Moduretic (Amiloride, Hydrochlorothiazide)
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TAKING CARE OF YOUR HEART: EXERCISE AND LACK OF IT
To the enthusiast, vigorous daily exercise seems an ‘ideal’ way to avert coronary disease. To the sceptic its main effect is that the heart-attack victim tends to be wearing a track suit instead of pyjamas.
In countries where heart attack is common, people have a life style which differs in many ways from that in countries where the disease is rare. The level of physical activity is one such difference. In the industrialized countries of Europe and North America mechanization has brought with it inactivity. Even the unskilled labourer has some machinery to lessen his dependence on muscular work. For many of us exercise is purely a leisure-time activity, often an infrequent one at that.
Does this trend contribute to the coronary-disease problem? One can find exceptions: the industrialized, car-driving Japanese with little coronary disease, and the lumberjacks of eastern Finland, the region with the world’s highest heart-attack mortality. But a few exceptions do not necessarily rule out an idea. Some twenty years ago Professor J. N. Morris published the first of a series of studies on people in active and sedentary occupations in London: bus conductors versus drivers, postmen versus post-office staff. In both instances the active group was less prone to coronary heart disease. Similar findings have been reported by other researchers. But some have disagreed: a study of American railroad employees revealed no link between heart disease and physical inactivity. A possible difficulty is that the original choice of occupation may be influenced by pre-existing heart disease. A man who becomes short of breath because of early heart disease would be more likely to seek sedentary work.
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