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Spark: The Revolutionary New Science of Exercise and the Brain Hardcover – January 10, 2008
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Did you know you can beat stress, lift your mood, fight memory loss, sharpen your intellect, and function better than ever simply by elevating your heart rate and breaking a sweat? The evidence is incontrovertible: Aerobic exercise physically remodels our brains for peak performance.
In Spark, John J. Ratey, M.D., embarks upon a fascinating and entertaining journey through the mind-body connection, presenting startling research to prove that exercise is truly our best defense against everything from depression to ADD to addiction to aggression to menopause to Alzheimer's.
Filled with amazing case studies (such as the revolutionary fitness program in Naperville, Illinois, which has put this school district of 19,000 kids first in the world of science test scores), Spark is the first book to explore comprehensively the connection between exercise and the brain. It will change forever the way you think about your morning run -- -or, for that matter, simply the way you think.
- Print length294 pages
- LanguageEnglish
- PublisherLittle, Brown Spark
- Publication dateJanuary 10, 2008
- Dimensions6.25 x 1 x 9.5 inches
- ISBN-100316113506
- ISBN-13978-0316113502
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Editorial Reviews
Review
"Bravo! This is an extremely important book. What Cooper did decades ago for exercise and the heart, Ratey does in SPARK for exercise and the brain. Everyone--teachers, doctors, managers, policy-makers, individuals trying to lead the best kind of life--can benefit enormously from the utterly convincing and brilliantly documented thesis of this ground-breaking work. People know that exercise helps just about everything, except anorexia, but it will surprise most people just how dramatically it improves all areas of mental functioning. So, get moving! You're brain will thank you and repay you many times over."―Edward Hallowell, M.D., The Hallowell Centers
"This book is a real turning point that explains something I've been trying to figure out for years. Having experienced symptoms of both ADHD and mild depression, I have personally witnessed the powerful effects of exercise, and I've suspected that the health benefits go way beyond just fitness. Exercise is not simply necessary, as Dr. Ratey clearly shows, it's medicine."―Greg LeMond, Three-time winner of the Tour de France
"SPARK is just what we need-a thoughtful, interesting, scientific treatise on the powerful and positive impact of exercise on the brain. In mental health, exercise is a growth stock and Ratey is our best broker."―Ken Duckworth, M.D., Medical Director for the National Alliance on Mental Illness
About the Author
Excerpt. © Reprinted by permission. All rights reserved.
Spark
By John J. Ratey Eric HagermanLittle, Brown and Company
Copyright © 2008 John J. Ratey, MDAll right reserved.
ISBN: 978-0-316-11350-2
Chapter One
Welcome to the RevolutionA Case Study on Exercise and the Brain
ON A SLIGHT swell of land west of Chicago stands a brick building, Naperville Central High School, which harbors in its basement a low-ceilinged, windowless room crowded with treadmills and stationary bikes. The old cafeteria-its capacity long dwarfed by enrollment numbers-now serves as the school's "cardio room." It is 7:10 a.m., and for the small band of newly minted freshmen lounging half asleep on the exercise equipment, that means it's time for gym.
A trim young physical education teacher named Neil Duncan lays out the morning's assignment: "OK, once you're done with your warm-up, we're going to head out to the track and run the mile," he says, presenting a black satchel full of chest straps and digital watches-heart rate monitors of the type used by avid athletes to gauge their physical exertion. "Every time you go around the track, hit the red button. What that's going to do-it's going to give you a split. It's going to tell you, this is how fast I did my first lap, second lap, third lap. On the fourth and final lap-which will be just as fast if you do it right-" he says, pausing to survey his sleepy charges, "you hit the blue button, OK? And that'll stop your watch. Your goal is-well, to try to run your fastest mile. Last but not least, your average heart rate should be above 185."
Filing past Mr. Duncan, the freshmen lumber upstairs, push through a set of heavy metal doors, and in scattered groups they hit the track under the mottled skies of a crisp October morning. Perfect conditions for a revolution.
This is not good old gym class. This is Zero Hour PE, the latest in a long line of educational experiments conducted by a group of maverick physical education teachers who have turned the nineteen thousand students in Naperville District 203 into the fittest in the nation-and also some of the smartest. (The name of the class refers to its scheduled time before first period.) The objective of Zero Hour is to determine whether working out before school gives these kids a boost in reading ability and in the rest of their subjects.
