{"id":13381,"date":"2018-01-10T08:00:59","date_gmt":"2018-01-10T14:00:59","guid":{"rendered":"http:\/\/www.paristn.net\/articles\/?p=13381"},"modified":"2018-01-10T03:17:17","modified_gmt":"2018-01-10T09:17:17","slug":"middle-aged-couch-potatoes-may-reverse-heart-effects-of-a-sedentary-life-with-exercise-training","status":"publish","type":"post","link":"https:\/\/www.paristn.net\/articles\/2018\/01\/10\/middle-aged-couch-potatoes-may-reverse-heart-effects-of-a-sedentary-life-with-exercise-training\/","title":{"rendered":"Middle-Aged Couch Potatoes may reverse Heart Effects of a Sedentary Life with Exercise Training"},"content":{"rendered":"<h2>Circulation Journal Report<\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-56563\" title=\"American Heart Association\" src=\"http:\/\/www.clarksvilleonline.com\/wp-content\/uploads\/2010\/12\/American-Heart-Association-new-logo-480x230.jpg\" alt=\"American Heart Association\" width=\"220\" height=\"106\"><strong>Dallas, TX<\/strong> &#8211; Middle-aged couch potatoes may reduce or reverse the risk of <a href=\"http:\/\/www.heart.org\/HEARTORG\/\" title=\"heart failure \"  target=\"_blank\" rel=\"noopener\">heart failure<\/a> associated with years of sitting if they participate in two years of regular aerobic exercise training, according to a new study in the American Heart Association\u2019s journal <em>Circulation<\/em>.<\/p>\n<p>Study participants who adhered to the <a href=\"http:\/\/www.heart.org\/HEARTORG\/HealthyLiving\/PhysicalActivity\/FitnessBasics\/Endurance-Exercise-Aerobic_UCM_464004_Article.jsp\" title=\"aerobic exercise \"  target=\"_blank\" rel=\"noopener\">aerobic exercise regimen<\/a> had significant improvements in how their body used oxygen and had decreased cardiac stiffness after two years, both markers of a healthier heart.<\/p>\n<div id=\"attachment_409554\" style=\"width: 490px\" class=\"wp-caption aligncenter\"><a target=\"_blank\" href=\"http:\/\/www.clarksvilleonline.com\/wp-content\/uploads\/2018\/01\/Running-In-The-Park.jpg\"  class=\"thickbox no_icon\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-409554\" class=\"size-medium wp-image-409554\" title=\"Two years of exercise training during middle age may reduce or reverse the cardiac consequences of a sedentary lifestyle.\" src=\"http:\/\/www.clarksvilleonline.com\/wp-content\/uploads\/2018\/01\/Running-In-The-Park-480x320.jpg\" alt=\"Two years of exercise training during middle age may reduce or reverse the cardiac consequences of a sedentary lifestyle.\" width=\"480\" height=\"320\"><\/a><p id=\"caption-attachment-409554\" class=\"wp-caption-text\">Two years of exercise training during middle age may reduce or reverse the cardiac consequences of a sedentary lifestyle.<\/p><\/div>\n<p><!--more--><\/p>\n<p>Aerobic exercises are sustained activities, such as walking, swimming, running and others that strengthen the heart and other muscles and help the body use oxygen effectively.<\/p>\n<p>\u201cThe key to a healthier heart in middle age is the right dose of exercise, at the right time in life,\u201d said study author Benjamin D. Levine, M.D., lead author of the study and the founder and director of the Institute for Exercise and Environmental Medicine, a joint program between Texas Health Resources and UT Southwestern Medical Center Dallas, Texas.<\/p>\n<p>\u201cWe found what we believe to be the optimal dose of the right kind of exercise, which is four to five times a week, and the \u2018sweet spot\u2019 in time, when the heart risk from a lifetime of sedentary behavior can be improved &#8212; which is late-middle age. The result was a reversal of decades of a sedentary lifestyle on the heart for most of the study participants,\u201d he said.<\/p>\n<p>The researchers analyzed the hearts of 53 adults ages 45-64 who were healthy but sedentary at the start of the study \u2013 meaning they tended to sit most of the time. Study participants received either two years of training, including high- and moderate-intensity aerobic exercise four or more days a week (exercise group), or they were assigned to a control group, which engaged in regular yoga, balance training and weight training three times a week for two years.<\/p>\n<p>The exercise group committed to a progressive exercise program which monitored participants\u2019 recorded heart rates. People in this group worked up to doing exercises, such as four-by-fours \u20134 sets of four minutes of exercise at 95 percent of their maximum heart rate, followed by three minutes of active recovery at 60 percent to 75 percent peak heart rate.<\/p>\n<p>In this study, maximum heart rate was defined as the hardest a person could exercise and still complete the four-minute interval. Active recovery heart rate is the speed at which the heart beats after exercise.&nbsp;<\/p>\n<p><strong>They found:<\/strong><\/p>\n<ul>\n<li>Overall, the committed exercise intervention made people fitter, increasing VO2max, the maximum amount of energy used during exercise, by 18 percent. There was no improvement in oxygen uptake in the control group.<\/li>\n<li>The committed exercise program also notably decreased cardiac stiffness. There was no change in cardiac stiffness among the controls.