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May 03 2003
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Walking Not Enough to Prevent Heart Attacks

 

While government recommendations say that 30 minutes of moderate daily activity, such as brisk walking, will ward of heart disease, a study found that only vigorous exercise lowers the risk of early death from heart disease.

The study involved 1,975 men, aged between 49 and 64 years at the start of the study, who had no evidence of heart diseases. The men filled out a questionnaire that estimated their daily calories burned through exercise.

Types of exercise were grouped as light, moderate or vigorous based on how many calories the activity burned over a given amount of time.

Vigorous exercise included activities such as jogging, hiking, climbing stairs, racket sports and swimming; moderate exercise included golfing, dancing and brisk walking; and mild exercise included walking, bowling and sailing.

After the 10-year study, only vigorous exercise was associated with a lowered risk of death from heart disease or any other cause. Further, the more intense the exercise, the lower the chances of dying during the study.

Men who exercised the most had a 40 percent lower risk of dying than those who exercised the least, according to researchers.

However, researchers point out that the study only questioned men about their exercise habits once during the study, so they do not know whether the men changed their habits changed over the 10-year study period.

Previous studies have resulted in conflicting results. Many experts believe that moderate exercise is enough while others say only vigorous exercise will result in benefits to the heart.

Researchers suggest that there is not enough evidence to warrant changing current exercise recommendations.

Heart May 2003;89:502-506



Dr. Mercola Dr. Mercola's Comments:

I hate to tell you this, but if you want to lose weight or change your risk for heart disease you are going to need to workout much harder than going for a leisurely stroll.

It is unclear what the exact mechanism is with exercise. It might be as simple as Dr. Blair suggests in that more vigorous exercise burns more calories, but I believe there are other factors involved.

I initially went into medicine to "preach" exercise to get people into shape as I started running over 35 years ago. However, I rapidly realized that nutrition was a more important tool than exercise. Later I understood that emotional health was even more foundational to healing than nutrition.

However, all of these things are vital to being optimally healthy. Exercise is especially critical when you are seeking to lose weight or control diabetes. In my experience, it is very rare when a non-vigorous exercise program isn’t required to be successful in losing weight or controlling diabetes.

I typically advise people to exercise through an activity they enjoy and do it hard enough so that they would have a difficult time talking to someone next to them. If they can’t talk at all then they are likely going a bit too hard and they need to back off just a bit, so they are at a level where they can still talk to someone.

However, nearly all of the people I counsel are not exercising hard enough and need to increase the intensity of their workouts.

Walking rarely cuts it for people, as it is easy to rapidly adapt and become more fit. Although it might work initially, it stops working relatively quickly. However, you can use a treadmill and walk on a progressively increasing incline that causes you to further increase your heart rate.

Elliptical machines, which are generally quieter and less expensive than treadmills, are another option for a great cardiovascular workout.

Related Articles:

Exercise to Improve Your Body and Your Brain

Exercise Reduces Diabetes by Reducing Insulin

Exercise Better Than Drugs For Depression

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