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- $Unique_ID{BRK02080}
- $Pretitle{}
- $Title{Sudden Death in Physically Fit People and the Decision to Begin an
- Exercise Program}
- $Subject{exercise movement physical fitness athlete athletes athletics heart
- disease coronary artery diseases cardiac disease fitness program Sudden Death
- Physically Fit}
- $Volume{}
- $Log{}
-
- Copyright (c) 1993 Tribune Media Services, Inc.
-
-
- Sudden Death in Physically Fit People and the Decision to Begin an Exercise
- Program
-
-
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-
- QUESTION: Our community has been shocked by the death of an individual who
- was a leader in the exercise movement, a semi-professional athlete and who was
- apparently in great shape when he died. There has been little information in
- the newspapers to explain the causes of his death. Does this mean that
- exercise can be a cause of death? I always thought that it was supposed to
- help prevent an early demise. I hope you will think that this question is
- important enough to include in your column in the near future.
-
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-
- ANSWER: It is a very important question, for frequently the sudden death of
- an individual who has followed a regular training program can cause second
- thoughts in the minds of those who are either contemplating starting a program
- or already exercising regularly. Yet it is not an easy question to answer.
- It is important to distinguish between the causes of death in a younger
- man, below the age of 35, from those that are present in older individuals.
- Sudden death in the younger group is generally not preventable, is often
- related to structural defects in the heart that may have been present from
- birth, and are very difficult to detect even with our most advanced
- technologies. In the older man (I use the term advisedly as there are very
- few cases in which a women athlete has been the casualty) the most common
- cause is coronary artery disease.
- Yet most studies have shown, quite dramatically, that exercise leading to
- fitness does reduce the risk of death from cardiac disease. The benefits of a
- well structured, properly executed fitness program far outweigh the risks that
- are involved. Yet there are risks to be considered. There is no doubt that
- an individual who is exercising is at a greater risk of sudden death than they
- would be if they were sitting at home watching television. So the answer to
- your questions is "Yes". Exercise can cause a sudden death in some cases,
- while regular exercise also acts to prevent cardiac disease from developing.
- Proper screening and exercise counseling can reduce your risks, and increase
- your benefits even more so, to a level where regular exercise still makes
- great sense to the overwhelming majority of individuals.
-
- ----------------
-
- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
-