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We have all heard that exercise helps you live longer. But a new study goes one step further by concluding that a sedentary lifestyle is worse for your health than smoking, diabetes, and heart disease.
Dr. Wael Jaber, a cardiologist at Cleveland Clinic and lead author of the study, described the results as "extremely surprising."
"Physical unfitness on a treadmill or exercise stress test has a worse prognosis, to death, being hypertensive, being diabetic or being a current smoker," Jaber said. at CNN. "We have never seen anything so pronounced and purposeful."
Jaber said researchers must now make people understand the following risk: "Being unfit should be considered a risk factor as important as hypertension, diabetes and smoking – if not stronger than all. "
" He should be treated almost as an illness with a prescription, called exercise, "he said.
The researchers retrospectively studied 122,007 patients undergoing treadmill exercise. Cleveland Clinic between January 1, 1991 and December 31, 2014 to measure all-cause mortality related to exercise and fitness benefits, with participants reporting the lowest exercise rate as 12 % of participants
The study was published Friday in the journal JAMA Network Open.
"Cardiovascular disease and diabetes are the most expensive diseases in the US We spend more than $ 200 billion per year to treat these diseases and their complications.Rather than spending huge sums for the treatment of a disease, we should encourage our patients and our communities to be e active and exercising daily, "said Dr. Jordan Metzl, sports medicine physician at the Hospital of Special Surgery and author of the book" The Exercise Cure. " "
Jaber stated that the other great revelation of research is that fitness leads to a longer, unrestricted life for the benefit of aerobic exercise. Researchers have always feared that "ultra" practitioners are at greater risk of death, but the study found that this was not the case.
"There is no level of physical exercise or exercise that puts you at risk," he said. "We can see from the study that the ultra-fit always have a lower mortality."
"In this study, the fittest individuals did the best," said Metzl, who did not participate in the study. "Once their doctor has allowed them, patients should no longer be afraid of the intensity of exercise."
The benefits of exercise have been observed at all ages and in both men and women, "probably a little more pronounced in women," Jaber said. "Whether you're in your 40s or 40s, you'll benefit in the same way."
The risks, he says, have become even more shocking when one compares those who do not do much exercise. "We all know that a sedentary or unfit lifestyle has risks. But I'm surprised that they even surpbad the risk factors as important as smoking, diabetes or even a terminal illness. "
" People who do not perform very well on a treadmill test, "said Jaber," have almost double the risk of dialysis patients with kidney failure. "
What made this study so unique, beyond the considerable number of people studied, was that the researchers did not rely on the patients who reported their exercise. "It's not the patients who tell us what they do," Jaber said. "It is for us that we test them and objectively seek the true measure of what they do."
Comparing those who have a sedentary lifestyle to the performers of higher exercises, the risk badociated with death is "500% higher". 19659002] "If you compare the risk of sitting compared to the best performing tests, it is about three times higher than smoking," says Jaber.
Comparing a person who does not exercise a lot with a person who is exercising regularly, he said, always showed a 390% higher risk. "In reality, there is no ceiling for the benefit of the exercise," he said. "There is no age limit that does not benefit from good physical condition. "
Dr. Satjit Bhusri, a cardiologist at Lenox Hill Hospital, who did not participate in the study, said that this reinforced our knowledge." Sedentary Western lifestyles have led to a higher incidence of heart disease, which shows that it is modifiable.It is reversible, "he said, adding that doctors are really effective at treating patients who have had a cardiovascular event, but that we can warn them, "We are supposed to walk, run, exercise, get up and move."
For patients, especially those who lead a life Sedentary, Jaber said: "You should require a prescription from your doctor to exercise."
in motion.
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