<\/li>\n<\/ul>\n<p>Sedentary behaviors \u2013 such as sitting or reclining for long periods of time \u2013 increase the risk of the heart muscle shrinking and stiffening in late-middle age and increases heart failure risk. Previous studies have shown that elite athletes, who spent a lifetime doing high-intensity exercise, had significantly fewer effects of aging on the heart and blood vessels, according to Levine.<\/p>\n<p>However, the six to seven days a week of intense exercise training that many elite athletes perform throughout their life isn\u2019t a reality for many middle-aged adults, which led Levine and colleagues to study different exercise doses, including casual exercise at two to three days a week and \u201ccommitted exercise\u201d at four to five days a week.<\/p>\n<p>[320left]\u201cWe found that exercising only two or three times a week didn\u2019t do much to protect the heart against aging. But committed exercise four to five times a week was almost as effective at preventing sedentary heart aging as the more extreme exercise of elite athletes,\u201d he said. \u201cWe\u2019ve also found that the \u2018sweet spot\u2019 in life to get off the couch and start exercising is in late-middle age, when the heart still has plasticity.\u201d<\/p>\n<p>People need to make an exercise program part of their personal routine, just like they brush their teeth every day, according to Levine. \u201cI recommend that people do four to five days a week of committed exercise as part of their goals in preserving their health,\u201d he said.<\/p>\n<p>The program, according to Levine, should be similar to the one studied, including at least one long session a week, (such as an hour of tennis, cycling, running, dancing, brisk walking, etc.); one high-intensity aerobic session, such as the four-by-four interval training described previously; two or three days a week of moderate intensity exercise, where exercisers break a sweat but can still carry on a conversation; and at least one weekly strength training session.<\/p>\n<p>\u201cThat\u2019s my prescription for life, and this study really reinforces that it has quite extraordinary effects on the structure and function of the heart and blood vessels,\u201d he said.<\/p>\n<p>One of the study\u2019s limitations is the researchers selected volunteers who were willing and able to participate in an intensive exercise regimen, so results might not apply to the general adult population. Another potential limitation is that study participants were for the most part Caucasian, which questions whether these results would apply to other racial groups.<\/p>\n<p>Co-authors are Erin Howden, Ph.D.; Sarma Satyam, M.D.; Justin Lawley, Ph.D.; William Cornwell, M.D.; Douglas Stoller, M.D.; Marcus Urey, M.D.; and Beverley Adams-Huet, M.S. Author disclosures are on the manuscript.<\/p>\n<p>The National Institutes of Health funded the study.<\/p>\n<p><strong>Additional Resources:<\/strong><\/p>\n<ul>\n<li><a href=\"http:\/\/www.heart.org\/HEARTORG\/Conditions\/HeartFailure\/Heart-Failure_UCM_002019_SubHomePage.jsp\" title=\"Heart Failure \"  target=\"_blank\" rel=\"noopener\">Heart Failure Resources<\/a><\/li>\n<li><a href=\"https:\/\/healthyforgood.heart.org\/Move-more\"  target=\"_blank\" rel=\"noopener\">Move More!<\/a><\/li>\n<li><a href=\"https:\/\/news.heart.org\/common-artery-problems-as-you-age-may-be-avoided-or-delayed-study-shows\/\"  target=\"_blank\" rel=\"noopener\">Common Artery Problems As You Age May Be Avoided or Delayed, Study Shows<\/a><\/li>\n<li>Follow AHA\/ASA news on Twitter <a href=\"https:\/\/twitter.com\/HeartNews\" title=\"@HeartNews\"  target=\"_blank\" rel=\"noopener\">@HeartNews<\/a><\/li>\n<li>For updates and new science from the <em>Circulation<\/em> journal follow <a href=\"https:\/\/twitter.com\/CircAHA\" title=\"@CircAHA\"  target=\"_blank\" rel=\"noopener\">@CircAHA<\/a><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Circulation Journal Report Dallas, TX &#8211; Middle-aged couch potatoes may reduce or reverse the risk of heart failure associated with years of sitting if they participate in two years of regular aerobic exercise training, according to a new study in the American Heart Association\u2019s journal Circulation. Study participants who adhered to the aerobic exercise regimen [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"ngg_post_thumbnail":0,"footnotes":""},"categories":[86],"tags":[7893,2538,6774,4030,2508,4560,5063,5795,7857,1901,4396,6996],"class_list":["post-13381","post","type-post","status-publish","format-standard","hentry","category-health","tag-aerobics","tag-american-heart-association","tag-circulation","tag-dallas-tx","tag-exercise","tag-heart","tag-heart-failure","tag-oxygen","tag-running","tag-swimming","tag-walking","tag-yoga"],"_links":{"self":[{"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/posts\/13381","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/comments?post=13381"}],"version-history":[{"count":1,"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/posts\/13381\/revisions"}],"predecessor-version":[{"id":13382,"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/posts\/13381\/revisions\/13382"}],"wp:attachment":[{"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/media?parent=13381"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/categories?post=13381"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.paristn.net\/articles\/wp-json\/wp\/v2\/tags?post=13381"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}