The notion that it might is supported by emerging research showing that physical activity sparks biological changes that encourage brain cells to bind to one another. For the brain to learn, these connections must be made; they reflect the brain's fundamental ability to adapt to challenges. The more neuroscientists discover about this process, the clearer it becomes that exercise provides an unparalleled stimulus, creating an environment in which the brain is ready, willing, and able to learn. Aerobic activity has a dramatic effect on adaptation, regulating systems that might be out of balance and optimizing those that are not-it's an indispensable tool for anyone who wants to reach his or her full potential.
Out at the track, the freckled and bespectacled Mr. Duncan supervises as his students run their laps.
"My watch isn't reading," says one of the boys as he jogs past.
"Red button," shouts Duncan. "Hit the red button! At the end, hit the blue button."
Two girls named Michelle and Krissy pass by, shuffling along side by side.
A kid with unlaced skateboarding shoes finishes his laps and turns in his watch. His time reads eight minutes, thirty seconds.
Next comes a husky boy in baggy shorts.
"Bring it on in, Doug," Duncan says. "What'd you get?"
"Nine minutes."
"Flat?"
"Yeah."
"Nice work."
When Michelle and Krissy finally saunter over, Duncan asks for their times, but Michelle's watch is still running. Apparently, she didn't hit the blue button. Krissy did, though, and their times are the same. She holds up her wrist for Duncan. "Ten twelve," he says, noting the time on his clipboard. What he doesn't say is "It looked like you two were really loafing around out there!"
The fact is, they weren't. When Duncan downloads Michelle's monitor, he'll find that her average heart rate during her ten-minute mile was 191, a serious workout for even a trained athlete. She gets an A for the day.
The kids in Zero Hour, hearty volunteers from a group of freshmen required to take a literacy class to bring their reading comprehension up to par, work out at a higher intensity than Central's other PE students. They're required to stay between 80 and 90 percent of their maximum heart rate. "What we're really doing is trying to get them prepared to learn, through rigorous exercise," says Duncan. "Basically, we're getting them to that state of heightened awareness and then sending them off to class."
How do they feel about being Mr. Duncan's guinea pigs? "I guess it's OK," says Michelle. "Besides getting up early and being all sweaty and gross, I'm more awake during the day. I mean, I was cranky all the time last year."
Beyond improving her mood, it will turn out, Michelle is also doing much better with her reading. And so are her Zero Hour classmates: at the end of the semester, they'll show a 17 percent improvement in reading and comprehension, compared with a 10.7 percent improvement among the other literacy students who opted to sleep in and take standard phys ed.
The administration is so impressed that it incorporates Zero Hour into the high school curriculum as a first-period literacy class called Learning Readiness PE. And the experiment continues. The literacy students are split into two classes: one second period, when they're still feeling the effects of the exercise, and one eighth period. As expected, the second- period literacy class performs best. The strategy spreads beyond freshmen who need to boost their reading scores, and guidance counselors begin suggesting that all students schedule their hardest subjects immediately after gym, to capitalize on the beneficial effects of exercise.
It's a truly revolutionary concept from which we can all learn.
FIRST-CLASS PERFORMANCE
Zero Hour grew out of Naperville District 203's unique approach to physical education, which has gained national attention and become the model for a type of gym class that I suspect would be unrecognizable to any adult reading this. No getting nailed in dodgeball, no flunking for not showering, no living in fear of being the last kid picked.
The essence of physical education in Naperville 203 is teaching fitness instead of sports. The underlying philosophy is that if physical education class can be used to instruct kids how to monitor and maintain their own health and fitness, then the lessons they learn will serve them for life. And probably a longer and happier life at that. What's being taught, really, is a lifestyle. The students are developing healthy habits, skills, and a sense of fun, along with a knowledge of how their bodies work. Naperville's gym teachers are opening up new vistas for their students by exposing them to such a wide range of activities that they can't help but find something they enjoy. They're getting kids hooked on moving instead of sitting in front of the television. This couldn't be more important, particularly since statistics show that children who exercise regularly are likely to do the same as adults.
