Questão 196281aa-dc
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Trials evaluated by researchers DON’T test the effect on mortality in the prevention of
Trials evaluated by researchers DON’T test the effect on mortality in the prevention of
Exercise as Preventive Medicine
By NICHOLAS BAKALAR
OCTOBER 9, 2013
A structured exercise program may be as good or better
than frequently prescribed drugs for some common
cardiovascular ailments, a large meta-analysis has found.
Researchers evaluated 57 randomized trials testing the
effect on mortality of exercise and drugs in four
prevention regimens: the secondary prevention of
coronary heart disease, rehabilitation from stroke,
treatment of heart failure, and prevention of Type 2
diabetes. The review, published online in BMJ, involved
more than 14,000 patients.
The studies used a variety of drugs — for example,
statins for the prevention of coronary heart disease, blood
thinners for stroke, diuretics for heart failure, and
biguanides like Glucophage and Metaglip for impending
diabetes.
They found no difference in mortality between exercise and drug interventions in the
secondary prevention of coronary heart disease or Type 2 diabetes. For stroke prevention,
exercise programs were more effective than anticoagulants or antiplatelet medicines. And
for treating heart failure, diuretic drugs were more effective than exercise.
The lead author, Huseyin Naci, a fellow at Harvard Medical School, said that in most of the
trials, patients were doing structured exercise programs in combination with drugs. “These
findings do not imply that patients should go off their medications and start exercising
instead,” he said. “We weren’t able to find many exercise trials, which adds to the limitations
of the findings. But what we don’t know about exercise may be harming us.”
http://well.blogs.nytimes.com/2013/10/09/exercise-as-preventive-medicine/?_php=true&_type=blogs&_r=0
Accessed on April 11, 2014
Exercise as Preventive Medicine
By NICHOLAS BAKALAR
OCTOBER 9, 2013
A structured exercise program may be as good or better
than frequently prescribed drugs for some common
cardiovascular ailments, a large meta-analysis has found.
Researchers evaluated 57 randomized trials testing the
effect on mortality of exercise and drugs in four
prevention regimens: the secondary prevention of
coronary heart disease, rehabilitation from stroke,
treatment of heart failure, and prevention of Type 2
diabetes. The review, published online in BMJ, involved
more than 14,000 patients.
The studies used a variety of drugs — for example,
statins for the prevention of coronary heart disease, blood
thinners for stroke, diuretics for heart failure, and
biguanides like Glucophage and Metaglip for impending
diabetes.
They found no difference in mortality between exercise and drug interventions in the
secondary prevention of coronary heart disease or Type 2 diabetes. For stroke prevention,
exercise programs were more effective than anticoagulants or antiplatelet medicines. And
for treating heart failure, diuretic drugs were more effective than exercise.
The lead author, Huseyin Naci, a fellow at Harvard Medical School, said that in most of the
trials, patients were doing structured exercise programs in combination with drugs. “These
findings do not imply that patients should go off their medications and start exercising
instead,” he said. “We weren’t able to find many exercise trials, which adds to the limitations
of the findings. But what we don’t know about exercise may be harming us.”
http://well.blogs.nytimes.com/2013/10/09/exercise-as-preventive-medicine/?_php=true&_type=blogs&_r=0
Accessed on April 11, 2014
A
coronary heart disease.
B
diets for losing weight.
C
stroke rehabilitation.
D
type 2 diabetes.