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TITLE OF ARTICLE: Increased cardiovascular disease mortality associated with excessive exercise in heart attack survivors.
AUTHOR: Williams, Paul T; Thompson, Paul D
NAME OF JOURNAL: Mayo Clinic Proceedings
DATE OF JOURNAL: 2014-09-12 PAGES: 1187 TO 1194 Both exercise as well as physical activity has been said to decrease the risk of sudden cardiac death and acute myocardial infractions. However, the question of whether excessive exercise can increase Cardiovascular disease mortality has yet to be answered. We know that endurance training actually causes the cardiovascular system to adapt as to increase exercise capacity. These Adaptations include the enlargement of the 4 heart chambers, as well changes in the thickness of the left ventricular wall. Using the National Walkers' and Runners' Health studies the Mayo clinic took a look at the relationship between exercise energy and Cardiovascular disease (CVD) as it related to mortality in heart attack survivors. They used a baseline survey questionnaire to be sure that all of their subjects were identified as having previous heart attacks. This gave the Mayo Clinic a total of 942 male subjects and 631 female subjects from the National Walkers Health studies. The Mayo clinic also had 678 males and 128 females from the National Runners Health Studies. Using the questionnaires given to each of these subject the Mayo clinic then found the walkers energy expenditures by using MET h/d however they converted distance walked weekly into duration and then they calculated the average hours walked per day. The MET value corresponded to their reported pace. Now the runners on the other hand was calculated as 1.02 MET-h/km. Using this information the Mayo clinic than used Cox proportional hazard analyses to test whether MET- h/d run or walk was significantly related to mortality.

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