<1907' Voit' was' able' to' measure' the' total' CE)' and' Francis' Gano' Benedict' (1870< amount' of' heat' produced' within' his' 1957' CE)' carried' Voit’s' interests' in' metabolic'chamber,'and'by'looking'also'at' exercise'metabolism'to'the'United'States,' the'other'side'of'the'equation'(the'energy' where' large' metabolic' chambers' were' content' of' the' food' that' had' been' eaten' built' for' exercise' studies' on' human' and'the'energy'remaining'in'the'subject’s' volunteers'(Atwater'and'Rosa,'1899).' excreta),' he' gave' a' convincing' ' demonstration' that' the' principle' of' the' Muscle! Physiology.' We' note' next' a' conservation' of' energy' applied' to' few'of'the'landmark'discoveries'in'muscle' humankind' (Editor,' Journal' of' Nutrition,' physiology' during' the' 19th'century.' Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'15'''' Understanding!of!Health!and!Fitness! ! Hughlings' Jackson' (1835<1911' CE)' and' lived' in' the' small' cathedral' city' of' Sir' Charles' Sherrington' (1857<1952' CE)' Lichfield,' near' Birmingham,' and' he' is' were'dominant'figures'in'neuromuscular' remembered' as' much' for' two' of' his' research,' making' major' contributions' to' grandsons' (Charles' Darwin' and' Francis' our'understanding'of'the'respective'roles' Galton)' as' for' his' own' personal' of' the' brain' and' spinal' reflexes' in' discoveries.' ' Nevertheless,' he' wrote' a' muscular'contraction.'' book'entitled'Zoonomia,'which'stimulated' In' Turin,' the' Italian' Physiologist' the' evolutionary' thinking' of' both' Angelo' Mosso' (1848<1910)' invented' a' Lamarck'and'Erasmus’s'grandson'Charles' simple' ergograph.' He' was' thus' able' to' Darwin'(Darwin,'1794<96):' quantify' both' the' frequency' of' muscle' ' contractions' and' the' force' generated' by' “would!it!be!too!bold!to!imagine,!that!all! the' fingers' (Mosso,' 1890).' Mosso' also' warm`blooded! animals! have! arisen! from! noted' the' variations' of' heart' rate' that' one! living! filament....! endued! with! occurred'during'periods'of'mental'stress.' animality....! ,! possessing! the! faculty! of! He' invented' a' sphygmograph' to' record' continuing!to!improve!by!its!own!inherent! blood' pressures,' and' he' created' the' first' activity,! and! of! delivering! down! those! crude' neuro Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'16'''' Understanding!of!Health!and!Fitness! ! local' environment' through' the' use' or' to' social' processes,' arguing' that' disuse'of'these'characteristics.'There'was' humankind'was'also'progressing'towards' finally' a' mechanism' that' allowed' these' a'higher'form'of'social'organization.'' acquired' characteristics' to' be' passed' on' 'This' aspect' of' his' thinking' probably' to' succeeding' generations' of' a' given' contributed' to' the' “Social! Darwinism”' of' species'(Burkhardt,'1970).''His'“first'law”' the'Victorian'era.'During'the'18th'century,' of' evolution' offered' powerful' support' to' many' of' the' wealthy' opposed' efforts' to' those' who' recommended' engaging' in' enhance' community' health' and' lifestyle,' regular'physical'activity'(Bowler,'2003):' arguing'that'such'policies'would'breed'a' ' nation'of'weaklings'(Carneiro'and'Perrin,' “a!more!frequent!and!continuous!use!of! 2002).' any!organ!gradually!strengthens,!develops! ' and! enlarges! that! organ,! and! gives! it! a! Charles) Darwin.' ' Charles' Robert' power!proportional!to!the!length!of!time!it! Darwin' (1809<1882' CE)' was' the' English' has! been! so! used;! while! the! permanent! naturalist' who' proposed' that' all' living' disuse!of!any!organ!imperceptibly!weakens! creatures'had'descended'from'a'common' and! deteriorates! it,! and! progressively! ancestor' through' a' process' of' natural' diminishes! its! functional! capacity,! until! it! selection'(Darwin,'1909):' finally!disappears."'' ' ' “many!more!individuals!of!each!species! Although' Lamarck’s' theories' were' are! born! than! can! possibly! survive;! and....! roundly' rejected' towards' the' end' of' the' there!is!a!frequently!recurring!struggle!for! Victorian' era,' they' have' recently' seen' a' existence,! any! being,! if! it! vary! however! partial' revival' in' the' concept' of' slightly!in!any!manner!profitable!to!itself.....! Epigenetics.'One'of'the'central'concepts'of' will!have!a!better!chance!of!surviving,!and! Epigenetics' is' that' expression' of' an' thus!be!naturally!selected.”! individual’s' inherited' characteristics' can' ' be'modified'by'environmental'factors'that' Darwin’s' evolutionary' views' were' limit' or' enhance' the' phenotypic' shaped'by'an'extensive'study'of'fauna'and' expression'of'certain'genes'(Stillman'and' fossils' undertaken' during' a' five Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'17'''' Understanding!of!Health!and!Fitness! ! Darwin’s' ideas' were' unfortunately' for'his'exposé'of'Charles'Dawson'and'the' high Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'18'''' Understanding!of!Health!and!Fitness! ! disadvantageous' when' exploiting' a' Microbiology' emerged' from' the' work' of' second' habitat.' Thus,' there' was' no' Semmelweiss,' Pasteur,' Koch' and' Lister.' selective' pressure' favouring' the' Advances' in' these' areas' of' knowledge' perpetuation'of'an'unusual'characteristic.' made' important' contributions' to' the' Secondly,' the' studies' of' the' IBP' control' of' disease' and' the' growth' of' investigators'had'focussed'on'the'physical' Preventive'Medicine.' fitness' and' physical' working' capacity' of' ) the' various' indigenous' populations.' Snow.) John' Snow' (1813<1858)' came' However,' survival' in' a' rigorous' from'a'poor'family'in'the'city'of'York,'and' environment'depended'much'more'upon' at'the'age'of'14'he'was'apprenticed'to'a' the' individual’s' intelligence' and' the' surgeon' in' Newcastle.' By' 