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We have all heard that exercise allows you to live longer. But a new study goes further and finds 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."

"Being in bad shape and not running well on a treadmill or on an exercise stress test with a worse prognosis, in terms of death, than being hypertensive, diabetic or smoker, "said Jaber. at CNN. "We have never seen anything so pronounced and objective."

Jaber added that researchers now had to make people understand the risks to the public that "being in bad shape should be considered as a risk factor as powerful as hypertension, diabetes and smoking, it's not more powerful than all the others ".

"It should be treated almost like a disease that has a recipe, something called exercise," he said.

The researchers retrospectively investigated 122,007 Cleveland Clinic treadmill exercise patients between January 1, 1991 and December 31, 2014 to measure all-cause mortality related to the health benefits of the Cleveland Clinic. 39; exercise. and the physical condition. Those with the lowest exercise rate accounted for 12% of participants.

The study was published Friday in the magazine JAMA Network Open.

"Cardiovascular disease and diabetes are the most expensive diseases in the US We spend more than $ 200 billion a year to treat these diseases and their complications." Instead of paying large sums for the treatment of the disease, we need to encourage our patients and communities to be active and to exercise every day, "said Dr. Jordan Metzl, a sports medicine specialist in Canada. The Hospital of Special Surgeries and author of the book "The Exercise Cure".

Jaber added that the other big revelation of the research is that a good physical condition leads to a longer life, without limit to the benefit of the aerobic exercises. Researchers have always feared that "ultra" athletes are at increased risk of death, but the study showed that this was not the case.

"There is no level of exercise or fitness that puts you at risk," he said.

"In this study, the most able people have had better results," said Metzl, who did not participate in the study. "Once approved by their doctors, patients should not fear the intensity of exercise."

The benefits of exercise have been observed at all ages and in men and women, "probably a little more pronounced in women," Jaber said. "Whether you're 40 or 80, you'll enjoy it the same way."

The risks, he said, have become more shocking than those who do not do a lot of exercise. "We all know that a sedentary lifestyle or lack of fitness presents some risks, but I'm surprised that they even overcome risk factors as important as smoking, diabetes or even an incurable disease." . "

"People who do not perform very well routine tests," said Jaber, "are twice as likely to die as people with kidney failure on dialysis."

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