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Putting the 2008 Physical Activity Guidelines Into Practice to Prevent Cardiovascular Disease

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Abstract

In 2008, the federal government of the United States issued its first-ever physical activity guidelines for Americans. These guidelines were based on a large body of scientific evidence, including evidence showing that physical activity can reduce the risk of developing cardiovascular disease. The guidelines encourage any amount of physical activity, and ideally encourage 150 min/wk of moderate-intensity aerobic activity or 75 min/wk of vigorous-intensity physical activity, or the equivalent in moderate plus vigorous activities. Physical activity can be accumulated in bouts of at least 10 min in duration to count toward the total. Amounts of physical activity exceeding the target are associated with additional risk reductions in cardiovascular disease. Although there are risks associated with physical activity, primarily musculoskeletal injuries, the benefits of physical activity clearly outweigh the risks. To minimize these risks, a “start low and go slow” approach is recommended. Physical activity is indeed a “best buy” for public health.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. Morris JN: Exercise in the prevention of coronary heart disease: today’s best buy in public health. Med Sci Sports Exerc 1994, 26:807–814.

    CAS  PubMed  Google Scholar 

  2. • Troiano RP, Berrigan D, Dodd KW, et al.: Physical activity in the United States measured by accelerometer. Med Sci Sports Exerc 2008, 40:181–188 This article used data from the 2003–2004 NHANES to describe the physical activity levels of Americans. It showed that the majority of Americans are insufficiently active.

    PubMed  Google Scholar 

  3. Centers for Disease Control and Prevention. Cigarette smoking among adults and trends in smoking cessation—United States, 2008. MMWR Morb Mortal Wkly Rep 2009, 58:1227–1232.

    Google Scholar 

  4. Blair SN, Kampert JB, Kohl HW 3rd, et al.: Influences of cardiorespiratory fitness and other recursors on cardiovascular disease and all-cause mortality in men and women. JAMA 1996, 276:205–210.

    Article  CAS  PubMed  Google Scholar 

  5. Fletcher GF, Blair SN, Blumenthal J, et al.: Statement on exercise. Benefits and recommendations for physical activity programs for all Americans. A statement for health professionals by the Committee on Exercise and Cardiac Rehabilitation of the Council on Clinical Cardiology, American Heart association. Circulation 1992, 86:340–344.

    CAS  PubMed  Google Scholar 

  6. Pate RR, Pratt M, Blair SN, et al.: Physical activity and public health. A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA 1995, 273:402–407.

    Article  CAS  PubMed  Google Scholar 

  7. U.S. Department of Health and Human Services. Physical Activity and Health: A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, 1996.

  8. Haskell WL, Lee IM, Pate RR, et al.: Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation 2007, 116:1081–1093.

    Article  PubMed  Google Scholar 

  9. Nelson ME, Rejeski WJ, Blair SN, et al.: Physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association. Circulation 2007, 116:1094–1105.

    Article  PubMed  Google Scholar 

  10. •• U.S. Department of Health and Human Services. 2008 Physical Activity Guidelines for Americans. Available at http://www.health.gov/paguidelines/. Accessed February 9, 2010 This document provides information for health professionals on evidence-based guidance to help Americans improve their health through appropriate physical activity.

  11. •• U.S. Department of Health & Human Services: 2008 Physical Activity Guidelines Advisory Committee report. Available at http://www.health.gov/paguidelines. Accessed February 9, 2010 This document is a comprehensive review of the scientific evidence on physical activity and health published since 1996. This report provides the scientific background and rationale for the 2008 Physical Activity Guidelines for Americans.

  12. Williams MA, Haskell WL, Ades PA, et al.: Resistance exercise in individuals with and without cardiovascular disease: 2007 update: a scientific statement from the American Heart Association Council on Clinical Cardiology and Council on Nutrition, Physical Activity, and Metabolism. Circulation 2007, 116:572–584.

    Article  PubMed  Google Scholar 

  13. Lee IM, Rexrode KM, Cook NR, et al. Physical activity and coronary heart disease in women: is “no pain, no gain” passe? JAMA 2001;285:1447–54.

    Article  CAS  PubMed  Google Scholar 

  14. Manson JE, Greenland P, LaCroix AZ, et al.: Walking compared with vigorous exercise for the prevention of cardiovascular events in women. N Engl J Med 2002, 347:716–725.

    Article  PubMed  Google Scholar 

  15. • Church TS, Earnest CP, Skinner JS, Blair SN: Effects of different doses of physical activity on cardiorespiratory fitness among sedentary, overweight or obese postmenopausal women with elevated blood pressure: a randomized controlled trial. JAMA 2007, 297:2081–2091 This randomized controlled trial assigned sedentary, postmenopausal, overweight/obese women to one of four groups: a non-exercise control group and three groups of women exercising at 50%, 100%, and 150% of recommended levels of physical activity. All three exercise groups significantly improved their cardiorespiratory fitness compared with the control group in a dose–response manner.

    Article  CAS  PubMed  Google Scholar 

  16. Lee I-M: Design of present-day epidemiologic studies of physical activity and health. In Epidemiologic Methods in Physical Activity Studies. Edited by Lee I-M. New York: Oxford University Press; 2009:100–123.

