Lavie Carl J, Thomas Randal J, Squires Ray W, Allison Thomas G, Milani Richard V
Cardiac Rehabilitation and Exercise Laboratories, Ochsner Medical Center, New Orleans, LA 70121-2483, USA.
Mayo Clin Proc. 2009 Apr;84(4):373-83. doi: 10.1016/S0025-6196(11)60548-X.
Substantial data have established a sedentary lifestyle as a major modifiable risk factor for coronary heart disease (CHD). Increased levels of physical activity, exercise training, and overall cardiorespiratory fitness have provided protection in the primary and secondary prevention of CHD. This review surveys data from observational studies supporting the benefits of physical activity, exercise training, and overall cardiorespiratory fitness in primary prevention. Clearly, cardiac rehabilitation/secondary prevention (CRSP) programs have been greatly underused by patients with CHD. We review the benefits of CRSP programs on CHD risk factors, psychological factors, and overall CHD morbidity and mortality. These data support the routine referral of patients with CHD to CRSP programs. Patients should be vigorously encouraged to attend these programs.
大量数据已证实久坐不动的生活方式是冠心病（CHD）的一个主要可改变风险因素。增加身体活动量、进行运动训练以及提高整体心肺适能，已在冠心病的一级和二级预防中起到了保护作用。本综述调查了观察性研究的数据，这些数据支持身体活动、运动训练以及整体心肺适能在一级预防中的益处。显然，冠心病患者对心脏康复/二级预防（CRSP）项目的利用率一直很低。我们回顾了CRSP项目在冠心病风险因素、心理因素以及冠心病总体发病率和死亡率方面的益处。这些数据支持将冠心病患者常规转诊至CRSP项目。应大力鼓励患者参加这些项目。
