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Progress in Cardiovascular Diseases

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https://read.qxmd.com/read/30685470/guidelines-for-the-delivery-and-monitoring-of-high-intensity-interval-training-in-clinical-populations
#1
REVIEW
Jenna L Taylor, David J Holland, Jemima G Spathis, Kassia S Beetham, Ulrik Wisløff, Shelley E Keating, Jeff S Coombes
High intensity interval training (HIIT) is now recognized in international clinical-based exercise guidelines as an appropriate and beneficial adjunct to moderate intensity continuous training. HIIT involves alternating periods of high intensity aerobic exercise with light recovery exercise or no exercise, allowing for greater physiological stimulus and adaptation than moderate intensity continuous training (MICT) for cardiorespiratory fitness and other cardiometabolic processes. However, there is no universal criteria or framework for the prescription and monitoring of HIIT in clinical populations, and safety concerns remain a common barrier for implementing HIIT as standard care...
January 24, 2019: Progress in Cardiovascular Diseases
https://read.qxmd.com/read/30685469/implementing-behaviour-change-theory-and-techniques-to-increase-physical-activity-and-prevent-functional-decline-among-adults-aged-61-70-the-preventit-project
#2
REVIEW
Elisabeth Boulton, Helen Hawley-Hague, David P French, Sabato Mellone, Anna Zacchi, Lindy Clemson, Beatrix Vereijken, Chris Todd
The health and wellbeing benefits of engaging in physical activity (PA), and of improving strength and balance, are well documented. The World Health Organization's recommendations of 150 min per week of moderate intensity physical activity have been adopted across the world in policy and practice recommendations. However, the number of older adults engaging in this level of PA remains low. The European Project, PreventIT, has adapted the Lifestyle-integrated Functional Exercise (LiFE) programme, which reduced falls in people 75 years and over, for a younger cohort (aLiFE)...
January 24, 2019: Progress in Cardiovascular Diseases
https://read.qxmd.com/read/30639136/precision-medicine-and-healthy-living-the-importance-of-the-built-environment
#3
REVIEW
Andrew P Hills, Nathalie J Farpour-Lambert, Nuala M Byrne
The built environment encompasses the major physical spaces, including buildings, streets, homes, schools, parks, playgrounds and other infrastructure in which we live, work and play. In an ideal world, the built environment should support and facilitate a healthy engagement in physical activity across the lifespan. However, in the context of an environment characterized by increased mechanization and urbanization, physical inactivity and higher levels of overweight and obesity, too many settings are not conducive to physical activity and/or are not safe and walkable...
January 9, 2019: Progress in Cardiovascular Diseases
https://read.qxmd.com/read/30639135/cardiorespiratory-fitness-and-cardiovascular-disease-the-past-present-and-future
#4
REVIEW
Leonard A Kaminsky, Ross Arena, Øyvind Ellingsen, Matthew P Harber, Jonathan Myers, Cemal Ozemek, Robert Ross
The importance of cardiorespiratory fitness (CRF) is now well established and it is increasingly being recognized as an essential variable which should be assessed in health screenings. The key findings that have established the clinical significance of CRF are reviewed in this report, along with an overview of the current relevance of exercise as a form of medicine that can provide a number of positive health outcomes, including increasing CRF. Current assessment options for assessing CRF are also reviewed, including the direct measurement via cardiopulmonary exercise testing which now can be interpreted with age and sex-specific reference values...
January 9, 2019: Progress in Cardiovascular Diseases
https://read.qxmd.com/read/30625335/special-editor-s-page-five-years-as-editor-in-chief
#5
EDITORIAL
Carl J Lavie
No abstract text is available yet for this article.
January 6, 2019: Progress in Cardiovascular Diseases
https://read.qxmd.com/read/30610884/precision-measurements-to-assess-baseline-status-and-efficacy-of-healthy-living-medicine
#6
REVIEW
Chueh-Lung Hwang, Jennifer Bishop, Jerry Ching, Ahmed Elokda, Andréa Lúcia Gonçalves da Silva, Deepika Laddu, Shane A Phillips
Precision medicine recently has gained popularity, calling for more individualized approaches to prevent and/or reduce chronic-disease risk and to reduce non-communicable diseases such as cardiovascular disease (CVD). Encompassed under Precision medicine initiatives is the concept of healthy living medicine (HLM), which emphasizes the promotion of lifestyle and behavioral practices including physical activity and healthy dietary pattern. Precision measurements have the potential to improve the understanding of how risk factors influence disease trajectory, and further inform on how to precisely tailor clinical strategies to manage risk factors to prevent disease manifestation, and refine therapies according the patient's demographic, environment, and disease etiology...