1836,' he' had' generation Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'19'''' Understanding!of!Health!and!Fitness! ! edition' of' his' treatise' on' cholera.' He' region.' His' colleagues' in' the' medical' submitted' his' discoveries' to' the' Institute! fraternity' of' Vienna' and' Budapest' soon' of! France'in'1855,'hoping'to'receive'the' took' umbrage' at' his' vigorous' 100,000' Franc' prize' that' the' institution' condemnation'of'the'squalor'in'Viennese' offered' for' notable' discoveries.' Some' city' hospitals.' Semmelweiss' was' quickly' historians' maintain' that' he' did' receive' a' stripped'of'his'hospital'accreditation,'and' grant,' but' the' Institut’s' Archives' contain' within'3'years,'was'“run'out'of'town.”'He' no' record' of' him' receiving' any' such' started' writing' angry' letters' to' many' award'(Edwards,'1959).' European'Obstetricians,'denouncing'them' Based' on' the' Broad' Street' study,' and' as' irresponsible' murderers.' Many,' subsequent' examination' of' other' including' his' own' wife,' thought' that' he' epidemics' of' cholera' associated' with' was' losing' his' mind.' In' 1865,' he' was' water' pumped' from' the' polluted' lower' admitted'to'a'mental'institution,'and'died' reaches'of'the'River'Thames,'Snow'is'now' there'within'2'weeks,'possibly'because'of' regarded' as' the' father' of' modern' a' vigorous' beating' by' one' of' the' guards.' Epidemiology.' The' ideas' of' Semmelweiss' did' not' begin' ' ' to' gain' traction' until' Pasteur' had' Louis.' The' birth' of' Clinical' established' the' germ' theory' of' disease,' Epidemiology' and' Evidence Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'20'''' Understanding!of!Health!and!Fitness! ! of' this' hypothesis,' and' he' was' a' strong' shifted' from' antiseptic' to' aseptic' advocate'of'Preventive'Medicine:' operating'theatres.' ' An' Ontario' surgeon' (Archibald' E.' “When! meditating! over! a! disease,! I! Malloch,' 1844<1919' CE)' who' had' been' a' never!think!of!finding!a!remedy!for!it,!but! House Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'21'''' Understanding!of!Health!and!Fitness! ! whom' were' seeking' to' reduce' the' heavy' forgotten! or! neglected,! at! least! in! our! death' toll' from' infection' in' military' vicinity.”'! hospitals.''Recommendations'of'vigorous' Even'at'the'age'of'75,'Warren'was'still' exercise' were' also' heard' from' the' busy' urging' the' President' of' Harvard' to' proponents' of' certain' “Alternative' make'“gymnastic!exercises!the!duty!of!the! Therapies,”'such'as'the'water'treatments' student'!(U.S.'Bureau'of'Education,'1885).! that'were'advocated'by'Priessnitz'and'the' ) herbal'remedies'of'Thomson.'! Delpech.) ) Jacques' Mathieu' Delpech' ! (1777<1832' CE)' was' an' orthopedic' Warren.' Dr.' John' Collins' Warren' surgeon' in' Montpellier,' France,' who' (1778<1856' CE)' was' an' influential' became' interested' in' the' potential' of' physician' of' this' period.' He' was' therapeutic' exercise,' particularly' for' appointed' as' Professor' of' Medicine' and' children'with'orthopaedic'deformities.'He' first'Dean'of'Harvard'Medical'School,'and' believed' that' such' deformities' could' be' became'one'of'the'founding'Editors'of'the' both'prevented'and'cured'by'following'an' New!England!Journal!of!Medicine.!He'was' appropriate' regimen' of' graded' exercises' a' strong' protagonist' of' regular' physical' designed'to'restore'the'patient’s'muscular' activity,' including' gymnastics' and' balance' (Delpech,' 1828).' He' established' calisthenics' (Collins,' 1864).' In' 1830,' he' an' attractive' playground' and' exercise' gave'an'address'to'the'American!Institute! area' for' his' patients' in' the' countryside,' for!Instruction!entitled'“On!the!importance! close'to'Montpellier.'' of! physical! education.”! Warren' played' a' Delpech' was' also' a' pioneer' of' prominent' role' in' establishing' the' occupational' therapy.' He' included' in' his' Tremont' gymnasium' in' Boston' (1825),' regimen' a' period' of' piano' playing.' The' and' even' sought' (without' success)' to' musician' sat' at' the' keyboard' with' a' persuade' Frederick' Jahn' to' serve' as' its' weighted'cord'tied'to'his'or'her'head,'to' first'Director.'' ensure' that' an' upright' posture' was' Through' Warren’s' advocacy,' Harvard' maintained.' Unfortunately,' Delpech’s' University'had'in'1826'allocated'$300'to' career' came' to' an' abrupt' end.' Driving' clear' ground' for' construction' of' a' back' to' his' Institute' in' an' open' coach,' gymnasium,' and' various' pieces' of' both'he'and'his'coachman'were'shot'by'a' gymnastic'apparatus'were'being'installed' disgruntled'patient'(Le'Vay,'1990).'' to'promote'the'health'of'the'students.'By' ' 1829,' the' neighbouring' Amherst' College' Osler.' The' celebrated' Canadian' had' also' purchased' a”few! horses! and! physician' William' Osler' (1814<1919' CE)' parallel! bars,! with! one! or! two! swings...”'' began' his' career' at' McGill' University' in' Warren' began' devising' exercises' Montreal.'Subsequently,'he'was'one'of'the' appropriate' for' female' students' (Wuest' four' founding' professors' of' the' Johns' and' Bucher,' 1995),' and' he' keenly' Hopkins' Hospital' in' Baltimore,MD.' In' appreciated' the' importance' of' frank' opposition' to' Hilton,' Osler' argued' maintaining' programme' adherence.' He' that' his' patients' needed' the' “quadrangle! lamented'that'“the!exercises!were!pursued! of! health:”' rest,' food,' fresh' air,' and' with! ardor! as! long! as! their! novelty! exercise.' ' He' also' underlined' the' lasted...but! they! have! been! gravely! pedagogic' and' preventive' values' of' moderate'physical'activity'(Osler,'1904):'' Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'22'''' Understanding!of!Health!and!Fitness! ! “Within! the! past! quarter! of! a! century,! development' of' the' brain' might' be' one' the!value!of!exercise!in!the!education!of!the! reason' why' participation' in' regular' young! has! become! recognized.”