Physical Activity and Cardiovascular Risk in Diabetic Women

Letters20 November 2001Physical Activity and Cardiovascular Risk in Diabetic WomenFrank B. Hu, MD, PhD, Meir J. Stampfer, MD, DrPH, and JoAnn E. Manson, MD, DrPHFrank B. Hu, MD, PhDHarvard School of Public Health; Boston, MA 02215 (Hu, De Vitis, Manson)Search for more papers by this author, Meir J. Stampfer, MD, DrPHHarvard School of Public Health; Boston, MA 02215 (Hu, De Vitis, Manson)Search for more papers by this author, and JoAnn E. Manson, MD, DrPHHarvard School of Public Health; Boston, MA 02215 (Hu, De Vitis, Manson)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-135-10-200111200-00025 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE:Dr. Kessler questions the clinical implications of our study (1) and raises the issue of benefits compared with costs of physical activity. He has raised similar issues regarding our previous reports (2, 3). Despite his intricate calculations, Dr. Kessler misses the point of our study. First, although it may take several years of activity to prevent a single cardiovascular event among the least active group as a whole, for each individual woman, only 30 minutes to 1 hour of moderate to vigorous exercise per day is needed. Second, Dr. Kessler considers only the lowest and highest risk groups ...References1. Hu FB, Stampfer MJ, Solomon C, Liu S, Colditz GA, Speizer FE, et al . Physical activity and risk for cardiovascular events in diabetic women. Ann Intern Med. 2001;134:96-105. [PMID: 11177312] LinkGoogle Scholar2. Kessler KM. Primary prevention of coronary heart disease in women through diet and lifestyle [Letter]. N Engl J Med. 2000;343:1814; discussion 1814-5. [PMID: 11185604] CrossrefMedlineGoogle Scholar3. Kessler KM. Triggering of sudden death from cardiac causes by vigorous exertion [Letter]. N Engl J Med. 2001;344:854; discussion 855. [PMID: 11252309] CrossrefMedlineGoogle Scholar4. . Physical Activity and Health: A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion; 1996. Google Scholar Author, Article, and Disclosure InformationAffiliations: Harvard School of Public Health; Boston, MA 02215 (Hu, De Vitis, Manson) PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoPhysical Activity and Risk for Cardiovascular Events in Diabetic Women Frank B. Hu , Meir J. Stampfer , Caren Solomon , Simin Liu , Graham A. Colditz , Frank E. Speizer , Walter C. Willett , and JoAnn E. Manson Physical Activity and Cardiovascular Risk in Diabetic Women Kenneth M. Kessler Metrics Cited ByVariations in tryptophan hydroxylase 2 linked to decreased serotonergic activity are associated with elevated risk for metabolic syndrome in depression 20 November 2001Volume 135, Issue 10Page: 931KeywordsBlood pressureCancer preventionCardiovascular diseasesExerciseHigh density lipoprotein cholesterolMorbidityMortalityOsteoporosisQuality of life ePublished: 20 November 2001 Issue Published: 20 November 2001 CopyrightCopyright © 2001 by American College of Physicians. All Rights Reserved.PDF DownloadLoading ...