January 2, 2019: Progress in Cardiovascular Diseases
https://read.qxmd.com/read/30610883/furthering-precision-medicine-genomics-with-healthy-living-medicine
#7
REVIEW
Robert A Standley, Rick B Vega
The Precision Medicine Initiative seeks to develop new approaches for disease treatment and prevention that considers the individual variation in genes, environment, and lifestyle for each person. To date, the focus has been on genetic drivers of disease risk and development but have now begun to incorporate lifestyle induced changes in phenotype to enhance treatments. Healthy Living Medicine is an emerging paradigm that focuses on moving more and sitting less, consuming a healthy diet, maintaining body weight and not smoking...
January 2, 2019: Progress in Cardiovascular Diseases
https://read.qxmd.com/read/30610882/outcomes-of-healthy-eating-ad-campaigns-a-systematic-review
#8
REVIEW
Eulàlia P Abril, Paula R Dempsey
Social marketing campaigns seeking to promote healthy eating hold promise in precision messaging and behavior change related to a key component of healthy living medicine. A systematic review that examines the behaviors promoted against their success is lacking. Of interest is the consideration of stop or go behaviors, such as not eating fast food or increasing the consumption of fruits and vegetables, respectively. We systematically searched five databases for peer-reviewed quantitative articles examining healthy eating campaigns that included at least one ad...
January 2, 2019: Progress in Cardiovascular Diseases
https://read.qxmd.com/read/30610881/precision-medicine-in-weight-loss-and-healthy-living
#9
REVIEW
Richard Severin, Ahmad Sabbahi, Abeer M Mahmoud, Ross Arena, Shane A Phillips
Obesity affects 600 million people globally and over one third of the American population. Along with associated comorbidities, including cardiovascular disease, stroke, diabetes, and cancer; the direct and indirect costs of managing obesity are 21% of the total medical costs. These factors shed light on why developing effective and pragmatic strategies to reduce body weight in obese individuals is a major public health concern. An estimated 60-70% of obese Americans attempt to lose weight each year, with only a small minority able to achieve and maintain long term weight loss...
January 2, 2019: Progress in Cardiovascular Diseases
https://read.qxmd.com/read/30610880/precision-medicine-healthy-living-and-the-complex-patient-managing-the-patient-with-multimorbidity
#10
REVIEW
Anne E Holland, Annemarie L Lee
Multimorbidity is the most common chronic health condition in adults and is associated with poor health outcomes. Optimal care for people with multimorbidity requires a person-centered approach that considers goals and preferences, improves quality of life and coordinates care across services. Because care is focused on patient outcomes, rather than disease outcomes, this provides an ideal setting for delivery of the Healthy Living Polypill (HLPP). Precision in delivery of the HLPP for people with multimorbidity involves active participation of patients in goal setting, strategies to address functional limitations and frailty, and support to develop the self-management skills necessary to adopt and sustain healthy behaviours...
January 2, 2019: Progress in Cardiovascular Diseases
https://read.qxmd.com/read/30597149/advances-in-health-technology-use-and-implementation-in-the-era-of-healthy-living-implications-for-precision-medicine
#11
REVIEW
Shane A Phillips, Mohamed Ali, Charles Modrich, Shariwa Oke, Ahmed Elokda, Deepika Laddu, Samantha Bond
Much of the focus of precision medicine has been directed toward genomics, despite the fact that "lifestyle and behavioral factors" are included in the description of precision medicine. Numerous structured diet and PA interventions have demonstrated success in preventing and/or reducing chronic-disease risk. The use of personal health technologies has expanded exponentially in the health care arena; there are a number of consumer-based technologies yielding health information to individual users...
December 28, 2018: Progress in Cardiovascular Diseases
https://read.qxmd.com/read/30586563/merging-precision-and-healthy-living-medicine-individualizing-the-path-to-a-healthier-lifestyle
#12
Ross Arena, Deepika Ladd
No abstract text is available yet for this article.
December 23, 2018: Progress in Cardiovascular Diseases
https://read.qxmd.com/read/30576681/the-contribution-of-psychosocial-interventions-to-precision-medicine-for-heart-health
#13
REVIEW
Michelle Flynn, Chelsea Moran, Joshua A Rash, Tavis S Campbell
This paper reviews the value of incorporating psychosocial interventions into precision medicine for heart health. First, we review the empirical literature on prevalence of common mental health comorbidities among individuals with cardiovascular disease (CVD). We then review transdiagnostic approaches for conceptualization and treatment of mental health in individuals with CVD. We highlight recent studies that have used novel methods to individualize psychosocial interventions. Finally, we propose a preliminary framework intended to support Health Care Providers in individualizing treatment, which includes: 1) assessment of patient risk factors, characteristics, and expectations; 2) consideration of transdiagnostic processes underlying several psychiatric symptoms that contribute to CVD risk; 3) patient engagement in shared decision-making for psychosocial treatment; and 4) ongoing outcome monitoring to evaluate treatment responsiveness...