! “the! physical' education' classes' helped' the' prophylactic! value! of! exercise,! taken! in! academic'development'of'primary'school' moderation!by!people!of!middle!age,!is!very! students' in' the' experimental' classes' great”! relative' to' their' peers,' even' though' they' ' spent' less' curricular' time' in' learning' The' truth' of' this' assessment' is' traditional' subjects' such' as' arithmetic' suggested' by' Osler’s' own' longevity' (he' and' languages' (Piaget,' 1956;' Shephard,' died'at'the'age'of'105'years).'' 1997).'' Francis'Shepherd,'one'of'Osler’s'junior' ' colleagues' at' McGill' University,' placed' a' Hilton.) John' Hilton' (1804<1878)' was' great' emphasis' upon' the' merits' of' an'influential'surgeon'at'Guy’s'Hospital,'in' anatomical' dissection,' and' (as' in' earlier' London,' England.' He' enriched' the' episodes' in' London' and' Edinburgh,' Hospital'with'an'outstanding'collection'of' (Shephard,' 2013))' French' Canadian' wax' anatomical' models' that' are' still' students'who'were'eager'to'pay'for'their' studied' closely' by' those' aspiring' to' a' tuition'led'body'snatching'forays'into'the' Fellowship' of' the' Royal! College! of! Côte' des' Neiges' cemetery' in' Montreal' Surgeons.'Hilton'became'President'of'the' (Jack,'1963).)) Royal! College! of! Surgeons' in' 1867.' In' the' ) context' of' this' review,' he' is' best' Piaget.' Jean' Piaget' (1896<1980' CE)' remembered'for'a'course'of'lectures'that' was' a' Swiss' Developmental' Psychologist' he' gave' to' the' College' during' the' tenure' and' Philosopher' from' the' city' of' of'his'Arris'and'Gale'Professorship'(1859< Neuchatel.' He' placed' great' emphasis' 1862).' The' series' was' entitled' on' “Rest! upon' the' importance' of' education' for' and! Pain.”' By' his' insistence' on' the' children,'declaring'(Munari,'1994):' “recuperative! power! of! Nature”' (Hilton' ' and'Jacobson,'1879),'Hilton'held'back'the' “only!education!is!capable!of!saving!our! active'rehabilitation'of'conditions'such'as' societies! from! possible! collapse,! whether! myocardial' infarction' for' more' than' a' violent,!or!gradual”' century.' ' ' In'the'context'of'health'and'fitness,'he' Athlete’s) Heart.' Fears' about' the' is' best' known' for' the' sensori Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'23'''' Understanding!of!Health!and!Fitness! ! previous' best' times,' and' Dr.' Collier' sports' events' (Byles' and' Osborn,' 1898),' thought' that' he' heard' a' parasternal' but' Collier' (1901),' the' “expert”' on' systolic' murmur' after' the' runner' had' Athlete’s! Heart' complained' that' the' only' engaged'in'mild'exercise'(walking'briskly' two'English Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'24'''' Understanding!of!Health!and!Fitness! ! (Foundations! of! Sports! Medicine! for! The' Women’s' Medical' College' in' Physicians! and! Students)' (Herxheimer' Kingston,' ON,' was' the' first' Canadian' 1932),'' establishment'to'receive'female'students.' ' It' was' founded' in' 1883,' as' an' affiliate' of' Nightingale,)and)the)role)of)women)in) Queen’s' University.' However,' it' was' not' Victorian) health) care.) ) Few' women' had' allowed' to' become' a' part' of' the' Royal! opportunity'to'become'physicians'during' College! of! Physicians! and! Surgeons'(an' the' nineteenth' century.' Indeed,' it' is' early'incarnation'of'the'Queen’s'Faculty'of' rumoured' that' one' well Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'25'''' Understanding!of!Health!and!Fitness! ! Medicine,'but'by'1876'she'had'succeeded' “Florence! Nightingale,! like! Mr.! Richard! in' encouraging' the' passage' of' legislation' Nixon! and! his! tapes,! was! so! possessed! of! that' gave' women' the' right' to' practice' the!habit!of!deceit!and!the!conviction!that! Medicine.'' the! full! record! would! compel! posterity! to! When' I' became' a' medical' student' at' vindicate! her! actions,! that! she! could! not! Guy’s' Hospital,' in' 1946,' the' situation' of' bring! herself! to! destroy! material...Having! female' applicants' was' not' greatly' brazened!out!lies!in!life,!she!would!brazen! improved.' Women' who' wished' to' them!out!in!death.”' practice' Medicine' in' the' University' of' ' London' underwent' segregated' In' the' U.S,' civil' war' (1861<1865),' instruction'at'the'Royal'Free'Hospital,'and' conditions'in'military'hospitals'were'just' the' other' London' teaching' hospitals' had' as'deplorable'as'those'seen'initially'in'the' no'places'for'female'students.' Crimean' conflict,' with' two' thirds' of' the' Thus,'for'most'19th'century'women,'the' Union'losses'of'300,000'combatants'being' only'Health'Science'option'was'to'become' attributable'to'disease'rather'than'enemy' a'nurse Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'26'''' Understanding!of!Health!and!Fitness! ! Wright' was' concerned' by' the' high' death' CE)'opened'a'Hydropathic'facility'in'New' rate'from'preventable'diseases'during'the' York'City'(1843).' second'Boer'War,'and'he'worked'with'the' ) Allied' Forces' to' vaccinate' large' numbers' Thomson.' ' After' his' wife' almost' died' of' troops' before' they' left' for' the' from' traditional' medical' treatment,' battlefields' of' Northern' France' during' Samuel' Thomson' (1769<1843)' became' a' World' War' I' (Walker,' 