    Google Scholar 

  17. Ainsworth BE, Haskell WL, Leon AS, et al.: Compendium of physical activities: classification of energy costs of human physical activities. Med Sci Sports Exerc 1993, 25:71–80.

    Article  CAS  PubMed  Google Scholar 

  18. Ainsworth BE, Haskell WL, Whitt MC, et al.: Compendium of physical activities: an update of activity codes and MET intensities. Med Sci Sports Exerc 2000, 32:S498–S504.

    Article  CAS  PubMed  Google Scholar 

  19. Meyer AM, Evenson KR, Morimoto L, et al.: Test-retest reliability of the Women’s Health Initiative physical activity questionnaire. Med Sci Sports Exerc 2009, 41:530–538.

    PubMed  Google Scholar 

  20. Sesso HD, Paffenbarger RS Jr, Lee IM: Physical activity and coronary heart disease in men: The Harvard Alumni Health Study. Circulation 2000, 102:975–980.

    CAS  PubMed  Google Scholar 

  21. • Mora S, Cook N, Buring JE, et al.: Physical activity and reduced risk of cardiovascular events: potential mediating mechanisms. Circulation 2007, 116:2110–2118 This study examined the relationship between physical activity and CHD in women and investigated the biological mechanisms underpinning this relationship. It showed an inverse dose–response relationship between physical activity and CHD risk, which was mediated largely through the beneficial effects of physical activity on inflammatory and hemostatic biomarkers, blood pressure, and lipids.

    Article  CAS  PubMed  Google Scholar 

  22. Smith TC, Wingard DL, Smith B, et al.: Walking decreased risk of cardiovascular disease mortality in older adults with diabetes. J Clin Epidemiol 2007, 60:309–317.

    Article  PubMed  Google Scholar 

  23. Stamatakis E, Hamer M, Lawlor DA.: Physical activity, mortality, and cardiovascular disease: is domestic physical activity beneficial? The Scottish Health Survey—1995, 1998, and 2003. Am J Epidemiol 2009, 169:1191–1200.

    Article  PubMed  Google Scholar 

  24. van Dam RM, Li T, Spiegelman D, et al.: Combined impact of lifestyle factors on mortality: prospective cohort study in US women. BMJ 2008, 337:a1440.

    Article  PubMed  Google Scholar 

  25. • Sofi F, Capalbo A, Cesari F, et al.: Physical activity during leisure time and primary prevention of coronary heart disease: an updated meta-analysis of cohort studies. Eur J Cardiovasc Prev Rehabil 2008, 15:247–257 This meta-analysis of prospective cohort studies examined the association between different levels of leisure-time physical activity and CHD risk. It showed that moderate levels of activity were associated with a 12% reduction in risk compared with low levels; high levels of activity were associated with a 27% reduction.

    Article  PubMed  Google Scholar 

  26. • Murphy MH, Blair SN, Murtagh EM: Accumulated versus continuous exercise for health benefit: a review of empirical studies. Sports Med 2009, 39:29–43 This qualitative review compared the effects of similar amounts of physical activity performed in either one continuous or two or more accumulated bouts on cardiovascular risk factors. Most of the available data related to changes in cardiorespiratory fitness and body composition; they suggest that there are no differences between accumulated and continuous exercise for these two cardiovascular risk factors. There are few data to be able to make conclusions regarding other cardiovascular risk factors.

    Article  PubMed  Google Scholar 

  27. Lee IM, Sesso HD, Paffenbarger RS Jr: Physical activity and coronary heart disease risk in men: does the duration of exercise episodes predict risk? Circulation 2000, 102:981–986.

    CAS  PubMed  Google Scholar 

  28. Hamer M, Chida Y: Active commuting and cardiovascular risk: a meta-analytic review. Prev Med 2008, 46:9–13.

    Article  PubMed  Google Scholar 

  29. Boreham CA, Kennedy RA, Murphy MH, et al.: Training effects of short bouts of stair climbing on cardiorespiratory fitness, blood lipids, and homocysteine in sedentary young women. Br J Sports Med 2005, 39:590–593.

    Article  CAS  PubMed  Google Scholar 

  30. LaCroix AZ, Leveille SG, Hecht JA, et al.: Does walking decrease the risk of cardiovascular disease hospitalizations and death in older adults? J Am Geriatr Soc 1996, 44:113–120.

    CAS  PubMed  Google Scholar 

  31. Albert CM, Mittleman MA, Chae CU, et al.: Triggering of sudden death from cardiac causes by vigorous exertion. N Engl J Med 2000, 343:1355–1361.

    Article  CAS  PubMed  Google Scholar 

  32. Lee I-M, Sattelmair J: Risk of acute cardiac events with physical activity. In Epidemiologic Methods in Physical Activity Studies. Edited by Lee I-M. New York: Oxford University Press, 2009:245–262.

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Dr. Lee is a consultant and a member of the scientific advisory board for Virgin HealthMiles.

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Correspondence to I-Min Lee.

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Lee, IM. Putting the 2008 Physical Activity Guidelines Into Practice to Prevent Cardiovascular Disease. Curr Cardio Risk Rep 4, 277–283 (2010). https://doi.org/10.1007/s12170-010-0105-9

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