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A Journal on Sports Medicine

Official Journal of the Italian Sports Medicine Federation
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Medicina dello Sport 2000 December;53(4):307-12

language: Italian

The prescription of physical exercise in the prevention of coronary heart disease

Giada F. 1, Conte R. 2, De Piccoli B. 1, Raviele A. 1

1 Unità Operativa di Cardiologia, Ospedale Umberto I, Mestre-Venezia;
2 Centro di Medicina dello Sport, C.O.N.I - F.M.S.I., Venezia


In the last decades it was noticed a progressive interest about the role of physical exercise as effective and not pharmacological care to maintain and improve people’s health.
Exercise has a variety of demonstrated and hypothetical protective effects, first of all it would retard the development of coronary heart diseases. A regular training, related to times and modes may to correct the metabolic profile, specially lipid disorders and insulin sensibility. Moreover, long term favourable effects were noticed about blood pressure, overweight and the smoking habit.
In any case the prescription of exercise program must save patient’s safety. It will be indispensable a careful clinical evaluation before sending a sedentary subject, specially a no more young one with risk factors, to a training program.
The physical incentive necessary to obtain a coronary risk decrease seems to be recognized in moderate physical activity of aerobic kind which implies an energetic cost for 1000 kcal a week at least, with an intensity of even 50-70% of maximal cardiac rate and with a frequency of 3-4 sessions a week of 30 minutes each.

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