Norpace (Disopyramide)
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Other names: Norpace CR
TAKING CARE OF YOUR HEART: PHYSICAL FITNESS
Do athletes have less coronary heart disease than the rest of the population? The findings in three studies of former Harvard and Michigan State University athletes have been inconsistent: at Harvard those receiving the highest numbers of awards tended to have more, not less, fatal coronary disease. But it does seem that marathon runners are remarkably free from heart attack.
Dr W. B. Kannel and Mr P. Sorlie have assessed the exercise habits of about 4,000 men and women living in Framingham, U.S.A. They were then kept under observation for fourteen years. The most active men had about two-thirds as much risk of having a heart attack as the most sedentary men. But the story is not as clear-cut as it may seem. Exercise had no effect on heart attacks in women. And in other follow-up studies little or no relationship has been found between exercise and heart attacks. Lack of exercise, in the Framingham research, did not influence heart attack risk as powerfully as high blood pressure, smoking or high cholesterol levels. Professor Morris has estimated the leisure-time activity of British civil servants and found that those who indulged in vigorous physical activity during the weekend less often developed ischemic heart disease than those who made for their armchairs.
Recently Morris found that men who eat little but tend to gain weight seem prone to heart attack. He suggested that they were likely to be particularly sedentary (how else could they gain weight when they ate so little?) If so, sedentary behaviour appeared to entail a high risk of heart attack.
Physical activity during leisure was found by Dr Hickey in Dublin to be accompanied by lower cholesterol levels, less obesity and lower cigarette consumption; he suggested that all of these were the common result of greater health consciousness.
There is a strong moral content in the view that the slothful way of life is harmful. The balance of evidence is suggestive, but it is not yet certain that vigorous exercise protects from heart attack.
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