This does not show all apps that are still open and/or running.
Double-selecting the home button reveals a fast app switching and a recently used apps bar. A recently used app does not mean the app is still open and running. The overwhelming majority of 3rd party apps will continue to be quit when leaving the app since the overwhelming majority of 3rd party apps do not need to remain open and running in the background.
Some apps such as games will remain open and be placed in a suspended state when leaving the apo so you can resume where you left off when returning to the game instead of having to start the app and game again from scratch. A suspended app is not using an processor cycles and very little if any battery while suspended.
Some apps such as a music streaming app and a GPS turn by turn voice navigation app will continue to remain open and run in the background when leaving the app - such apps are few and far between.
http://whenwillapple.com/blog/2010/04/19/iphone-os-4-multitasking-explained-agai n/