2007).) Alexander' vocal' proponent' of' another' form' of' Fleming' later' worked' in' Wright’s' Alternative' Medicine,' based' on' the' department,' discovering' penicillin,' and' ingestion' of' a' variety' of' herbs.' Wright' quickly' warned' physicians' that' “Thomsonian! Medicine”' began' in' New' the' overuse' of' antibiotics' would' create' Hampshire.' Remedies' were' garnered' strains' of' resistant' bacteria.'' from' a' local' “wise' woman”' and' Indian' Unfortunately,' his' message' has' yet' to' tribes' in' the' surrounding' countryside.' percolate' to' many' family' medical' Treatment' was' intended' to' “eliminate! practices'in'North'America.' toxins”'and'to'“restore!body!heat”'through' ) a' combination' of' steam' baths,' and' Priessnitz.) Vincent' Priessnitz' (1799< generous'doses'of'peppers,'laxatives'and' 1851'CE)'was'one'of'many'entrepeneurs' the' emetic' Lobelia.' “Thomsonian! who'made'large'profits'from'the'Victorian' Hospitals”' and' “Botanical! Conventions”' taste' for' Alternative' Medicine.' He' began' flourished' and' a' “Guide! to! Health”' life' as' a' simple' Austrio Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'27'''' Understanding!of!Health!and!Fitness! ! ruling' classes' and' a' fight' for' survival' on' women' from' exploitation' in' factories' the'factory'floor'were'necessary'elements' (Fogel,'2000).' to' the' continuing' betterment' of' Liberal'churches'also'gave'strong'voice' humankind.'Some'Victorian'philosophers' to'attacks'upon'the'excesses'of'the'Gilded' began' to' question' the' very' nature' of' Age.''Church'leaders'took'active'measures' reality.' Revolutionary' solutions' to' the' to' enhance' the' lifestyle' of' their' younger' evils' of' society' were' proposed,' although' parishioners,' fostering' recreational' most' thinkers' accepted' the' need' to' groups' such' as' tennis' clubs,' and' giving' involve' either' the' individual' or' the' State' female' adherents' opportunities' to' meet' in'the'quest'for'good'health.'A'number'of' and'marry'the'“right”'sort'of'young'man.' political'leaders'gave'personal'expression' Such' attitudes' resulted' in' the' to' their' acceptance' of' this' belief' through' development'of'organizations'such'as'the' the'example'of'their'own'lifestyle.' YMCA,' the' Cooperative! Holidays! ' Association'and'the'Holiday! Fellowship' Theologians.' At' the' beginning' of' the' (below).' 19th' century,' most' theologians' were' )) strongly'opposed'to'the'views'of'Darwin,' Social) Darwinists.' Linking' the' free< and' (given' that' wealthy' patrons' market' concepts' of' Adam' Smith' (1723< controlled' most' of' the' prestigious' 1790' CE)' to' Darwin’s' idea' of' Natural' ecclesiastical' appointments)' the' clergy' Selection,' the' English' philosopher' firmly' upheld' the' privileged' position' of' Herbert' Spencer' (1820<1903' CE)' the' ruling' classes.' However,' there' were' proposed' a' concept' of' Social' Darwinism.' notable' exceptions.' John' Wesley' (1703< This' justified' the' stratification' of' the' 1791'CE)'brought'a'message'of'salvation' wealthy'and'poor,'because'it'encouraged' and' self Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'28'''' Understanding!of!Health!and!Fitness! ! Debate' over' the' virtues' of' Social' Thompson,'Dickens,'Stevenson'and'Wilde.' Darwinism'had'a'substantial'impact'upon' Although'these'various'ideas'are'not'easy' Health' Policy.' It' sparked' a' vigorous' and' to' encapsulate,' many' Victorian' scholars' continuing' conflict' between' those' who' have,'in'their'own'way,'had'a'substantial' believed' that' good' health' and' influence' upon' our' concepts' of' Society,' maintenance' of' a' positive' lifestyle' were' Health'and'personal'fitness.' personal' responsibilities' and' those' who' ' argued' the' need' for' extensive' State' Hegel.' Georg' Wilhelm' Friedrich' Hegel' interventions' to' regulate' working' (1770<1831' CE)' was' one' of' the' creators' conditions,' environment' and' health' of' German' Idealism' (Losurdo,' 2004).' He' (Steinbrook,'2006).'In'the'U.S.,'the'debate' strongly' believed' in' personal' freedom' continues,' and' there' have' recently' been' and' the' capacity' for' self Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'29'''' Understanding!of!Health!and!Fitness! ! Indeed,'this'became'the'title'of'a'book'of' problem' of' immigrant' workers.' They' his' thoughts' that' was' compiled' by' his' were' then' termed' the' “Ostfluch,”' and' sister' (Nietzsche,' 1986).' He' questioned' were' mainly' Polish' farm' workers' who' the' value' of' beliefs' that' drained' life’s' had' moved' into' eastern' Germany' as' the' inherent' energies,' and' (in' contrast' to' original' agricultural' labourers' shifted' to' Darwin' and' his' contemporaries)' factory'work'in'the'cities.'As'a'member'of' Nietzsche' did' not' see' the' “Struggle! for! the' Alldeutscher! Verband! (Pan`German! Existence”' as' a' major' determinant' of' League),' Weber' campaigned' vigorously' human'behaviour.''' against'allowing'any'such'immigration.' Nietzsche' is' perhaps' best' known' for' Marriage' to' a' distant' cousin' gave' him' his' pronouncement' Gott! ist! tod! (God! is! financial' independence,' and' in' 1896' he' Dead)!