title: [Risk reduction in cardiovascular diseases by physical activity].
abstract: A sedentary lifestyle or physical inactivity is recognized as an important risk factor for cardiovascular diseases. Regular physical activity improves muscular function, cardiac function, and metabolic syndrome-related disorders. Leisure time physical activity reduces all-cause mortality by 22-34% and cardiovascular mortality by 27-35%. These data have been shown in many prospective cohort studies and published in four large meta-analyses with more than 800,000 participants (evidence IA). The risk reduction is somewhat more pronounced in the elderly and in women (IB). In addition to reduced mortality, physical activity also improves cardiopulmonary function and quality of life (IB). This also holds true for coronary artery disease, cardiac failure, and arterial hypertension with high-grade evidence (IA). Furthermore, evidence has been shown a risk reduction in stroke, development of cognitive dysfunction, and intermittent claudication. Training recommendations for physical activity have reached high-grade evidence (IA). Therefore, regular physical activity is one of the most important components of a healthy lifestyle. All physicians should ask their patients at all clinic and office visits about physical activity and recommend activity for prevention and therapy.
authors.affiliation: Praxis für Innere Medizin/Kardiologie, Remscheid, Deutschland. loellgen@dgsp.de
authors.forename: H
authors.initials: H
authors.lastname: Löllgen
authors.forename: D
authors.initials: D
authors.lastname: Löllgen
mesh_terms: D000368:Aged; D002318:Cardiovascular Diseases / Q000517:prevention & control*; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D009043:Motor Activity; D040242:Risk Reduction Behavior
references.citation: Curr Sports Med Rep. 2010 Jul-Aug;9(4):214-9
references.pmid: 20622539
references.citation: Cochrane Database Syst Rev. 2016 Jan 05;(1):CD001800
references.pmid: 26730878
references.citation: Eur J Cardiovasc Prev Rehabil. 2008 Jun;15(3):239-46
references.pmid: 18525377
references.citation: Dtsch Arztebl Int. 2010 Nov;107(46):809-16
references.pmid: 21151416
references.citation: J Am Coll Cardiol. 2007 Jun 19;49(24):2329-36
references.pmid: 17572248
references.citation: Arch Intern Med. 2008 Aug 11;168(15):1638-46
references.pmid: 18695077
references.citation: Dtsch Arztebl Int. 2009 Oct;106(44):715-21
references.pmid: 19997550
references.citation: Eur J Heart Fail. 2010 Jul;12(7):706-15
references.pmid: 20494922
references.citation: Med Sci Sports Exerc. 2001 Jun;33(6 Suppl):S379-99; discussion S419-20
references.pmid: 11427763
references.citation: Scand J Med Sci Sports. 2006 Feb;16 Suppl 1:3-63
references.pmid: 16451303
references.citation: Eur J Heart Fail. 2011 Apr;13(4):347-57
references.pmid: 21436360
references.citation: Circulation. 2003 Sep 30;108(13):1554-9
references.pmid: 12975254
references.citation: Am J Med. 2004 May 15;116(10):682-92
references.pmid: 15121495
references.citation: Circulation. 2007 Aug 28;116(9):1081-93
references.pmid: 17671237
references.citation: JAMA. 2007 May 16;297(19):2137-9
references.pmid: 17507351
references.citation: Circulation. 2005 Oct 11;112(15):2354-63
references.pmid: 16216979
references.citation: J Am Coll Cardiol. 2010 Sep 28;56(14):1159-67
references.pmid: 20863958
references.citation: Am J Med. 2004 Oct 15;117(8):541-8
references.pmid: 15465501
references.citation: Circulation. 2010 Sep 21;122(12):1221-38
references.pmid: 20855669
references.citation: N Engl J Med. 1998 Jan 8;338(2):94-9
references.pmid: 9420340
references.citation: Int J Sports Med. 2009 Mar;30(3):213-24
references.pmid: 19199202
references.citation: Circulation. 2006 Dec 12;114(24):2739-52
references.pmid: 17145995
references.citation: N Engl J Med. 2002 Mar 14;346(11):793-801
references.pmid: 11893790
references.citation: J Consult Clin Psychol. 1983 Jun;51(3):390-5
references.pmid: 6863699
references.citation: Med Sci Sports Exerc. 2009 Jul;41(7):1510-30
references.pmid: 19516148
references.citation: Circulation. 2010 Jun 15;121(23):2601-4
references.pmid: 20547940
references.citation: N Engl J Med. 1986 Mar 6;314(10):605-13
references.pmid: 3945246
references.citation: BMJ. 2011 Jul 15;343:d4141
references.pmid: 21765112
references.citation: Circulation. 2003 Jul 1;107(25):3152-8
references.pmid: 12810615
references.citation: J Exp Biol. 2011 Jan 15;214(Pt 2):337-46
references.pmid: 21177953
references.citation: Ann Intern Med. 2002 Apr 2;136(7):493-503
references.pmid: 11926784
references.citation: Herz. 2003 Mar;28(2):153-65
references.pmid: 12722703
references.citation: Eur J Cardiovasc Prev Rehabil. 2011 Feb;18(1):5-14
references.pmid: 20473181
references.citation: Prog Cardiovasc Dis. 2011 May-Jun;53(6):404-11
references.pmid: 21545926