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Florence Sport Medicine Lifestyle: From Athletes To The Patients

In recent years, athletic participation has more than doubled in all major demographic groups; while simultaneously, children and adults with established heart disease desire participation in sports and exercise. 

Despite conferring favorable long-term effects on well-being and survival, exercise can acutely be associated with risk of adverse events, and the complex individual cardiovascular demands and adaptations imposed by exercise pose distinct challenges to the physician asked to evaluate athletes. Physical inactivity furthermore is estimated as being the principal cause for approximately 21–25% of breast and colon cancer burden, 27% of diabetes and approximately 30% of ischaemic heart disease burden in addition, NCDs now account for nearly half of the overall global burden of disease. Exercise therefore is one of the most important modifiable risk factors for chronic disease.
Exercise produces roughly similar benefits to drugs in the secondary prevention of coronary heart disease, rehabilitation after stroke, treatment of heart failure, and prevention of diabetes. In addition, exercise has recently been shown to reduce the risk of dementia and improve mental health. Furthermore, exercise was mentioned to only a sixth of patients with diabetes or hypertension, despite these being conditions for which exercise is recommended. There is nothing miraculous about exercise. What is extraordinary is how long it is taking mainstream medicine to accept the importance of physical activity.

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