But it's the impact of the fitness-based approach on the kids while they're still in school that initially grabbed my attention. The New PE curriculum has been in place for seventeen years now, and its effects have shown up in some unexpected places-namely, the classroom.
It's no coincidence that, academically, the district consistently ranks among the state's top ten, even though the amount of money it spends on each pupil-considered by educators to be a clear predictor of success-is notably lower than other top-tier Illinois public schools. Naperville 203 includes fourteen elementary schools, five junior highs, and two high schools. For the sake of comparison, let's look at Naperville Central High School, where Zero Hour began. Its per- pupil operating expense in 2005 was $8,939 versus $15,403 at Evanston's New Trier High School. New Trier kids scored on average two points higher on their ACT college entrance exams (26.8), but they fared worse than Central's kids on a composite of mandatory state tests, which are taken by every student, not just those applying to college. And Central's composite ACT score for the graduating class of 2005 was 24.8, well above the state average of 20.1.
Those exams aren't nearly as telling as the Trends in International Mathematics and Science Study (TIMSS), a test designed to compare students' knowledge levels from different countries in two key subject areas. This is the exam cited by New York Times editorialist Thomas Friedman, author of The World Is Flat, when he laments that students in places like Singapore are "eating our lunch." The education gap between the United States and Asia is widening, Friedman points out. Whereas in some Asian countries nearly half of the students score in the top tier, only 7 percent of U.S. students hit that mark.
TIMSS has been administered every four years since 1995. The 1999 edition included 230,000 students from thirty-eight countries, 59,000 of whom were from the United States. While New Trier and eighteen other schools along Chicago's wealthy North Shore formed a consortium to take the TIMSS (thereby masking individual schools' performance), Naperville 203 signed up on its own to get an international benchmark of its students' performance. Some 97 percent of its eighth graders took the test-not merely the best and the brightest. How did they stack up? On the science section of the TIMSS, Naperville's students finished first, just ahead of Singapore, and then the North Shore consortium. Number one in the world. On the math section, Naperville scored sixth, behind only Singapore, Korea, Taiwan, Hong Kong, and Japan.
As a whole, U.S. students ranked eighteenth in science and nineteenth in math, with districts from Jersey City and Miami scoring dead last in science and math, respectively. "We have huge discrepancies among our school districts in the United States," says Ina Mullis, who is a codirector of TIMSS. "It's a good thing that we've at least got some Napervilles-it shows that it can be done."
I won't go so far as to say that Naperville's kids are brilliant specifically because they participate in an unusual physical education program. There are many factors that inform academic achievement. To be sure, Naperville 203 is a demographically advantaged school district: 83 percent white, with only 2.6 percent in the low income range, compared with 40 percent in that range for Illinois as a whole. Its two high schools boast a 97 percent graduation rate. And the town's major employers are science-centric companies such as Argonne, Fermilab, and Lucent Technologies, which suggests that the parents of many Naperville kids are highly educated. The deck-in terms of both environment and genetics-is stacked in Naperville's favor.
On the other hand, when we look at Naperville, two factors really stand out: its unusual brand of physical education and its test scores. The correlation is simply too intriguing to dismiss, and I couldn't resist visiting Naperville to see for myself what was happening there. I've long been aware of the TIMSS test and how it points to the failings of public education in this country. Yet the Naperville 203 kids aced the test. Why? It's not as if Naperville is the only wealthy suburb in the country with intelligent, educated parents. And in poor districts where Naperville- style PE has taken root, such as Titusville, Pennsylvania (which I'll discuss later), test scores have improved measurably. My conviction, and my attraction to Naperville, is that its focus on fitness plays a pivotal role in its students' academic achievements.
THE NEW PE
The Naperville revolution started, as such things often do, with equal parts idealism and self-preservation. A visionary junior high physical education teacher named Phil Lawler got the movement off the ground after he came across a newspaper article in 1990 reporting that the health of U.S. children was declining.
"It said the reason they weren't healthy was that they weren't very active," recalls Lawler, a tall man in his fifties, with rimless glasses, who dresses in khakis and white sneakers. "These days everybody knows we have an obesity epidemic," he continues. "But pick up a paper seventeen years ago and that kind of article was unusual. We said, We have these kids every day; shouldn't we be able to affect their health? If this is our business, I thought, we're going bankrupt."
