PHYSICAL EXERCISE AND FITNESS: Exercise May Mediate Chronic Troponin Elevations, Obesity or Not

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PHYSICAL EXERCISE AND FITNESS: Exercise May Mediate Chronic Troponin Elevations, Obesity or Not

David P. Dillard
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PHYSICAL EXERCISE AND FITNESS:

Exercise May Mediate Chronic Troponin Elevations, Obesity or Not

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Exercise May Mediate Chronic Troponin Elevations, Obesity or Not

Marlene Busko

May 01, 2017

Medscape

http://www.medscape.com/viewarticle/879311

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BALTIMORE, MD  Coming close to or meeting recommended levels of physical
activity was associated with a smaller chance of having high levels of
high-sensitivity cardiac troponin T (hs-cTnT)a surrogate for myocardial
damagein a study of middle-aged and older people living in the
community[1].

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Being physically active was also linked with having a lower risk of heart
failure, whether or not individuals were obese, in this analysis of data
from the Atherosclerosis Risk in Communities (ARIC) study, which was
published in the May 2017 issue of JACC: Heart Failure.

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"We typically recommend physical activity as a means of losing weight or
lowering blood pressure, but it seems . . . that if you are obese and you
[engage in] physical activity, you have benefits irrespective of weight
loss," lead author Dr Roberta Florido (Johns Hopkins University School of
Medicine, Baltimore, MD) told heartwire from Medscape.

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"If you really reach those guideline-recommended levels, that's when you
have the most benefit, so it's important to aim for those 75 minutes a
week of vigorous [physical activity] or 150 minutes a week of a
combination of moderate and vigorous physical activity," she added.

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The study also suggests that hs-cTnT could be used as a marker of cardiac
health, according to Florido. "Maybe you could recommend physical activity
for [patients] and monitor their troponin over time as a marker for this
health behavior."

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This study adds to close to 20,000 publications in the past decade that
have investigated the link between exercise and heart disease, Drs Tariq
Ahmad and Jeffrey M Testani (Yale University School of Medicine, New
Haven, Connecticut) write in an accompanying editorial[2].

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"Now we must get to the more difficult question: what are we going to do
with this information?" they ask.


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The complete article may be read at the URL above.

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