140,000 people have shown that if you have cardiovascular disease, you should also be more active! The more you exercise, the greater the benefits!

If you have cardiovascular disease, you should also be more active

Reporter Of this newspaper, Yan Sheng

Many people believe that cardiovascular disease patients should not exercise a lot, because this is a weight that the heart cannot bear. Recently, a Dutch study of more than 140,000 adults showed that for cardiovascular disease patients, the more exercise, the better, that is, the more exercise, the greater the health benefits.

The more people with cardiovascular disease exercise, the better

The study included more than 140,000 adults, of whom 78.6% were healthy people, 19.6% were people with cardiovascular risk factors, and 1.7% were cardiovascular disease patients. Among them, healthy people exercise the highest, and cardiovascular disease patients exercise the lowest. During the median follow-up period of 6.8 years, the incidence of major adverse cardiovascular events and deaths among healthy people, those with cardiovascular risk factors and patients with cardiovascular diseases was 2.2%, 7.9%, and 40.9%, respectively.

The study found that for those without cardiovascular disease (including healthy people and those with risk factors), the benefits of increasing exercise when the amount of exercise reached a high level did not increase further. However, in patients with cardiovascular disease, the greater the amount of moderate- and high-intensity exercise, the lower the risk of all-cause death or major adverse cardiovascular events.

The researchers pointed out that for anyone, medium and high-intensity exercise is beneficial, especially in cardiovascular disease patients should be encouraged to exercise more, for them, the more exercise is better. Currently, our guidelines recommend that healthy adults engage in at least 150 minutes of moderate-intensity or at least 75 minutes of high-intensity aerobic physical activity per week. Patients with cardiovascular disease should also insist on physical activity according to their physical condition.

If you have heart disease, you should insist on exercising

People have always had a misunderstanding that cardiovascular disease patients have poor heart function, should be less active, and avoid high-intensity exercise. Not really. An analysis of more than 30,000 heart disease patients, published at the 2021 Annual Meeting of the European Society of Cardiology, showed that after developing heart disease, regardless of whether they had previous exercise habits or not, they should actively exercise after developing heart disease.

From the perspective of cardiac rehabilitation, people with heart disease should engage in regular physical activity. Exercise in the population of patients with coronary heart disease is consistent with the recommendations of healthy people: at least 150 minutes of moderate-intensity activity per week, or 75 minutes of vigorous activity per week, or a combination of both.

The analysis included more than 30,000 patients with coronary heart disease from nine cohorts, with an average age of 62.5 years and 34 percent women. The median follow-up was 7.2 years. Patients' movements are divided into four types: inactivity, insistence on exercising, initiation of exercise, and initiation of inactivity. The study found that patients who insisted on exercising had a 50 percent lower risk of all-cause death, those who started exercising had a 45 percent lower risk of all-cause death, and those who started inactive had a 20 percent lower risk of all-cause death than those who had been inactive.

Studies have shown that those who stick to exercise benefit the most. Even if you haven't exercised before, there are benefits to starting exercise after the disease. However, not exercising after illness is equivalent to not exercising all the time.

Prevention of cardiovascular disease also depends on exercise

Life is in motion. There is plenty of evidence that exercise helps prevent a variety of diseases, including cardiovascular disease. A study based on the UK Biological Database also suggests that there is a cardiovascular benefit whenever exercise is exercised. Of course, when the amount of exercise is greatest, the cardiovascular risk is lowest. Exercise is an important way to prevent cardiovascular disease, and the cardiovascular benefits it brings are beyond imagination.

So, how should cardiovascular patients exercise?

Previously, the European Society of Cardiology issued exercise and physical activity guidelines for heart disease patients stated that all cardiovascular disease patients should do their best to exercise at least 150 minutes a week, 5 days a week; or 75 minutes of strenuous exercise, 3 days a week.

For obese, hypertensive or type 2 diabetic patients, it is recommended to do three additional 20 minutes of strength training per week to reduce the risk of cardiovascular disease; those at high risk of cardiac adverse events caused by atherosclerotic coronary artery disease should be evaluated by exercise stress testing if they want to do high-intensity exercise; regular physical exercise is the cornerstone of preventing atrial fibrillation in the general population, and lifelong endurance exercise may increase the risk of atrial fibrillation in some middle-aged and elderly men Asymptomatic patients with mild hypertrophic cardiomyopathy with a low 5-year risk score may participate in all competitive sports except those that may lead to potentially fatal trauma; patients with severe valvular heart disease, poor left ventricular function, arrhythmic cardiomyopathy, and active myocarditis should not undergo high-intensity exercise.

The pictures in this article are from the Internet

Edit || Swallow sound Wan Tao

The duty director || Fan Hongbo