(Nietzsche,'1887):' was'appointed'as'Professor'of'Economics' ' in' Heidelberg.' He' became' a' leading' “God!is!dead.!God!remains!dead.!And!we! proponent' of' Methodological' anti< have! killed! him.! How! shall! we! comfort! Positivism,' arguing' that' Sociology' could' ourselves,!the!murderers!of!all!murderers?”!! only' be' understood' by' looking' at' the' ' meanings' individuals' attached' to' their' The' death' of' God' implied' the' loss' of' actions.' He' wrote' on' the' social' any' coherent,' objective' truth.' Everyone' “disenchantment”'associated'with'the'rise' retained' their' own' diverse' and' fluid' of' Capitalism,' arguing' that' the' most' perspective'on'things'("Perspectivism”),'a' important' aspect' of' society' was' not' its' view' that' certainly' ran' counter' to' any' productivity,'but'how'people'viewed'their' desire' for' a' central' direction' of' Health' world.'The'roots'of'Capitalism'were'to'be' Policy.' found' in' the' cultural' influence' of' the' ' Ascetic'and'Protestant'work'ethic,'with'its' Weber.' Maximilian' Karl' Emil' Weber' emphasis' upon' wealth' as' a' sign' of' (1864<1920)' was' born' to' a' prominent' salvation'(Weber'and'Kalburg,'2002).''' Civil'Servant'in'Erfurt,'Thuringen,'and'he' As' an' adult,' Weber' did' not' normally' had'an'early'interest'in'Sociology.'At'the' engage' in' any' exercise' other' than' age' of' 13,' his' Christmas' presents' to' his' occasional' duelling' and' hill' walking.' parents'were'two'historical'essays:'' Within' a' few' years' of' moving' to' ' Heidelberg,'he'began'to'suffer'from'bouts' “About! the! course! of! German! history,! of' depression' and' sleeplessness,' and' his' with! special! reference! to! the! positions! of! physician' dispatched' him' for' a' course' of' the!Emperor!and!the!Pope,"!and!"About!the! Hydrotherapy' (above)' at' a' spa' on' the' Roman! Imperial! period! from! Constantine! shores' of' Lake' Constance.' Unfortunately,' to!the!migration!of!nations.”' the' unaccustomed' exercise' did' not' cure' ' his'insomnia'(Weber,'1975).'' After'a'youth'spent'largely'in'drinking' Weber' was' sometimes' puzzled' that' and' fencing,' he' finally' passed' his' bar' others'did'no'share'his'intense'interest'in' examinations,' and' joined' the' Faculty' of' Sociology' and' Politics,' and' on' a' trip' to' Law' at' the' University' of' Berlin.' Around' America,' he' was' tremendously' surprised' this'time,'he'joined'a'new'Union'of'Social' to' find' that' the' annual' Harvard' vs.' Penn' Economists,' the' Verein! für! Socialpolitik,' State'football'game'attracted'much'more' and'he'wrote'an'early'tract'on'the'thorny' newspaper' coverage' than' either' the' Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'30'''' Understanding!of!Health!and!Fitness! ! Presidential' campaign' or' the' Russo< Unlike'many'philosophers,'he'believed' Japanese'war'(Scaff,'2011).' in'tying'together'intellectual'and'physical' ) activity,'and'he'engaged'in'such'activities' Heidegger'''Martin'Heidegger'(1889< as'push Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'31'''' Understanding!of!Health!and!Fitness! ! “the! work! offers! the! muscles! no! family,'with'an'estate'in'the'Volga'region.' opportunity!for!physical!activity”'' The' family' home' was' a' “nest! of! gentle` ' folks”' that' often' embarrassed' his' Much'of'the'writing'of'Marx'and'Engels' supporters,' and' perhaps' because' of' this' sought' to' interpret' Society' in' terms' of' a' patrician' upbringing,' Lenin' had' a' much' Class' Struggle.' Neither' author' wrote' greater' interest' in' physical' activity' than' anything' substantial' about' physical' either' Marx' or' Engels.' Lenin' is' said' to' culture.' Nevertheless,' their' ideas' have' have'had'the'body'of'a'well Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'32'''' Understanding!of!Health!and!Fitness! ! stimulation' of' the' intellect' (Thoreau,' “Health!is!the!vital!principle!of!bliss,!and! 1840/1962):' exercise!of!health.”' ' ' “They! are! fatally! mistaken! who! think! Dickens.) Charles' Dickens' (1812<1870' that!while!they!strive!with!their!minds!that! CE)'was'the'leading'British'author'of'the' they!may!suffer!their!bodies!to!stagnate!in! Victorian' era.' His' best Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'33'''' Understanding!of!Health!and!Fitness! ! he' is' best' known' for' his' opposition' to' opinion,' and' a' number' of' 19th'century' current' Epidemiological' wisdom.' Three' politicians' and' statesmen' set' a' good' examples' of' his' iconoclastic' advice' on' personal'example'in'this'regard.''We'will' lifestyle'may'be'cited'(Stevenson,'1887):'' comment' on' the' lifestyle' of' Benjamin' ' Franklin,'Thomas'Jefferson'and'Theodore' “No!woman!should!marry!a!teetotaller,! Roosevelt' in' the' U.S.,' and' Lord' Stanley' or! a! man! who! does! not! smoke....! Michelet! and'Lord'Grey'in'Canada.' rails! against! it! because! it! renders! you! ' happy! apart! from! thought! or! work;! to! Franklin.' Benjamin' Franklin' (1706< provident! women! this! will! seem! no! evil! 1790' CE)' enthusiastically' recommended' influence!in!married!life.”!! the' health' benefits' of' regular' physical' ! activity,' including' running,' swimming,' !“Extreme!BUSYNESS,!whether!at!school! and' basic' forms' of' resistance' training' or!college,!kirk!or!market,!is!a!symptom!of! (Karolides' and' Karolides,' 1993).'Two'at' deficient!vitality.”!!! least' of' his' “thirteen' virtues”' spoke' to' a' ! commendable'personal'lifestyle.' “The! love! of! living! is! stronger! in! an! ' Alpine! climber! roping! over! a! peril,! or! a! "Temperance.!Eat!not!to!dullness;!drink! hunter!riding!merrily!at!a!stiff!fence,!than! not!to!elevation."