With a very important caveat in the report:
> Because all of the studies in the evidence base were observational epidemiologic studies with no randomized controlled trials, the data cannot prove causality of effect.
People who don't feel that great when they exercise (despite everyone urging them to exercise) are probably not in the best health. The pervasive advice to exercise more will by itself confound the studies, because healthier people will tend to self-select into the "exercise" group.