Exercise and Medical Examination

• Editorial

Preventing Exercise-Related Cardiovascular Events: Is a Medical Examination More Urgent for Physical Activity or Inactivity?

1. Barry A. Franklin1*

+Author Affiliations

1. ¹William Beaumont Hospital, Royal Oak, MI

1. ↵* William Beaumont Hospital, Beaumont Health Center, 4949 Coolidge Hwy., Area C, Royal Oak, MI 48073 bfranklin@beaumont.edu

Abstract

Physical inactivity is a serious health problem worldwide, contributing to early development of obesity, diabetes, hypertension, and cardiovascular diseases (CVD).¹ In fact, our hypokinetic lifestyle is now widely recognized among the most proximal risk factors for heart disease, along with poor dietary habits and cigarette smoking.^2-4 To address these concerns, public health strategies commonly incorporate the goal of safely increasing physical levels in the populations of industrialized societies. Accordingly, the number of health/fitness facilities and members is expected to increase exponentially over the next decade. Current market research indicates that the fastest growing user subsets are those aged 35 to 54 years and those ≥55 years of age. These data, coupled with the recent finding that regular exercise prevents cellular senescence, have led an increasing number of adults, many of whom have known or occult chronic disease, to the conclusion that "more exercise is better." Marathon running, for example, has increased in popularity over the last 3 decades, with participation increasing from 25,000 runners in 1976 to approximately 2 million in 2010. Thus, we have a population paradox in which there is an expansion in the number of habitually sedentary individuals paralleling a concomitant increase in those taking part in unprecedented hours of vigorous exercise.

Comentário de Victor Matsudo:

Meu caro Achutti

Esse editorial está muito em linha com a resposta que o Prof Astrand deu ao Nabil ha 15 anos, quando em um Simpósio do CELAFISCS em Sao Paulo, ele perguntou maliciosamente se ele, como criador do melhor cicloergometro e protocolo ergométrico,  nao achava que todas as pessoas que fossem se exercitar nao deveriam  ser submetidas a um teste de esforço. O Prof Astrand entao calmamente respondeu " a luz de todas as evidencias que temos hoje em dia, acho que realmente o teste ergométrico deve ser realizado por todos aqueles que resolveram nao fazer exercicios, pois esses sao quem realmente estao em risco" !!!

Abracos

Victor

Victor KR Matsudo
CELAFISCS - AGITA SÃO PAULO
Tel/Fax: (5511) 42298980- 42299643
wwww.celafiscs.org.brwww.portalagita.org.br