! in! a! creature! who! lives! upon! a! diet! and! ' walks! a! measured! distance! in! the! interest! "Industry.! Lose! no! time;! be! always! of!his!constitution.”! employ'd! in! something! useful;! cut! off! all! ) unnecessary!actions."' Oscar) Wilde) (1854U1900) CE).' The' ' satirist' Wilde' drew' attention' to' the' ' stereotype'of'hunting'as'a'healthy'form'of' He'was'very'aggrieved'when'overtaken' sport:'' by' repeated' attacks' of' gout.' This' malady' ' severely' limited' his' ability' to' exercise' “One!knows!so!well!the!popular!idea!of! (Franklin'and'Franklin'1818):' health:! the! English! country! gentleman! ' galloping! after! a! fox! `! the! unspeakable! in! Oh!!Eh!!What!have!I!done!to!merit!these! full!pursuit!of!the!unbeatable.”! cruel!sufferings?!Many!things;!you!have!ate! ! and! drank! too! freely,! and! too! much! However,'he'seems'also'to'have'had'an' indulged! those! legs! of! yours! in! their! aversion' to' any' type' of' exercise,' as' indolence...!the!quantity!of!meat!and!drink! illustrated'by'the'query'about'retaining'a' proper!for!a!man,!who!takes!a!reasonable! youthful'appearance'{Wilde,'1913}:'' degree! of! exercise,! would! be! too! much! for! ! another! who! never! takes! any....If! your! “To! get! back! my! youth! I! would! do! situation! in! life! is! sedentary,! your! anything!in!the!world,!except!take!exercise,! amusements,! your! recreations! at! least! get!up!early,!or!be!respectable.”''' should!be!active...”' ' ' Statesmen.) The' endorsement' of' Jefferson.' U.S.' President' Thomas' physical'activity'by'leading'statesmen'has' Jefferson' (1743<1826' CE)' introduced' the' sometimes' had' a' major' effect' on' public' pedometer' to' the' United' States,' and' he' Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'34'''' Understanding!of!Health!and!Fitness! ! used' this' device' to' monitor' his' Council! on! Fitness'(now! the! President’s! demanding'personal'exercise'programme.' Council!on!Fitness,!Sports!and!Nutrition).' He'was'keen'to'underline'the'necessity'of' ' regular' activity' for' both' physical' and' Lord)Stanley.)A'brief'comment'will'be' mental'health'(Jefferson'1787/1966):'' made' on) Frederick' Arthur' Stanley,' 16th' ' Earl' of' Derby' (1841<1906' CE),' and) “Exercise!and!application!produce!order! Governor' General' of' Canada' from' 1888< in!our!affairs,!health!of!body,!cheerfulness! 1893.' Lord' Stanley' was' an' avid' of!mind,!and!these!make!us!precious!to!our! sportsman' (Shea,' Wilson' and' Clarkson,' friends”' 2007).'He'quickly'embraced'our'Canadian' ' winter' pursuits,' and' was' particularly' Although' some' might' argue' that' he' interested' in' ice Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'35'''' Understanding!of!Health!and!Fitness! ! concern' for' social' reform,' and' he' is' said' conventions'and'the'requirement'to'wear' to' have' had' greater' personal' interest' in' restrictive' clothing' (Sterling,' 1999).' the' music' and' drama' festivals' that' he' However,' feminist' leaders' clamoured' for' originated'than'in'sporting'events.' greater' opportunities' to' engage' in' ' vigorous' exercise.' In' her' “Discourse! on! The!voice!of!women.)' Women”' of' 1849,' Lucretia' Mott' Throughout' most' of' the' Victorian' era,' demanded'that'a'woman'(Wiggins,'1995):' women' had' little' voice' in' University' ' Faculties' and' remained' politically' !“receive! encouragement! for! the! disenfranchised.' ' Thus' their' views' on' cultivation! of! all! her! powers...! issues' of' Public' Policy' such' as' the' strengthening!her!physical!being!by!proper! enhancement' of' Health' and' Fitness' exercise! and! observance! of! all! the! laws! of! generally'had'to'be'expressed'through'the' health.”' mouths' of' their' husbands' or' male' ' relatives.'Nevertheless,'Public'Health'was' Elizabeth' Stanton' was' a' regular' enhanced' through' the' advocacy' of' contributor' to' the'New! York! Journal,' and' outspoken' individuals' such' as' Florence' in' her' column' she' often' advocated' that' Nightingale' (above).' A' few' women' also' women' shorten' their' skirts' so' that' they' attained' leadership' roles' in' small' could'increase'their'physical'activity.'She' Christian' sects.' Mary' Eddy' Baker' (1821< argued'that'(Griffith,'1985):' 1910'CE)'founded'the'Church'of'Christian' ' Science,'and'gave'full'bent'to'her'singular' '“mental!discipline!and!physical!activity! views'on'health'and'illness.'The'Salvation' produce!mental!health.”''' Army,' from' its' foundation' in' 1865,' ' accorded'equal'rights'to'women'and'men,' And' in' the' opinion' of' Susan' Anthony' and' it' did' much' to' enhance' the' personal' (Hall'and'Oglesby,'2002):' lifestyle' of' its' adherents' in' the' poorer' ' areas' of' large' cities.' And' the' Quaker' “In!the!battle!for!equality,!women!need! movement'insisted'on'the'equality'of'men' strong!bodies!as!well!as!quick!minds”' and' women,' profoundly' influencing' the' ' thinking'of'such'U.S.'feminist'advocates'as' In' Britain,' the' early' suffragette' Sylvia' Lucretia' Mott,' Elizabeth' Cady' Stanton,' Pankhurst' (1882<1960' CE)' was' confined' and'Susan'B.'Anthony'(Sterling,'1999).'' to' Holloway' Prison' in' 1906,' but' her' Some' women' became' entitled' to' vote' jailors'noted'with'respect'that'she'did'not' in' Britain,' Sweden,' and' western' U.S.' neglect' her' exercise' routine,' marching' states'in'the'1860s,'but'universal'suffrage' silently'round'and'round'the'prison'yard' did' not' arrive' until' much' later:' New' for'30'minutes'every'morning.'' Zealand' (1893),' South' Australia' (1895),' Canada’s' best' known' advocate' of' Finland'(1907),'Norway'(1913),'Denmark' women’s' rights,' Nellie' McClung' (1873< (1915),' Canada'except'Quebec'(1918).'' 