Swimming, aerobics, and racquet sports are linked to lowest risk of cardiovascular death

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Swimming, racquet sports, and aerobics seem to be the best forms of exercise for reducing the risk of death from heart disease and stroke, research published in the British Journal of Sports Medicine has found.

The researchers said that the small number of events impaired the statistical power in some analyses. There were relatively few deaths from all causes among runners and football players, which may explain the wide confidence intervals. However, they concluded, “These findings demonstrate that participation in specific sports may have significant benefits for public health.”

Assessment of chest pain in a low risk patient: is the exercise tolerance test obsolete?

The coronary artery calcium score has high sensitivity for detecting coronary stenosis—so a negative result makes significant coronary stenosis unlikely—but low specificity, and 60% of those without coronary artery disease will also have a positive result


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Thus many low risk patients may be diagnosed with coronary artery disease using the calcium score, although they may have clinically insignificant or “bystander” disease. These patients may benefit little from investigation and treatment and may be harmed


The exercise tolerance test is a quick, functional investigation that measures maximum exercise tolerance. In low risk patients who are likely to achieve a high workload the test can identify patients with high relative survival without the need for further imaging

Brain training, exercise, and healthy eating slow cognitive decline in elderly people at risk, study finds

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A comprehensive programme incorporating individual support for healthy eating, regular exercise, and brain training, plus managing metabolic and vascular risk factors reduced cognitive decline in older people at risk for dementia, results reported in the Lancet show

Doctors are urged to encourage patients to be more active to reduce chronic ill health

thebmj_logoDoctors in the United Kingdom have been urged to encourage patients to take small amounts of regular exercise and told that they have a leading role to play in reversing the growing contribution of sedentary lifestyles to chronic ill health.

More than 40% of adults do not reach the minimum recommended level of 30 minutes of moderately intense exercise five times a week, figures reviewed in the Academy of Medical Royal Colleges’ report showed.

News from NHS Networks: 7 October

Physical activity in Mental health
Promotion of physical activity, exercise and sport to improve the health of people with a mental health diagnosis.

My Shared pathway
My Shared pathway is part of the National Secure services Qipp Programme. It is developing a recovery approach to identifying and achieving outcomes and aims to streamilne the present pathway for service users in secure services.