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FitBits
September 15, 2004

Exercise ETC's Review of Exercise Related Research.

Compiled by
Jeannie Patton, MS, CSCS

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“Fat & Fit” Women Have Lower Risk for CAD Than Thin, Unfit Women

A number of risk factors for cardiovascular disease in women have been established, including obesity and physical fitness. What has not been clearly established is the relative importance of each of these risk factors. The purpose of this study was to determine if obesity or physical activity had a stronger influence on coronary events and outcomes in women.

The data for this analysis came from The National Heart, Lung, and Blood Institute which sponsored the Women's Ischemia Syndrome Evaluation (WISE) study. A total of 936 women who were being treated for suspected ischemia were included in the study, and followed for an average of 4 years for adverse outcomes.

Surprisingly, lower body weight was not associated with a reduced risk for heart disease., but the women who reported higher levels of physical activity had fewer coronary risk factors, less coronary disease and a lower risk for adverse outcomes with coronary events. This study documents the relationship between physical fitness and a reduced risk of heart disease. Fitness Professionals should emphasize to their overweight client that in terms of favorable reductions and outcomes in the incidence of heart disease, it is better to be “fit and fat” than thin and unfit.

Wessel, Timothy, R. et al. Relationship of Physical Fitness vs. Body Mass Index with Coronary Artery Disease and Cardiovascular Events in Women. JAMA. 2004;292:1179-1187.


BMI a Better Predictor of Diabetes than Inactivity

Body mass index (BMI) and physical inactivity are established independent risk factors for Type 2 diabetes. The purpose of this study was to determine if either of these risk factors was more predictive of Type 2 diabetes or whether each carried the same relative risk.

This analysis occurred as a result of a 7 year follow-up involving approximately 37, 800 women who are part of the ongoing Women’s Health Study. BMI and recreational activities were recorded at study entry and the incidence of Type 2 diabetes was analyzed at follow up. Those classified as “active” expended at least 1000 kcals per week in recreational activities.

The study found that BMI was a better predictor of Type 2 diabetes than physical activity; this study reinforces the importance of maintaining a normal body weight to reduce the risk of developing Type 2 diabetes. The study also underscores the importance of physical activity for maintenance of a healthy body weight and for weight loss, both of which reduce the risk of Type 2 diabetes.

Weinstein, Amy. Et al. Relationship of Physical Activity vs. Body Mass Index with Type 2 Diabetes in Women . JAMA. 2004;292:1188-1194.


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