1951' CE),' was' an' advocate' of' physical' Great' Britain' (1918)' and' the' U.S.' (1920)' and' mental' eugenics.' She' called' for' the' (Blackburn,'1970).' enforced' sterilization' of' children' with' Female' participation' in' active' limited' intelligence' (Strong Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'36'''' Understanding!of!Health!and!Fitness! ! including' the' provision' of' medical' and' supplant' humans' as' a' means' of' dental' services' for' schoolchildren,' performing'the'heaviest'forms'of'work.' mothers’' allowances' and' factory' safety' ' requirements.'' Domestic) activities.' Most' working' Towards' the' end' of' the' 19th' century,' class' women' still' had' a' very' heavy' introduction'of'the'bloomer'dress'and'the' physical' workload,' caring' for' large' safety' bicycle' brought' women' new' families,'although'new'technology'slowly' opportunities' for' an' active' lifestyle' began'to'reduce'some'of'the'demands'of' (below).' their' daily' routine.' Piped' water' ' supplanted' the' need' to' carry' buckets' Physical! activity! trends! in! Victorian! from'the'nearest'well,'and'gas'or'electric' society! heating' eliminated' the' need' to' carry' During' Victorian' times,' many' factors' wood' or' coal' and' to' tend' grates' and' continued' the' trend' to' a' reduction' of' cooking'stoves.'! habitual' daily' activity' that' had' already' Introduction' of' the! domestic' sewing' been' initiated' by' the' spectator' activities' machine'greatly'reduced'the'time'needed' of' the' Renaissance' (Shephard,' 2012d),' to' make' household' clothing' and' linen.' and' the' shift' from' physical' labour' to' Between' 1850' and' 1880,' the' Singer' water' and' steam' power' during' the' Corporation' sold' some' 3' million' sewing' industrial' revolution'(Shephard,'2013).' machines' in' the' U.S.' alone' (Scott,' 1880).' Advances' in' technology' progressively' However,'easy'access'to'birth'control'and' reduced'the'need'for'effort Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'37'''' Understanding!of!Health!and!Fitness! ! 1832.' Steam' (1873)' and' then' electricity' invasion' from' our' Americans' neighbours' (1881)' soon' replaced' the' horse' as' the' to'the'south.'' source' of' power' for' these' vehicles.' The' These' disparate' initiatives' spurred' Siemens'Company'led'this'initiative'with' formation' of' several' professional' the'opening'of'an'electric'streetcar'route' associations.'The'American!Association!for! in' a' suburb' of' Berlin.' ' Blaise' Pascal' had' the! Advancement! of! Physical! Education' introduced' a' public' bus' line' to' Paris' in' was' founded' in' 1885,' setting' as' its' 1662,' but' rising' fares' soon' led' to' its' primary' objective' the' support' of' demise.' Horse Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'38'''' Understanding!of!Health!and!Fitness! ! described'in'the'book'“Emile”'(Shephard,' often'than'not,'the'consequences'of'bodily' 2013).' Basedow' had' begun' his' career' as' strength' (Mosse,' 1998).' Guts Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'39'''' Understanding!of!Health!and!Fitness! ! grounds,'the'Turnplatz,'where'they'found' establishment' opened' in' nearby' simple' apparatus' based' on' the' ideas' of' Bloomsbury,' two' years' later.' Purpose< Guts Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'40'''' Understanding!of!Health!and!Fitness! ! These' establishments' flourished' during' public'schools'in'the'region'were'offering' the' period' 1855<1875,' usually' under' the' gymnastics'courses.'' direction' of' the' proprietors' of' the' local' Following' disasters' in' the' Napoleonic' German' language' newspaper' (Gray,' wars,' Frederik' VI' created' the' Institute! of! 1990).'' Military! Gymnastics' in' Copenhagen' in' ' 1804.' Nachtegall' was' appointed' as' its' Denmark.' Scandinavian' Gymnastics' first' Director.' This' Institute' provided' has' often' been' viewed' as' an' educational' instruction' for' future' NCOs' in' both' the' tool,' in' contrast' with' the' militaristic' army' and' navy.' The' following' year,' emphasis' of' its' German' alternative.' Nachtegall' prepared' a' detailed' Nevertheless,' a' military' component' can' gymnastics' manual' for' this' course' be' seen' in' both' Danish' and' Swedish' (Leonard,'2009):' programmes.' Important' figures' in' the' ' Danish'segment'of'the'Scandinavian'story' “lnstruction! i! Gymnastikken,! for! de! were'Christiani,'Nachtegall'and'Bukh.'' Laerere! som! ere! ansatte! ved! Kavalleriets! ) og! Infanteriets! Underofficeer`!og! Christiani.'Denmark'and'Norway'were' Exerceerskoler.) (lnstruction! in! gymnastics! united'as'a'single'kingdom'until'1814.'At' for! teachers! who! are! employees! of! naval! the'end'of'the'18th'century,'the'young'and' and!infantry!NCO!exercise!schools).”'' liberal' Regent' was' Frederik' VI' (1786< ' 1839' CE).' He' instituted' many' reforms,' In' 1807,' King' Christian' VII' appointed' including'the'abolition'of'serfdom'(1788)' Nachtegall'Professor'of'Gymnastics'at'the' and' the' first' university' of' the' joint' University' in' Copenhagen,' although' he' kingdom' was' named' after' him' in' Oslo.' never' seems' to' have' taught' formally' in' Given' this' promising' educational' any'of'its'lecture'halls.'The'following'year,' atmosphere,' in' 1795' Frederik’s' court' Nachtegall' was' awarded' an' honorarium' chaplain' Christiani' opened' a' private' of' 300' Rix Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'41'''' Understanding!of!Health!and!Fitness! ! Bukh.'Niels'Ebbesen'Bukh'(1880<1950' Schnepfenthal! institution' in' 