Q J Med 2003; 96: 245-251
© 2003 Association of Physicians
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Physical activity: the evidence of benefit in the prevention of coronary heart disease
From 1 Health Potentials, London, 2 Sport England, East Midlands, and 3 British Heart Foundation, London, UK
| The first 150 words of the full text of this article appear below. |
| Introduction |
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Over the past 40 years, evidence has accumulated on the role of physical activity in preventing and treating coronary heart disease (CHD). The findings are consistent and show that sedentary people have about twice the risk of developing or dying from CHD, compared to active people. The evidence is compelling and has established physical inactivity as one of the major modifiable risk factors for CHD. A recent analysis suggests that 37% of deaths from CHD are attributable to physical inactivity; this is second only to raised blood cholesterol.1 Despite this, few doctors appear to realize the extent of the benefits of regular exercise, nor are they aware of current recommendations relating to it.2 This article reviews the evidence for, and mechanisms by which physical activity confers benefit, as well as the main health messages and ways in which people can be helped to become more active.
Throughout the paper, physical
| Physiological benefits of exercise |
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| The evidence that vigorous activity prevents CHD |
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| The evidence that moderate intensity physical activity prevents CHD |
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Harvard Alumni Health Study
| The evidence of the effects of physical activity on reducing risk factors for CHD |
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Blood pressure
Diabetes
Overweight and obesity
Cholesterol
| The effect of physical activity on the health of those with existing CHD |
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| How active are adults in the UK? |
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Risks of physical activity
| Practical help for health professionalswhat works? |
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Walking the way to health
Exercise referral schemes
| Conclusions |
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| Appendix: useful resources |
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