December 18, 2018: Progress in Cardiovascular Diseases
https://read.qxmd.com/read/30553801/addressing-the-nutritional-phenotype-through-personalized-nutrition-for-chronic-disease-prevention-and-management
#14
REVIEW
Deepika Laddu, Michelle Hauser
The primary focus of public health recommendations related to the prevention of food-related chronic disease has been on the adoption of healthy dietary patterns; however, implementation has been challenging. There has been increasing recognition that an individual's diet and environment may impact disease susceptibility by affecting the expression of genes involved in critical metabolic pathways. Precision nutrition (PN) has emerged to translate discoveries about diversity in nutrient metabolism between subgroups and the inter-individual variability in the responses to dietary interventions...
December 13, 2018: Progress in Cardiovascular Diseases
https://read.qxmd.com/read/30543812/the-association-between-the-change-in-directly-measured-cardiorespiratory-fitness-across-time-and-mortality-risk
#15
REVIEW
Mary T Imboden, Matthew P Harber, Mitchell H Whaley, W Holmes Finch, Derron L Bishop, Bradley S Fleenor, Leonard A Kaminsky
BACKGROUND: The relationship between cardiorespiratory fitness (CRF) and mortality risk has typically been assessed using a single measurement, though some evidence suggests the change in CRF over time influences risk. This evidence is predominantly based on studies using estimated CRF (CRFe ). The strength of this relationship using change in directly measured CRF over time in apparently healthy men and women is not well understood. PURPOSE: To examine the association of change in CRF over time, measured using cardiopulmonary exercise testing (CPX), with all-cause and disease-specific mortality and to compare baseline and subsequent CRF measurements as predictors of all-cause mortality...
December 10, 2018: Progress in Cardiovascular Diseases
https://read.qxmd.com/read/30529579/the-role-of-government-in-precision-medicine-precision-public-health-and-the-intersection-with-healthy-living
#16
REVIEW
Laurie P Whitsel, John Wilbanks, Mark D Huffman, Jennifer L Hall
This paper focuses on the significant role of government in promoting precision medicine and public health and the potential intersection with healthy living (HL) and population health. Recent research has highlighted the interplay between genes, environments and different exposures individuals and populations experience over a lifetime. These interactions between longitudinal behaviors, epigenetics, and expression of the human genome have the potential to transform health and well-being, even within a single generation...
December 7, 2018: Progress in Cardiovascular Diseases
https://read.qxmd.com/read/30529578/precision-in-promoting-physical-activity-and-exercise-with-the-overarching-goal-of-moving-more
#17
REVIEW
Cemal Ozemek, Ross Arena
Physical inactivity is strongly associated with an unfavorable health profile, increasing an individual's risk for developing cardiovascular disease. Initiating a regular exercise routine contributes to improvements in cardiorespiratory fitness, body composition, resting blood pressure, blood glucose, and circulating lipoproteins. However, the extent to which positive changes occur come with significant inter-individual variability within intervention groups; non-responders and responders have been commonly identified across populations, highlighting that not all exercise regimens are universally effective in all individuals and should therefore not be treated as a "one-size fits all" prescription...
December 7, 2018: Progress in Cardiovascular Diseases
https://read.qxmd.com/read/30481510/cardiorespiratory-fitness-and-physical-activity-two-important-but-distinct-clinical-measures-with-different-degrees-of-precision-a-commentary
#18
EDITORIAL
Ross Arena, Carl J Lavie
No abstract text is available yet for this article.
November 24, 2018: Progress in Cardiovascular Diseases
https://read.qxmd.com/read/30468755/advances-in-echocardiography
#19
EDITORIAL
Carl J Lavie
No abstract text is available yet for this article.
November 20, 2018: Progress in Cardiovascular Diseases
https://read.qxmd.com/read/30465774/role-of-transesophageal-echocardiography-in-patients-with-ischemic-stroke
#20
REVIEW
Merrill H Stewart, Yvonne Gilliland
Acute ischemic stroke is a condition with considerable mortality and morbidity. When used appropriately, Transesophageal Echocardiography (TEE) can be an incredibly useful tool to identify potential causes of stroke and guide management. The crucial distinction in this modality lies in separating common incidental findings from those likely to have contributed to ischemic stroke. Furthermore, the management of identified intracardiac causes varies widely from open surgery to antiplatelet therapy. This review seeks to discuss the role of TEE in identifying common etiologies of cardioembolic stroke, review the clinical entities, and the highlight the most recent management recommendations...
November 19, 2018: Progress in Cardiovascular Diseases
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