The C.A.M. Report
Complementary and Alternative Medicine: Fair, Balanced, and to the Point
  • About this web log

    This blog is intended as an objective and dispassionate source of information on the latest CAM research. Since my background is in pharmacy and allopathic medicine, I view all CAM as advancing through the development pipeline to eventually become integrated into mainstream medical practice. Some will succeed while others fail. But all are treated fairly here.

  • About the author

    John Russo, Jr., PharmD, is president of The MedCom Resource, Inc. Previously, he was senior vice president of medical communications at www.Vicus.com, a complementary and alternative medicine website.

  • Common sense considerations

    The material on this weblog is for informational purposes. It is not medical advice or counsel. Be smart, consult your health professional before using CAM.

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    Inactivity is bad for patients with heart disease

    Abe Gubegna the Ethiopian novelist wrote, “It doesn’t matter whether you are a lion or a gazelle. When the sun comes up, you better be running.”

    Now, researchers from California and Germany report that in patients with heart disease, there’s an increased risk of heart-related complications in people who are physically inactive as a result of being depressed.

    First, the details.

    • 1017 people with stable coronary heart disease were followed for almost 5 years.
    • Symptoms of depression were recorded using the Patient Health Questionnaire (PHQ).
    • The patients also answered questions about physical exercise in the past month, including sports.
    • The researchers looked for differences in cardiovascular events such as heart attack, stroke, or death due to cardiovascular complications.

    And, the results.

    • The annual rate of cardiovascular events was 10% among participants with depressive symptoms vs 7% in those without depressive symptoms — a significant difference.
    • After adjusting for the presence of other conditions and disease severity, depressive symptoms were associated with a significant 31% higher rate of cardiovascular events.
    • Lack of physical activity, as well as not taking medications according to schedule and smoking accounted for the differences between groups.

    The bottom line?
    Lead author, Dr. Mary Whooley concluded, “In this sample of outpatients with coronary heart disease, the association between depressive symptoms and adverse cardiovascular events was largely explained by behavioral factors, particularly physical inactivity.”

    Some of the physiological benefits of exercise in people with heart disease are summarized here.

    11/27/08 11:08 JR

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