Republished: Basic science behind the cardiovascular benefits of exercise

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Gepubliceerd in:Postgraduate Medical Journal vol. 91, no. 1082 (Dec 2015), p. 704
Hoofdauteur: Wilson, Mathew G
Andere auteurs: Ellison, Georgina M, Cable, N Tim
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Oxford University Press
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022 |a 0032-5473 
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024 7 |a 10.1136/postgradmedj-2014-306596rep  |2 doi 
035 |a 1781656996 
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100 1 |a Wilson, Mathew G 
245 1 |a Republished: Basic science behind the cardiovascular benefits of exercise 
260 |b Oxford University Press  |c Dec 2015 
513 |a Review 
520 3 |a   Cardiorespiratory fitness is a strong predictor of cardiovascular (CV) disease and all-cause mortality, with increases in cardiorespiratory fitness associated with corresponding decreases in CV disease risk. The effects of exercise upon the myocardium and vascular system are dependent upon the frequency, intensity and duration of the exercise itself. Following a prolonged period (â[per thousand]¥6 months) of regular intensive exercise in previously untrained individuals, resting and submaximal exercising heart rates are typically 5-20 beats lower, with an increase in stroke volume of â^¼20% and enhanced myocardial contractility. Structurally, all four heart chambers increase in volume with mild increases in wall thickness, resulting in greater cardiac mass due to increased myocardial cell size. With this in mind, the present paper aims to review the basic science behind the CV benefits of exercise. Attention will be paid to understanding (1) the relationship between exercise and cardiac remodelling; (2) the cardiac cellular and molecular adaptations in response to exercise, including the examination of molecular mechanisms of physiological cardiac growth and applying these mechanisms to identify new therapeutic targets to prevent or reverse pathological remodelling and heart failure; and (3) vascular adaptations in response to exercise. Finally, this review will briefly examine how to optimise the CV benefits of exercise by considering how much and how intense exercise should be. 
653 |a Mortality 
653 |a Heart attacks 
653 |a Cardiovascular disease 
653 |a Metabolism 
653 |a Exercise 
653 |a Physical fitness 
653 |a Athletes 
653 |a Stroke 
653 |a Heart failure 
700 1 |a Ellison, Georgina M 
700 1 |a Cable, N Tim 
773 0 |t Postgraduate Medical Journal  |g vol. 91, no. 1082 (Dec 2015), p. 704 
786 0 |d ProQuest  |t Science Database 
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856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/1781656996/fulltextPDF/embedded/7BTGNMKEMPT1V9Z2?source=fedsrch