1784' CE),' was' born' in' rural' Denmark.' His' (Christoph' et' al.,' 1800).' This' Institution' mother'thought'him'a'sickly'boy,'with'in< was'dedicated'to'new'modes'of'education,' pointing' toes' and' too' large' a' head.' with'Natural'Law'and'Enlightement'as'its' However,' he' became' the' charismatic' watchwords.' Salzmann' had' previously' leader' of' modern' Danish' gymnastics,' taught' at' Basedow’s' philanthropinum'in' building' on' the' tradition' of' Nachtegall' Dessau,'and'he'was'heavily'influenced'by' (Bukh,' 1938).' Although' an' exponent' of' the' ideas' of' Rousseau.' In' his' text' on' folkelighed'(sport'for'all),'much'of'Bukh’s' Gymnastics!for!Youth,'written'jointly'with' interest' was' focussed' upon' elite' Guts Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'42'''' Understanding!of!Health!and!Fitness! ! knowledge'of'Medicine'was'such'that'his' “remarkable' decrease”' of' Physical' programme' gained' the' respect' of' local' Working' Capacity' as' young' men' moved' physicians,'and'in'1831'he'was'elected'a' from' their' school' programmes' into' the' member' of' the' Svenska! läkaresällskapet! first'year'of'Swedish'compulsory'military' (Swedish!General!Medical!Association).'' service'(Linroth,'1957).'The'author'of'this' The' therapeutic' component' of' Ling’s' report' suggested' that' the' pattern' of' programme' (Swedish' massage)' became' physical'training'and'occupational'duties' widely' accepted,' with' its' characteristic' adopted' by' the' army' failed' to' take' components' of' effleurage' (stroking),' adequate' account' of' the' individual’s' petrissage'(kneading),'friction,' abilities'at'recruitment.' tapotement'(brisk'tapping)'and'vibration.' ' Some' Physical' Therapists' ' viewed' Ling’s' Czechoslovakia.) Czechoslovakian' exercises' as' but' one' component' of' gymnastics' followed' closely' along' the' orthodox' Medical' Science,' but' others' (as' lines' of' the' German' Turnverein,' and' exemplified' by'Henrik'Kellgren'(1837– during' the' 19th'century'the'Turnverein' 1916' CE)' claimed' that' Swedish' massage' movement' spread' quickly' throughout' was' a' cure' for' disease' in' its' own' right.' Slavic' parts' of' the' German' empire.' The' The'demand'for'Swedish'massage'quickly' Turnverein'was'in'part'a'reaction'against' exceeded' the' teaching' capacity' of' Ling’s' the' industrialization' and' urbanization' of' school,'and'this'stimulated'a'demand'for' central'Europe,'an'attempt'to'get'exercise' machines' that' could' assist' staff' in' out' of' the' classroom' or' gymnasium' and' providing' active,' assisted' and' resisted' into'the'open'air.' exercise.' One' outcome' of' this' was' the' In'Czechoslovakia,'it'became'known'as' medico Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'43'''' Understanding!of!Health!and!Fitness! ! first'decade'of'the'20th'century,'alignment' Pestalozzi' set' out' his' educational' with' the' Czech' National' Socialist' party' philosophy' in' the' book' “How! Gertrude! brought' about' an' unfortunate' “ethnic' Teaches! Her! Children”' (Pestalozzi' and' cleansing”' of' non Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'44'''' Understanding!of!Health!and!Fitness! ! believed' strongly' in' the' virtues' of' développement! de! tous! nos! facultés! (the! rhythmic' movement,' urging' their' pupils' rational! science! of! our! movements! and! to'express'themselves'through'dance'and' their! relationship! to! our! senses,! our! thus' to' exercise' various' body' parts.' intelligence,! our! mores,! and! the! Delsarte' taught' relaxing' exercises' and' development!of!all!our!faculties)”! breath' control' for' actors,' but' he' also' ' believed' that' certain' physical' exercises' Like' many' of' his' contemporaries' in' contributed' to' poise,' grace,' beauty' and' Physical' Education,' Amorós' once' more' health.' Towards' the' end' of' the' 19th' found'himself'in'conflict'with'the'reigning' century,' a' vogue' for' Delsarte' gymnastics' government.' His' new' problems' arose' developed' in' North' America' (Stebbins,' from) the' Bourgeois' Revolution' of' July' 1888),' and' this' trend' was' perpetuated' 1830' that' had' ended' the' Bourbon' into' the' 20th'century'by'such'individuals' monarchy.' According' to' the' Great! Soviet! as'Rudolf'von'Laban'(1879<1858'CE)'and' Encyclopedia'of'1979,'in'the'aftermath'of' Frederick' Matthias' Alexander' (1869< this' action,' Amorós' was' removed' from' 1955'CE).''''' both' his' position' as' leader' of' the' army’s' ' Physical' Education' programme' and' from' Military)gymnastics.'The'army'played' the' School' that' he' had' founded' in' 1832.' a' major' role' in' the' development' of' Nevertheless,' the' army' continued' to' Physical'Education'in'France.'The'colonel' follow' the' Amorós'plan'of'physical' responsible' for' this' initiative,' Francisco' training'when'it'established'a'permanent' Amorós' (1769<1848' CE)' was' born' in' Gymnastics'school'in'the'Parisian'suburb' Valencia,' Spain.' He' had' founded' the' of'Joinville Health'&'Fitness'Journal'of'Canada,'ISSN'1920<6216,'Vol.'6,'No.'2'⋅'May'30,'2013'⋅'45'''' Understanding!of!Health!and!Fitness! ! that!one!is!thrown!unwittingly!form!some! received,'and'soon'afterwards'Hébert'was' high!place!without!being!able!to!avoid!it).! appointed' Director' of' the' Athletes’' ) Secondary' School' in' Reims.' He' also' Perhaps' as' a' reaction' to' defeat' of' the' assumed' responsibility' for' the' physical' French' army' by' the' Prussians' in' 1870,' training' of' French' troops' during' World' French' schools' made' military