How often should you exercise to reduce the risk of heart failure? This time is better

▎WuXi Adapt Content Team Editor

Life is movement, and exercise is good for health and longevity.

The World Health Organization recommends 150-300 minutes of moderate-intensity physical activity or 75-150 minutes of vigorous-intensity physical activity per week activity, or a equivalent combination of the two.

Does that just meet the World Health Organization’s recommended amount of exercise? Studies have found that when weekly physical activity reaches 2-4 times the recommended minimum recommended amount, further

Extends life, reduces risk of death

. But more than 4 times, did not further reduce the risk of death.

A recent study published in Circulation, a journal of the American Heart Association (AHA), concluded that “Being more physically active has health benefits “Added evidence. This study found that more physical activity than the World Health Organization recommends is associated with a lower risk of heart failure.

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Heart Failure Tips

Heart failure, or heart failure for short, is not a specific disease, but a abnormal state of the heart structure or function, a serious cardiovascular disease and final stage.

A variety of cardiovascular diseases develop to a certain extent, which may lead to heart failure, such as coronary heart disease, myocarditis, abnormal heart structure, fast or slow heartbeat, etc. .

Heart failure has high rates of disability and mortality, and its prevalence is increasing as the population ages. There are currently about 8.9 million heart failure patients in China, about 60% of whom are males; among adults aged 35 and over, the prevalence is about 1.3%.

Hypertension and coronary heart disease are the main causes of heart failure in China. Infections are the leading cause of heart failure attacks, followed by myocardial ischemia and exertion.

The researchers analyzed data from the UK biobank, including 94,739 participants. The average age of the participants was 56 years, and 57% were female.

Through a questionnaire, the researchers collected basic information such as height, weight, waist circumference, etc. of the participants; lifestyle such as smoking status, alcohol consumption, diet, etc. information; and health indicators such as blood pressure, blood sugar, and lipids were measured.

Meanwhile, in addition to sleep time, all participants were asked to wear an accelerometer for 7 consecutive days to measure daily sedentary, low-intensity and moderate-to-vigorous physical activity /strong>Time.

Statistically, participants who were physically active were mostly female, were younger, were less likely to smoke, and consumed more vegetables and fruits. Higher levels, less red and processed meat consumption, lower body mass index (BMI), and high blood pressure, less likelihood of type 2 diabetes.

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Over 6 years of follow-up, the overall incidence of heart failure was 98.5/10,000 person-years.

After controlling for other factors, researchers found that more physical activity was associated with a lower risk of heart failure.

150-300 minutes of moderate-intensity physical activity per week compared to participants who rarely or never physically active , or engaged in 75-150 minutes of vigorous-intensity physical activity per week, 63% and 66% lower risk of heart failure, respectively.

Time of weekly moderate-intensity physical activity, more than 300 minutes, is associated with a lower risk of heart failure; 600 minutes strong>, the risk was the lowest; over 600 minutes, the risk of heart failure was not further reduced.

and for High-intensity physical activity, more than 150 minutes, did not further reduce the risk of heart failure.

A week of 150-300 minutes of moderate-intensity physical activity combined with 75-150 minutes of vigorous-intensity physical activity, The risk of heart failure was significantly reduced, at 79%.

In addition, the study found that the effect of physical activity on heart failure risk was greater in participants with risk factors for heart failure, including obesity, high blood pressure, People with high blood sugar and high cholesterol.

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The association between physical activity and heart failure risk may be related to multiple mechanisms, such as physical activity may promote vascular endothelial function; The number and size of protein particles, accelerate the decomposition of low-density lipoprotein, reduce the transport of cholesterol to the arterial wall, etc.. However, the relevant mechanism is not yet clear, and more research is needed to explore.

Because this study was observational, only showed that more physical activity was associated with a lower risk of heart failure, not cause and effect. There are also some limitations in the study, such as some data relying on participant recall, which may also affect the results of the study.

The study concludes by recommending that more people should be encouraged to engage in physical activity, especially moderate-intensity physical activity, more than the World Health Organization recommendation is better, This will help to further promote cardiovascular health and reduce the risk of heart failure.

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References

[1] Frederick K. Ho, et al., (2022). Association Between Device-Measured Physical Activity and Incident Heart Failure: A Prospective Cohort Study of 94 739 UK Biobank Participants. Circulation , DOI: 10.1161/CIRCULATIONAHA.122.059663.

[2] China Cardiovascular Health and Disease Report Writing Group. China Cardiovascular Health and Disease Report 2021 Summary. Chinese Journal of Circulation, 2022, 37(6): 553-578. DOI: 10.3969/j.issn.1000-3614.2022.06.001.

[3] Ge Junbo, Xu Yongjian, Wang Chen. Internal Medicine [M]. 9th edition. Beijing: People’s Medical Publishing House, 2018.

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