He already felt like his profession received no respect; schools had started cutting phys ed from the curriculum, and now this. A former college baseball pitcher who missed out on the majors, Lawler is a sincere salesman and a natural leader who became a gym teacher to stay close to sports. In addition to teaching PE at District 203's Madison Junior High, he coached Naperville Central's baseball team and served as the district coordinator for PE, but even in these respectable posts, sometimes he was embarrassed to admit what he did for a living. Part of what he saw in that article was an opportunity-a chance to make his job matter.
When Lawler and his staff at Madison took a close look at what was happening in gym, they saw a lot of inactivity. It's the nature of team sports: waiting for a turn at bat, waiting for the center's snap, waiting for the soccer ball to come your way. Most of the time, most of the players just stood around. So Lawler decided to shift the focus to cardiovascular fitness, and he instituted a radical new feature to the curriculum. Once a week in gym class, the kids would run the mile. Every single week! His decision met with groans from students, complaints from parents, and notes from doctors.
He was undeterred, yet he quickly recognized that the grading scale discouraged the slowest runners. To offer nonathletes a shot at good marks, the department bought a couple of Schwinn Airdyne bikes and allowed students to earn extra credit. They could come in on their own time and ride five miles to raise their grades. "So any kid who wanted to get an A could get an A if he worked for it," Lawler explains. "Somewhere in this process, we got into personal bests. Anytime you got a personal best, no matter what it was, you moved up a letter grade." And this led to the founding principle of the approach he dubbed the New PE: Students would be assessed on effort rather than skill. You didn't have to be a natural athlete to do well in gym.
But how does one judge the individual effort of forty kids at a time? Lawler found his answer at a physical education conference he organized every spring. He worked hard to turn the event into an exchange of fresh ideas and technologies, and to encourage attendance he talked the vendors into donating door prizes. Each year at the beginning of the conference, he would push a towel cart through the aisles, collecting bats and balls and other sporting goods. Cast in among the bounty one year was a newfangled heart rate monitor, which at the time was worth hundreds of dollars. He couldn't help himself; he stole it for the revolution. "I saw that son of a buck," he freely admits, "and I said, That's a door prize for Madison Junior High!"
During the weekly mile, he tested the device on a sixth-grade girl who was thin but not the least bit athletic. When Lawler downloaded her stats, he couldn't believe what he found. "Her average heart rate was 187!" he exclaims. As an eleven-year-old, her maximum heart rate would have been roughly 209, meaning she was plugging away pretty close to full tilt. "When she crossed the finish line, she went up to 207," Lawler continues. "Ding, ding, ding! I said, You gotta be kidding me! Normally, I would have gone to that girl and said, You need to get your ass in gear, little lady! It was really that moment that caused dramatic changes in our overall program. The heart rate monitors were a springboard for everything. I started thinking back to all the kids we must have turned off to exercise because we weren't able to give them credit. I didn't have an athlete in class who knew how to work as hard as that little girl."
He realized that being fast didn't necessarily have anything to do with being fit.
One of Lawler's favorite statistics is that less than 3 percent of adults over the age of twenty-four stay in shape through playing team sports, and this underscores the failings of traditional gym class. But he knew he couldn't have the students run the mile every day, so he set up a program of what they have termed " small-sided sports"-three-on-three basketball or four-on-four soccer-where the students are constantly moving. "We still play sports," Lawler says. "We just do them within a fitness model." Instead of being tested on such trivia as the dimensions of a regulation volleyball court, Naperville's gym students are graded on how much time they spend in their target heart rate zones during any given activity.
(Continues...)
Excerpted from Sparkby John J. Ratey Eric Hagerman Copyright ©2008 by John J. Ratey, MD . Excerpted by permission.
All rights reserved. No part of this excerpt may be reproduced or reprinted without permission in writing from the publisher.
Excerpts are provided by Dial-A-Book Inc. solely for the personal use of visitors to this web site.
