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Semin Vasc Med 2002; 02(3): 257-266
DOI: 10.1055/s-2002-35400
Copyright © 2002 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

Physical Activity and Cardiovascular Disease

S. Goya Wannamethee, A. Gerald Shaper
  • Department of Primary Care and Population Science, Royal Free and University College Medical School, London, England
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Publication History

Publication Date:
13 November 2002 (online)

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ABSTRACT

This review, based on prospective epidemiological studies, indicates the existence of a dose-response relationship between physical activity and coronary heart disease (CHD), which is linear at least up to a certain level of activity. Leisure time physical activity is associated with about a 30-50% reduction in risk of CHD. The benefit of leisure-time physical activity is seen in both men and women, in middle-aged and older subjects and in men with established CHD. Several mechanisms, which could contribute to the protective effect of physical activity on CHD have been identified. Prospective studies suggest that physical activity is also associated with reduced risk of stroke. Overall, the evidence points to the benefit of continued regular moderate physical activity which does not need to be vigorous or sporting, and includes activities such as walking or gardening, readily attainable by large sections of the population. Current evidence supports the recommended guidelines of 30 minutes of moderate physical activity on most days of the week in both primary and secondary prevention of CHD.

KEYWORDS

Cardiovascular disease - physical activity - coronary heart disease - prevention

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