More Exercise is Not Always Better – Study Finds
Lack of exercise makes us vulnerable to health problems. But too much of it may not be good as well. New research published in the Mayo Clinic Proceedings found an increase in the cardiovascular deaths in heart attack survivors who exercise to excess.
There is strong epidemiological evidence of the importance of regular physical activity, such as brisk walking and jogging, in the management and rehabilitation of cardiovascular disease and in lowering the risk of death from other diseases such as hypertension, stroke, and type 2 diabetes. The recommended amount of physical activity is 150 minutes per week of moderate-intensity exercise or about 75 minutes of vigorous-intensity exercise.
Paul T. Williams, PhD, of the Life Sciences Division, Lawrence Berkeley National Laboratory, Berkeley, CA, and Paul D. Thompson, MD, of the Department of Cardiology, Hartford Hospital, Hartford, CT, studied the relationship between exercise and cardiovascular disease-related deaths in about 2,400 physically active heart attack survivors.
Remarkable dose-dependent reductions in deaths from cardiovascular events of up to 65% were seen among patients who were running less than 30 miles or walking less than 46 miles per week. Beyond this point however much of the benefit of exercise was lost, in what is described as a reverse J-curve pattern.
"These analyses provide what is to our knowledge the first data in humans demonstrating a statistically significant increase in cardiovascular risk with the highest levels of exercise," say Williams and Thompson. "Results suggest that the benefits of running or walking do not accrue indefinitely and that above some level, perhaps 30 miles per week of running, there is a significant increase in risk. Competitive running events also appear to increase the risk of an acute event." However, they point out that "our study population consisted of heart attack survivors and so the findings cannot be readily generalized to the entire population of heavy exercisers."
Investigators in Spain report on a meta-analysis of ten cohort studies aimed at providing an accurate overview of mortality in elite athletes. The studies included over 42,000 top athletes (707 women) who had participated in a range of sports including football, baseball, track and field, and cycling, including Olympic level athletes and participants in the Tour de France.
"What we found on the evidence available was that elite athletes (mostly men) live longer than the general population, which suggests that the beneficial health effects of exercise, particularly in decreasing cardiovascular disease and cancer risk, are not necessarily confined to moderate doses," comments senior investigator Alejandro Lucia, MD, PhD, of the European University Madrid, Spain. "More research is needed however, using more homogeneous cohorts and a more proportional representation of both sexes."
"Extrapolation of the data from the current Williams and Thompson study to the general population would suggest that approximately one out of twenty people is overdoing exercise," comments James H. O’Keefe, MD, from the Mid America Heart Institute in Kansas City, MO, and first author of an editorial on "Exercising for Health and Longevity versus Peak Performance: Different Regimens for Different Goals,"
O’Keefe, Franklin and Lavie point out that a weekly cumulative dose of vigorous exercise of not more than about five hours has been identified in several studies to be the safe upper range for long-term cardiovascular health and life expectancy, and that it may also be beneficial to take one or two days a week off from vigorous exercise, and to refrain from high-intensity exercise on an everyday basis.
"For patients with heart disease, almost all should be exercising, and generally most should be exercising 30-40 minutes most days, but from a health stand-point, there is no reason to exercise much longer than that and especially not more than 60 minutes on most days," says Lavie, who is a cardiologist at the John Ochsner Heart and Vascular Institute, New Orleans, LA. "As Hippocrates said more than 2,000 years ago, ’if we could give every individual the right amount of nourishment and exercise, not too little and not too much, we would have found the safest way to health.’ I and my co-authors believe this assessment continues to provide wise guidance," he concludes.
Source of this article: More Exercise Isn’t Always Better, Study Shows
©Copyright 2013 by http://www.naturaltherapyforall.com Acupuncture Edinburgh All Rights Reserved.