Product details
- Publisher : Little, Brown Spark; 1st edition (January 10, 2008)
- Language : English
- Hardcover : 294 pages
- ISBN-10 : 0316113506
- ISBN-13 : 978-0316113502
- Item Weight : 1.14 pounds
- Dimensions : 6.25 x 1 x 9.5 inches
- Best Sellers Rank: #112,635 in Books (See Top 100 in Books)
- #35 in Aerobics (Books)
- #123 in Stretching Exercise & Fitness
- #349 in Cognitive Psychology (Books)
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Eric Hagerman is a former editor of Popular Science and Outside. His work has been featured in The Best American Sports Writing 2004, Men's Journal, and PLAY
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Dr. John Ratey is an Associate Professor at Harvard Medical School as well as a practicing psychiatrist. He has been well known and respected in his field since the late 1990s and has published many books on various psychiatric topics. This book is a compilation of personal experience, scientific knowledge and studies, as well as case studies that involve exercise and how the brain responds. Dr. Ratey wants to share the information he has gathered and the benefits he has both witnessed and experienced in regards to exercise and brain function. He wants everyone to be able to tap into their best self, both physically and mentally.
This book is very accessible for both the scientifically trained and the lay reader. Dr. Ratey explains some basics of neurobiology and brain chemistry in simple enough terms and frequently comes back to each explanation in each chapter so readers do not have to worry about memorizing the exact details of each study and concept - and by the end, many will stick to the reader’s strengthened neural circuitry due to such repetition and re-emphasis.
Dr. Ratey focuses on eight very important topics in psychiatry and how they can be improved with exercise - learning, stress, anxiety, depression, attention, addiction, hormones, and aging. Each chapter gives a case study or two, some anecdotal evidence from his experiences and practice, as well as robust scientific findings and experimental outcomes supporting. It was extremely straightforward and easy to read for me.
Here is a basic summary of each topic, each its own chapter:
Learning is fueled by the building of new synapses and new cells in the brain. This is greatly driven by brain-derived neurotrophic factor (BDNF) which Dr. Ratey considers “miracle-gro” for the brain. He discusses how exercise stimulates and supports the production of BDNF and thus helps the creation and growth of new brain cells. Exercise also has proven impacts on alertness, attention, and motivation, all necessary for learning. Lastly, exercise helps with chemical factors that build and strengthen synapses (connections between nerve cells).
Stress is something that is ubiquitous in modern culture. It erodes our physical and mental health and creates elevated risk for many diseases. Frequent exercise is something we don’t feel we have time for, something that we assume will just stress us out more, however, Dr. Ratey counters that some stress is good - it stimulates our bodies to renew and strengthen itself, exercise is a very good stress. It puts us in control of our bodies and our minds, and by extension our lives. The stress of exercise inoculates us against future stressful situations and trains our bodies to respond in less harmful ways. Frequent exercise primes us to fight stress and fight it appropriately.
Anxiety is often a product of the hypersensitive nervous system and disrupted brain chemistry. In many situations it must be controlled with medications and therapy to reduce panic attacks. Many anxiety medications have concerning side effects. Dr. Ratey explains that exercise can work as well or better than medication, or alongside medication, to help people control their anxiety, panic, and fear. Exercise is able to create a distraction from anxiety, reduce muscle tension, properly build up the brain’s chemical resources, create a different outcome than panic attack, and reroute circuits in the brain. This to builds resilience to and hopefully growing freedom from anxiety and fear.
Depression is another major issue tackled by Dr. Ratey. Just as with anxiety disorders, medications to treat depression have intense and unwanted side effects and individuals have great variance in whether a medication even works for them. While depression is something that often makes people unwilling to exercise, if they can make the first step to try it and a concerted effort to keep going they can have great results. Exercise balances many neurotransmitters that are out of whack in the depressed brain and can even repair structural damage that is apparent in many patients. This is a disease that can often be impacted one step at a time, literally.
Dr. Ratey, has addressed attention disorders in several of his previous books. He has great insight and knowledge on the subject and now has increasing evidence that daily exercise is an effective treatment for many people with a spectrum of attention disorders. Personally, I have often thought that I am borderline ADHD, so this chapter was extremely insightful an impactful to me. It made me thankful that I had always been active and athletic as a child so I was not greatly impacted in school. Now in grad school, however, I should really step up my exercise routine again, rather than letting it slip as much as I have. Just as stated the learning chapter, exercise helps with alertness, motivation, and attention. It balances out neurotransmitters and helps the brain self-regulate for a time after moderate to vigorous activity.
