Physical Activity, Cardiorespiratory Fitness, and Exercise Training in Primary and Secondary Coronary Prevention

被引：243

作者：

Swift, Damon L. ^{[1
]}

Lavie, Carl J. ^{[1
,2
]}

Johannsen, Neil M. ^{[1
]}

Arena, Ross ^{[3
,4
]}

Earnest, Conrad P. ^{[1
,5
]}

O'Keefe, James H. ^{[6
]}

Milani, Richard V. ^{[2
]}

Blair, Steven N. ^{[7
,8
]}

Church, Timothy S. ^{[1
]}

机构：

[1] Louisiana State Univ Syst, Pennington Biomed Res Ctr, Dept Prevent Med, Baton Rouge, LA USA

[2] Univ Queensland, Sch Med, Ochsner Clin Sch, Dept Cardiovasc Dis, New Orleans, LA 70121 USA

[3] Univ New Mexico, Sch Med, Div Phys Therapy, Dept Orthoped & Rehabil, Albuquerque, NM 87131 USA

[4] Univ New Mexico, Sch Med, Div Cardiol, Dept Internal Med, Albuquerque, NM 87131 USA

[5] Univ Bath, Dept Hlth, Bath BA2 7AY, Avon, England

[6] St Lukes Hosp Kansas City, Mid Amer Heart Inst, Kansas City, MO USA

[7] Univ S Carolina, Dept Exercise Sci, Columbia, SC 29208 USA

[8] Univ S Carolina, Dept Epidemiol Biostat, Columbia, SC 29208 USA

来源：

CIRCULATION JOURNAL | 2013年 / 77卷 / 02期

关键词：

Cardiac rehabilitation; Coronary heart disease; Exercise; Fitness; CARDIOVASCULAR-DISEASE MORTALITY; ALL-CAUSE MORTALITY; BODY-MASS INDEX; C-REACTIVE PROTEIN; DENSITY-LIPOPROTEIN CHOLESTEROL; CARDIAC REHABILITATION; HEART-DISEASE; METABOLIC SYNDROME; LEISURE-TIME; WEIGHT-LOSS;

D O I：

10.1253/circj.CJ-13-0007

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Substantial data have established that higher levels of physical activity (PA), participating in exercise training (ET), and higher overall cardiorespiratory fitness (CRF) provide considerable protection in the primary and secondary prevention of coronary heart disease (CHD). This review surveys data from epidemiological and prospective ET studies supporting the favorable impact of PA, ET, and CRF in primary CHD prevention. Clearly, cardiac rehabilitation and ET (CRET) programs have been underutilized for patients with CHD, particularly considering the effect of CRET on CHD risk factors, including CRF, obesity indices, fat distribution, plasma lipids, inflammation, and psychological distress, as well as overall morbidity and mortality. These data strongly support the routine referral of patients with CHD to CRET programs and that patients should be vigorously encouraged to attend CRET following major CHD events. (Circ J 2013; 77: 281-292)

引用

页码：281 / 292

页数：12

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