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Exercise and Coronary Heart Disease

Exercise and Coronary Heart Disease The epidemiologic evidence examining the effect of physical activity on the development and course of coronary heart disease is reviewed. This evi­ dence indicates that physically active individuals have a lower incidence of myocardial infarction and mortality from coronary disease. While there is no documentation that an exercise program following myocardial infarction will significantly increase patient survival, exercise does increase functional capacity, lessen angina pectoris, and improve self-image in patients with coronary heart disease. Possible mechanisms for the beneficial effects of exercise are considered. INTRODUCTION By any measurement made, be it population surveys or sales of running shoes, it is clear that interest in physical activity has risen dramatically over the past three decades. This has been accompanied by a popular belief that physical fitness will increase longevity and, in particular, protect against coronary heart disease (CHD), the leading cause of death in the US (1). In this review, we examine the evidence relating regular exercise to the preven­ tion of coronary heart disease. Repetitive endurance aerobic exercise, such as walking, jogging, swim­ ming, rowing, or bicycling, is the type of activity believed to have a benefi­ cial cardiovascular effect. Isometric, muscle-building exercises do not confer such benefits. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Annual Review of Medicine Annual Reviews

Exercise and Coronary Heart Disease

Rigotti, N A; Thomas, G S; Leaf, A
Annual Review of Medicine , Volume 34 (1) – Feb 1, 1983
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Publisher
Annual Reviews
Copyright
Copyright 1983 Annual Reviews. All rights reserved
Subject
Review Articles
ISSN
0066-4219
eISSN
1545-326X
DOI
10.1146/annurev.me.34.020183.002135
pmid
6344768
Publisher site
See Article on Publisher Site

Abstract

The epidemiologic evidence examining the effect of physical activity on the development and course of coronary heart disease is reviewed. This evi­ dence indicates that physically active individuals have a lower incidence of myocardial infarction and mortality from coronary disease. While there is no documentation that an exercise program following myocardial infarction will significantly increase patient survival, exercise does increase functional capacity, lessen angina pectoris, and improve self-image in patients with coronary heart disease. Possible mechanisms for the beneficial effects of exercise are considered. INTRODUCTION By any measurement made, be it population surveys or sales of running shoes, it is clear that interest in physical activity has risen dramatically over the past three decades. This has been accompanied by a popular belief that physical fitness will increase longevity and, in particular, protect against coronary heart disease (CHD), the leading cause of death in the US (1). In this review, we examine the evidence relating regular exercise to the preven­ tion of coronary heart disease. Repetitive endurance aerobic exercise, such as walking, jogging, swim­ ming, rowing, or bicycling, is the type of activity believed to have a benefi­ cial cardiovascular effect. Isometric, muscle-building exercises do not confer such benefits.

Journal

Annual Review of Medicine – Annual Reviews

Published: Feb 1, 1983

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