Another major topic was addiction. The impactful parts of this chapter were how some addicts were able to recover and retrain their brains with running programs incorporated in their treatment programs. There is a team of former addicts who now runs marathons together. They have found a way out of their addictions, learned to control their brain chemistry, and found a way to reconnect with others, rather than be marginalized. Dr. Ratey mentions in this chapter as well as others, how exercise can be even more beneficial as a social activity. In this case the social aspect helps former addicts reconnect as well as discuss their challenges and find support.
Hormones, specifically the female hormonal cycle and associated disorders, are something that is also greatly impacted by exercise. Hormones are regulated in the brain as well as effect the brain, in particular the mood center, so exercise can be a form of treatment for many “female issues” such as PMS, pregnancy, postpartum depression, and menopause. This is great news for many women who suffer, some often and some at one time or another, from these common issues. While exercise may not always be a “cure”, Dr. Ratey emphasizes that it is something that can be started slowly and has very little risk or side effects as compared to other common treatments for hormone challenges, disruptions, and disorders.
Lastly, Dr. Ratey discusses aging - both the general effects of aging on the brain as well as brain disease and disorder associated with aging (eg. dementia and Alzheimer’s). Regular exercise not only helps aging populations stay healthy and “feel younger” but also helps their brains stay markedly younger. There are physical and chemical effects in the brain itself that can greatly impact how gracefully someone’s brain ages. People who stay sharp, wise, and alert as they age are often regular exercisers, sometimes by recommendation of their doctors, but most often by habit and personal knowledge. Studies now support the creation of these habits. We can prevent the degeneration of our minds by exercising now and creating a habit of it to cary us through old age.
This book has great implications for a current topic of study for me: child and adolescent heath. It reinforces that we must have quality physical education programs that encourage children and teens to have healthy habits and find a fitness routine that works for them. I am encouraged by Dr. Ratey’s introduction with “New PE” that is based on lifetime fitness and creating a new core subject. This book and suggestions in it can especially help children and teens dealing with issues of depression, anxiety, stress, and attention.
And now we’ve all got to get out there and MOVE!
I enjoyed the read. As an avid marathoner, I am constantly looking for literature that tells me that all the torture I put my body through is worth it. Being a medical doctor, John Ratey has hands-on experience and knowledge with diagnosis and prescription of treatments. He has seen how exercise can solve health issues in lieu of medications. His perspective on the topic allows him to write effectively. He has obviously researched the effects of exercise on the brain to a great extent - and he does a great job of introducing the reader to the science and explaining why it matters. He covers the effects of exercise on the following: learning, stress, anxiety, depression, attention deficit, addiction, hormonal changes, and aging. Each of these topics are very relevant to the modern human. Personally, I enjoyed reading the learning and stress chapters the most. Ratey wrote the book to promote exercise, and he constantly reminds the reader of it. He eloquently ties all the information of a chapter together to support his message: exercise is good for you.
The first chapter, "Welcome to the Revolution", describes recent innovation in Physical Education classes in grade schools in America. Ratey tells an interesting story about the schools of Naperville, Illinois and the instigator of the PE rebellion, Phil Lawler. Mr. Lawler's story is fascinating. His desire to rework the PE curriculum and his success in doing so is admirable, but even more exciting are the results from that passion. Naperville's District 203 had some of the highest average test scores in the world, including 6th in the world for math and 1st in the world for science. Ratey uses this chapter to show how this isn't a simple correlation between increased fitness and higher test scores. He provides many examples as well as statistics to show that physical education has a very important place in the lives of Americans.
The second chapter, "Learning", sets out to demonstrate to the readers how exercise affects the way we learn. In this chapter, Ratey introduces neuroplasticity, neurotransmitters, and neurotrophic factors. He describes the terms without using confusing medical jargon. Notably, he teaches the reader about Brain Derived Neurotrophic Factor (BDNF) and how it influences learning. Exercise stimulates the production of BDNF. Ratey mixes the science with real-life examples so it is easy to understand.
