Relationship of #distance #run per week to coronary #Heart disease risk factors

1. Guidelines recommend 30 minutes of vigorous #exercise on most days, if not all days. What is the effect if one exceeds these limits? Is it beneficial or harmful?
#running #fitness #marathon
2. Compared with runners who ran less than 16 km (10 miles) per week, long-distance runners (≥80 km/wk) showed:
#2.5 times higher prevalence of HDL>60 (protective against heart disease)
#50% reduction in hypertension
#>50% reduction in need to BP or cholesterol lowering drugs
3. Estimated age-adjusted 10-year coronary heart disease (CHD) risk was 30% lower in runners who averaged more than 64 km/week than in those who averaged less than 16 km/week (42 vs 61 events per 1000 men).
4. Each 16-km incremental increase in weekly distance run up to 79 km/wk was associated with significant increases in HDL cholesterol levels and significant decreases in obesity, triglyceride levels, the ratio of total cholesterol to HDL cholesterol level, and estimated CHD risk.
5. Conclusions: Running beyond recommended guidelines is safe, and runners can expect incremental benefits above 16 km/week, up to 79 km/week.
(Ref: jamanetwork.com/journals/jamai…)

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Dr Sudhir Kumar MD DM🇮🇳

Dr Sudhir Kumar MD DM🇮🇳 Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @hyderabaddoctor

Nov 12
How I (a #neurologist) helped a student pass in #Mathematics, which his Mathematics teacher couldn't manage

1. A 15-year old boy was brought to my clinic by his parents asking for some "pill" that would improve his interest and skill in mathematics, enabling him to pass exams
2. He was a bright class 10th kid doing well in all the subjects except in mathematics. His scores were 85-90% in other subjects, with <30% in mathematics. This appeared odd to me. On enquiry, the boy told "my mind switches off when solving complex mathematical problems".
3. The boy continued "my mind keeps on lapsing into absent-mindedness several times during exams" and "before I realize- the time is up". As per his teachers & parents, his answer sheet had many areas of ineligible scribbling. The initial part of answer would be correct though.
Read 7 tweets
Nov 11
What can patients do to lower #cholesterol levels, if they can not take #statin due to any reason?

1. They can take #garlic and #lemon juice, if statins are contraindicated or causing any #adverse effects such as myalgia or muscle weakness.
#MedTwitter

doi.org/10.4103%2F2008…
2. High cholesterol level is a risk factor for stroke and heart attacks. Statins are commonly prescribed drugs to lower cholesterol levels. However, some patients can not take statins due to adverse effects such as muscle pain and muscle weakness.
#Diet #nutrition #healthydiet
3. In a study, 20 gram of raw garlic and one tablespoon of lemon juice was given daily for 8 weeks in people with high chol. Total cholesterol reduced by 41 mg/dl, LDL cholesterol reduced by 30 mg/dl and BMI reduced by 1.6. (Ref: International Journal of Preventive Medicine 2016)
Read 4 tweets
Nov 10
Correlation between resting #heart rate (HR) at admission and long-term #Survival in patients admitted with #stroke
1. High resting HR is a risk factor for stroke and death. In a recent study, patient's HR at admission after stroke was correlated with long term survival & death. ImageImageImage
2. Compared with the reference group (mean heart rate < 60 bpm), risk of #death was 23% higher for mean heart rate 60–69 bpm, 74% higher for mean heart rate 70–79 bpm, 116% higher for mean heart rate 80–89 bpm, and 183% higher for mean heart rate ≥ 90 bpm.
#MedTwitter
3. Compared with the reference group (mean heart rate < 60 bpm), the risk of cardiovascular death was 18% higher for mean heart rate 60–69 bpm, 57% higher for mean heart rate 70–79 bpm, 98% higher for mean heart rate 80–89 bpm, and 136% higher for mean heart rate ≥ 90 bpm.
Read 4 tweets
Nov 9
TIPS ON CORE STRENGTHENING FOR RUNNERS
Core strengthening should be an important part of long distance runner's schedule. Here, I am presenting some easy exercises that can be done at home. I thank my colleague Dr Sudar Sreekumar for her inputs.
#running #fitness #marathon
Anatomy
Importance of core strengthening
Read 21 tweets
Nov 8
Does #influenza #vaccine reduce the #risk of ischemic #stroke?

The answer is YES, as per a study published on November 8th, 2022 in #neurology journal.
Influenza infection is a known risk factor for causing ischemic strokes (IS).
#MedTwitter #neurotwitter
The main findings of this study are
(1) influenza vaccination is associated with a reduced risk of IS of approx 10%–15%, which started earlier and persisted over time up to the next season; (2) the reduction in risk Is observed for both noncardioembolic and cardioembolic IS alike
(3) the risk reduction associated with influenza vaccination appeared to be similar in the pre-epidemic, epidemic, and post-epidemic periods;
(4) no effect modification was observed by sex or age;
Read 5 tweets
Nov 7
Milestone: My 2nd #runniversary and 10000 Km

1. Nov 6th 2020 was the most important day in my life, when I took complete control of my health & fitness. From a #workaholic, I converted to workaholic + #runaholic
Here, I present the milestones of my past 2-year #running journey
2. I completed 10,163 km of running in the past two years (6th Nov 2020 to 6th Nov 2022: 731 days), at an average of 13.9 km/day. This included 648 runs of 10k or longer, 110 runs of half marathon (21.1 km) or longer and one marathon (42.2 km).
3. I usually run at a pace of 7:15-7:30 min/km and my best pace is 5:45 to 6:00 min/km. My PB in 10 k is 57:03 min and in HM 2:04:41 hours. I cherish the #Ladakhmarathon HM the most, which I finished in 2:24:33 hours (on 11 Sep 2022).
@Ladakh_Marathon
Read 7 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us on Twitter!

:(