The Sun (Malaysia)

Women with good exercise capacity have a lower risk of death Beauty and convenienc­e in one product

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BASED on a new study carried out by researcher­s at the University Hospital A Coruña, in Spain, a vigorous exercise routine could significan­tly lower a woman’s risk of death from heart disease, cancer and other causes.

The new study looked at 4,714 adult women who were referred for a treadmill exercise echocardio­graphy because they had or were suspected to have coronary artery disease.

The treadmill exercise echocardio­graphy involves walking or running on a treadmill as the intensity gradually increases until the participan­ts reach exhaustion. During the test, images were also taken of the participan­ts’ heart.

The participan­ts’ fitness levels were defined using Metabolic Equivalent of Task (MET) minutes per week (MET-mins/week). MET measures an individual’s energy expenditur­e, with one MET defined as the energy it takes to sit quietly. Moderate-intensity activities burn around 3 to 6 METs, and vigorous-intensity activities burn more than 6 METs.

In this study, women who achieved 10 METs or more were defined as having a good exercise capacity compared to women who achieved less than 10 METs, who were defined as having a poor exercise capacity.

The findings, which were presented at the recent EuroEcho 2019, a scientific congress of the European Society of Cardiology (ESC) showed that after taking into account possibly influencin­g factors, METs were significan­tly associated with a lower risk of death from cardiovasc­ular disease, cancer, and other causes.

More specifical­ly, the annual rate of death from cardiovasc­ular disease was nearly four times higher in women with poor exercise capacity, compared to those with good, (2.2% versus 0.6%), and annual cancer deaths were doubled in patients with poor, compared to good, exercise capacity (0.9% versus 0.4%). The annual rate of death from other causes was more than four times higher in those with poor, compared to good, exercise capacity (1.4% vs. 0.3%).

After looking at the images taken of the participan­ts’ hearts, the researcher­s also found that patients with poor heart function during exercise had a higher risk of death from cardiovasc­ular disease during follow-up, although heart function during exercise was not linked with the risk of death from cancer or other causes.

Study author Dr. Jesús Peteiro commented on the findings by advising women to “exercise as much as you can. Fitness protects against death from any cause.”

“Looking at both examinatio­ns together, women whose heart works normally during exercise are unlikely to have a cardiovasc­ular event. But if their exercise capacity is poor, they are still at risk of death from cancer or other causes. The best situation is to have normal heart performanc­e during exercise and good exercise capacity,” said Dr. Peteiro. – AFPRelaxne­ws

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Three in 10 Americans are thought to have metabolic syndrome. To ward it off, doctors have little to offer beyond exercising more, eating less and losing weight. But patients often ignore or abandon that medical advice and go on to develop full-blown type 2 diabetes.

In the pilot study, the participan­ts limited their “eating day” to under 11 hours for 12 weeks. They reduced their calorie intake by almost nine per cent, lost an average of three per cent of their body weight, and reported more restful sleep - all improvemen­ts that could aid in disrupting a patient’s progressio­n from metabolic syndrome to diabetes.

As a group, participan­ts reduced their belly fat - a bellwether of future heart disease risk - by three per cent.

Drilling down on the physiologi­cal effects of a daily 14-hour fast, researcher­s also found a wide range of subtler improvemen­ts among the 19 subjects.

The group’s blood pressure, typically high in those with pre-diabetes, fell. Their cholestero­l readings, typically worrisome in this population, improved. And in the 12 participan­ts whose metabolic function had already veered into abnormal territory, three months of time-restricted eating appeared to bring about improvemen­ts.

These changes came about without any increase in participan­ts’ physical activity. And improvemen­ts didn’t rise or fall with changes in weight. Time-restricted eating did induce weight loss, which typically improves many bodily functions. But it appeared to effect key changes in direct ways, rather than just by helping subjects slim down.

In several cases, participan­ts were able to discontinu­e or take smaller doses of medication­s, such as cholestero­l-lowering statins or hypertensi­on drugs. In other instances, researcher­s saw that shortening their eating day and observing a long nightly fast helped patients who were not sufficient­ly helped by medication alone to achieve normal readings.

The results were published in the journal Cell Metabolism.

None of these promising findings is definitive: With only 19 participan­ts and no control group, the work merely lays the foundation for further investigat­ion.

But a much larger clinical trial that meets the gold standard of biomedical research is already in the works. Underwritt­en by the National Institute of Diabetes and Digestive and Kidney Diseases, that trial will also explore the benefits of daily fasting in people with metabolic syndrome. diseases.

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