The third chapter, "Stress", goes over the mechanisms of stress within the body and how exercise acts as a counter to excess stress. He uses a patient of his, Susan, as a point of reference throughout the chapter, applying new topics to Susan's situation and the outcome of those changes. I found it very useful to be able to come back to Susan and see how she changed as Dr. Ratey "prescribed" exercise to deal with stress. Ratey goes over what stress is and how it affects the body. This is very useful because not many people understand how debilitating stress can be and how important it is to have an outlet for reducing it. As Ratey explains, stress equals higher levels of cortisol in the body. Cortisol in high levels will damage the body, including the brain, but it is absolutely essential in controlled doses. Ratey does a fantastic job of explaining the complex interaction between the brain, the body, and stress.
The fourth chapter, "Anxiety", describes how exercise affects anxiety. Ratey provides the reader with a simple and in-depth explanation of how anxiety is produced within the body. Shortly after, the reader finds out how exercise affects that state of anxiety and reduces it. It is very easy to throw out physiological terms and leave the readers with abstract ideas of what is happening in the body, but Ratey explains it well enough so the reader is not lost.
In order to maintain some degree of mystery in the book, I will briefly skim over the remaining chapters. Chapter 5 "Depression" is an extremely useful chapter, as many people in the United States suffer from depression. Exercise has many benefits - and helping cope with depression is one of them. Ratey describes why and how exercise helps with depression. Chapter 6 "Attention Deficit" goes over the current epidemic of ADHD within the U.S. Ratey explains that it isn't a simple motivation issue, but a serious physiological one. Ratey explains what is deficient in the brains of people with ADHD. He describes how brain function is affected and how neurotransmitters are as well. Of course, he ties it back to exercise. Through case studies and reports, he explains effectively how the effects produced through exercise aid those with ADHD. Chapter 7 "Addiction" covers how addiction works in our brains and how exercise works in helping overcome addictions. There are many accounts of people getting through smoking or other addictions. I found this chapter to be inspiring and educational. Chapter 8 "Hormonal Changes" is specifically written for women. It goes through how hormones affect women throughout their lives and how exercise helps balance their system. Ratey covers PMS and menopause, giving thorough descriptions of what is happening physiologically. He then describes the counteracting effects of exercise. In Chapter 9 "Aging", Ratey explains what happens physiologically through the aging process. Again, he shows how consistent exercise can restrict the effects of aging and how it can improve brain function even in old age. He also advocates mental exercise as well as physical to restrain the effects of aging. Finally, the last chapter "The Regimen" offers advice for starting an exercise habit. It's a useful chapter, as Ratey offers basic tips, such as finding a group to exercise with.
Ratey does a fantastic job keeping the reader interested. The content is divided into ten chapters, as previously stated, and follows a predictable pattern. His writing style is simple and easy to understand. It's not eloquent prose, but it is clear and concise and allows Ratey to deliver his message. Through his experience as a doctor, Ratey has plenty of stories for every situation. I loved reading how people's lives changed as they simply became more active. The people in the stories were, for the most part, entirely relatable to the average person. The information about case studies and research was explained clearly and simply, so a lay person could easily grasp the meaning and importance of complex interactions and systems. I enjoyed reading this book.
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It explains that even some is better than none, if you have issues that make it difficult.
The book answers a lot of questions I had after having a stroke at 50. I had a difficult time trying to just survive a day with a 10 year old child to look after when I got home. To figure out what to eat, what did you eat with potatoes ?? How many rolls of toilet paper do you need for 2 weeks? How do you use a washer or drier? One day I ventured out to the side walk, I was exhausted when I got back. The next day I went 2 pickets on the fence further, 2 more 2 days later. After 5 months I could walk 2 miles but that was because I pushed myself to do it. If I did not walk I I had no energy, did not function well. After a year I felt much better and was able to function much better. At 79 still walk between 2 and 4 miles 6 days a week.



Ma questo libro mi ha aperto tutto un'altro universo! Lo sport serve per diventare più intelligenti, serve per essere più concentrati, aiuta a ritrovare motivazione e buonumore. Riequilibra tutti i neurotrasmettitori.
Leggo la sera e la mattina mi alzo e faccio sport. Ora ho trovato mille ragioni per farlo e non mi sembra più una perdita di tempo. Roba mai fatta prima, mai pensato possibile.