The Daily Telegraph

How to outrun your genetic flaws and cut heart disease risk

- By Daily Telegraph Reporter

IT MAY be possible to outrun your genes, a study has suggested, as scientists found exercise cuts the risk of heart disease even if you are geneticall­y predispose­d to the condition.

A study of half a million British people showed that people “at high genetic risk” who regularly exercised were 50 per cent less likely to develop coronary heart disease than their couch potato equivalent­s.

Lead author Dr Erik Ingelsson, professor of Medicine at Stanford University in California, said: “The main message of this study is that being physically active is associated with a lower risk of heart disease, even if you have a high genetic risk.

“People should not just give up on exercise because they have a high genetic risk for heart disease. And vice versa. Even if you have a low genetic risk, you should still get exercise. It all ties back to what we have known all along. It’s a mix of genes and environmen­t that influence health.”

The study used data from 482,702 participan­ts of the UK Biobank Study – a group of 40 to 69-year-olds from England, Scotland and Wales who were surveyed on a range of health factors.

It revealed greater grip strength, more physical activity and better cardioresp­iratory fitness are all associated with reduced risk for heart attacks and stroke.

In people with an intermedia­te genetic risk, those with the strongest grips were 36 per cent less likely to develop coronary heart disease.

They also had a 46 per cent lower likelihood of developing atrial fibrillati­on – an irregular, often fast heartrate – than the mid-risk people with the weakest grips.

Meanwhile those deemed at high genetic risk but with high levels of cardioresp­iratory fitness were associated with a 49 per cent lower risk for coronary heart disease. And they also had a 60 per cent lower risk of atrial fibrillati­on than their low-fitness counterpar­ts.

Prof Ingelsson said: “There are a few caveats – the study is not a prescripti­on for a specific type or amount of exercise and because the results come from an observatio­nal study. Nonetheles­s, the data is robust and these latest results are worthy for considerat­ion in guidelines. For individual­s it would be best to discuss a physical activity plan with a physician.”

The study was published in the American Heart Associatio­n’s journal Circulatio­n.

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