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Aerobic fitness and heart health Part 1

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The importance of aerobic fitness in the general population

According to a meta-analysis (an examination of a number of separate but similar experiments or studies) that combined the results of 33 studies of more than 187,000 healthy men and women, people with higher levels of fitness have a lower risk of death from any cause – as well as a lower risk of death from coronary heart disease or stroke – compared with people who have lower levels of fitness.

In this meta-analysis, participants’ fitness levels were measured in METS, and were categorized as follows:

  • low level of  fitness (<7.9 METs)
  • intermediate level of fitness (7.9–10.8 METs)
  • high level of fitness (>10.9 METs)

(To learn more about METs, click here.)

Those with the lowest level of fitness had a 70% higher risk of death from all causes and a 56% higher risk for cardiovascular events, compared with people with the highest level of fitness. Participants with intermediate levels of fitness had a 40% higher risk for death from any cause, and a 47% higher risk for cardiovascular events than participants with the highest fitness levels.

This analysis also indicated that even a small increase in level of fitness was associated with a 15% lower risk of coronary heart disease. It is clear then that aerobic fitness and heart health are directly related.

In the second part of this article, I’ll discuss studies that showed the impact of aerobic fitness on people with diabetes and coronary heart disease.

 

About Dr. Michael Sarin

Dr. Michael Sarin is a Fellow of the Royal College of Physicians of Canada, and a Member of the Royal College of Physicians of UK. He holds a Masters of Education Degree from the University of Toronto and is a Certified Diabetes Educator with the Canadian Diabetes Association. He is an Associate Professor in the Department of Medicine, University of Toronto and is currently Program Physician and Diabetes Educator for Cardiac and Diabetes Programs at the Toronto Rehab Institute. Dr. Sarin has been actively involved in the Canadian Diabetes Association for many years. He has made presentations to Diabetes Educators and has been a guest speaker at various Diabetes Expos in the GTA. He is a member of the committee currently developing the Diabetes Exercise Toolkit for patients and health care professionals. Dr. Sarin’s main areas of interest are patient education and empowerment, and management of chronic diseases caused by physical inactivity. He is the recipient of the 2009 “Health Professional of the Year Award” by the Canadian Diabetes Association.

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