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CBS NEWS – How important is exercise if you want to live a healthy and longer life? New research does not seem to train or become very small exercise is as bad as many other known risk factors associated with death, including high blood pressure, diabetes, cholesterol, heart disease and smoking – and in some cases, workouts do not seem to be even worse.
Dr Wael Jaber, MD, a Cleveland Clinic cardiologist and senior writer of the study said that it is surprising, “because focus has always been on managing these risks to improve mortality. But we found that the biggest risk is just below the nose: it’s physically less fit, “he told CBS News.
For the study, researchers analyzed data on more than 122,000 patients undergoing exercise solving testing at the Cleveland Clinic from 1991 to 2014.  The results showed that not only the exercise was associated with reduced risk of death, but more training gave greater benefits. In fact, the highest levels of aerobic fitness were associated with the greatest survival benefits, especially in elderly patients aged 70 years and over.
“We thought we would see a signal for benefit in some groups or subgroups of patients,” said Jaber. said. “What we have is an overall advantage with all age groups, both sexes and in individuals with and without heart disease.”
This result is in conflict with several other recent studies that have found connections between extreme exercise and some cardiac problems, including atrial fibrillation and coronary heart disease.
However, the study at the Cleveland Clinic, published in the Journal of the American Medical Association Network Open, found that extremely suitable patients in the study lived the longest.
All subjects had previously undergone stress tests at the Cleveland Clinic and were divided into five performance groups: the elite, high, above average, below average and low. Elite artists were defined as aerobic exercise in the top 2.5 percent by age and gender. They showed fitness levels that were comparable with endurance practitioners.
In the group of participants over 70 years, the elite artists had almost 30 percent reduced mortality rates compared to those rated as high performance.
Dr. Sati Bhusri, a cardiologist at Lenox Hill Hospital in New York City, said the study was “impressive”.
“Its size, its results and its future impact on preventable heart disease is huge,” he told CBS News. “We are made and intended to go, run, train, move. By doing so we regenerate new fresh new cells, cleanse toxins and rebuild broken parts.”
Jaber said that the study opens up many possible opportunities to treat a sedentary lifestyle as a disease. This can be done by “encouraging activities through incentives for health insurance, city and city planning, and providing specific training recommendations for our patients rather than the generic 10K steps of the day,” he said. “It seems that the 10K steps are the basic minimum, but more is almost always better.”
The American Heart Association recommends at least 150 minutes per week of moderate exercise or 75 minutes per week with heavy exercise or a combination of moderate and powerful activity.
The study writers note that their research analyzed findings across a large population, and individual patients should always check with their physician before starting a training program.