The growing size of world cities and ever more competitive working con
ditions are thought to cause subjective stress, anxiety and depression
, with a resulting decrease in the quality of life, sleep disturbances
, drug and alcohol abuse and poor productivity. Acute stress may suppr
ess immune function, leading to an increased incidence of infections,
and chronic stress may predispose to a number of ailments, including d
igestive disturbances, hypertension, ischaemic heart disease and neopl
asia; jointly, these factors cause a substantial shortening of life ex
pectancy. The control of stress thus makes an important contribution t
o health. Stress levels can be reduced by anxiolytic drugs, or by a va
riety of psychological techniques; however, an appropriate programme o
f physical activity may be the preferred option, since exercise has ma
ny positive effects on health that are unrelated to stress. If exercis
e is to be effective in inducing relaxation, it must be noncompetitive
, moderate in intensity, and pursued in pleasant surroundings.