RT Book, Section
A1 Pandey, Ambarish
A1 Kondamudi, Nitin
A1 Lavie, Carl J.
A2 Fuster, Valentin
A2 Narula, Jagat
A2 Vaishnava, Prashant
A2 Leon, Martin B.
A2 Callans, David J.
A2 Rumsfeld, John S.
A2 Poppas, Athena
SR Print(0)
ID 1202443154
T1 Sedentary Lifestyle and Role of Exercise in Cardiovascular Diseases
T2 Fuster and Hurst's The Heart, 15e
YR 2022
FD 2022
PB McGraw-Hill Education
PP New York, NY
SN 9781264257560
LK accessmedicine.mhmedical.com/content.aspx?aid=1202443154
RD 2024/04/19
AB Chapter  SummaryThis  chapter  discusses  the  effects  of  sedentary  lifestyle  and  physical  activity  (PA)  on  cardiovascular  disease  (CVD)  and  cardiovascular  health.  PA  and  cardiorespiratory  fitness  (CRF)  are  risk  factors  for  CVD  and  have  garnered  attention  as  targets  for  primary  and  secondary  prevention  of  CVD.  Low  PA  and  CRF  are  independently  associated  with  atherosclerotic  CVD  as  well  as  heart  failure  (HF).  Sedentary  lifestyle  contributes  to  CVD  risk  through  excess  burden  of  CVD  risk  factors  and  development  of  intermediate  at-risk  phenotypes  (see  Fuster  and  Hurst’s  Central  Illustration).  Among  individuals  with  prevalent  CVD,  low  PA  and  CRF  levels  portend  higher  risk  of  adverse  outcomes.  However,  adoption  of  healthy  exercise  behavior  and  adherence  to  guideline-recommended  levels  of  PA  are  low  in  the  general  population  due  to  individual,  interpersonal,  and  societal  barriers.  Identification  of  these  barriers  to  PA  may  help  inform  strategies  for  PA  promotion  at  an  individual,  community,  and  societal  level.  By  increasing  healthcare  provider  awareness  of  the  salutary  effects  of  PA,  equipping  providers  with  the  training  and  resources  needed  to  optimize  PA  adherence,  and  leveraging  a  multidisciplinary  approach  to  PA  promotion,  society  can  move  closer  toward  realizing  the  cardiovascular  benefits  of  an  active  lifestyle.