Zusammenfassung
Körperliche Aktivität verlängert nicht nur das Leben, sondern vermiedet zudem Krankheiten.
Entscheidend für die Mortalitätsverbesserung aktiver Personen ist der Rückgang kardiovaskulärer
Ereignisse. Aber auch für einige Krebserkrankungen, Kolondivertikel oder Gallensteine
ist eine verminderte Inzidenz bei entsprechender körperlicher Aktivität beschrieben.
Darüber hinaus wird bei verbesserter Fitness und Körperkomposition die Manifestation
eines Typ-2-Diabetes entscheidend verzögert. Durch die Kombination einer regelmäßigen
körperlichen Aktivität mit einer gesunden Ernährung kann die Lebensspanne bei guter
körperlicher und geistiger Gesundheit verlängert werden. Diese Maßnahme ist enorm
effektiv und unerreicht kostengünstig.
Summary
Physical exercise does not only contribute to longevity, but even prevents diseases.
The mortality of active persons is significantly depending on the number of cardiovascular
attacks. In addition, the lack of physical exercise has been found to reduce the development
of such diseases as cancer, colon diverticulum and gallstones. Moreover, the manifestation
of type 2 diabetes can be essentially delayed by physical exercise. A combination
of regular exercise with the intake of wholesome foodstuffs can assure a long life
and enduring physical and mental health. The observance of these requirements is not
only extremely effective but cost-saving.
Schlüsselwörter
Körperliche Aktivität - Mortalität - Prävention - Körperkomposition
Key words
Physical exercise - mortality - prevention - body composition
Literatur
- 1
Aldoori WH, Giovannucci EL, Rimm EB. et al. .
Prospective study of physical activity and the risk of symptomatic diverticular disease
in men.
Gut.
1995;
36
276-282
- 2
American College of Sports Medicine Position Stand .
The recommended quantity and quality of exercise for developing and maintaining cardiorespiratory
and muscular fitness, and flexibility in healthy adults.
Med Sci Sports Exerc.
1998;
30
975-991
- 3
American Heart Association .
2002 Heart and Stroke Statistical Update.
Dallas, Tex: American Heart Association.
2001;
- 4
Assmann G, Schulte H, von A Eckardstein, Huang Y.
High-density lipoprotein cholesterol as a predictor of coronary heart disease risk.
The PROCAM experience and pathophysiological implications for reverse cholesterol
transport.
Atherosclerosis.
1996;
124
11-20
- 5
Balady GJ, Ades PA, Comoss P. et al. .
Core components of cardiac rehabilitation/secondary prevention programs: A statement
for healthcare professionals from the American Heart Association and the American
Association of Cardiovascular and Pulmonary Rehabilitation Writing Group.
Circulation.
2000;
102
1069-1073
- 6
Bender R, Jockel KH, Trautner C, Spraul M, Berger M.
Effect of age on excess mortality in obesity.
JAMA.
1999;
281
1498-1504
- 7
Berlin JA, Colditz GA.
A meta-analysis of physical activity in prevention of coronary heart disease.
Am J Epidemiol.
1990;
132
639-646
- 8
Blair SN, Kohl HW, Barlow CE, Paffenbarger Jr. RS. et al. .
Changes in physical fitness and all-cause mortality. A prospective study of healthy
and unhealthy men.
JAMA.
1995;
273
1093-1098
- 9
Dervieux T, Chu Y, Su Y. et al. .
HPLC determination of thiopurine nucleosides and nucleotides in vivo in lymphoblasts
following mercaptopurine therapy.
Clin Chem.
2002;
48
61-68
- 10
Fletcher GF, Balady G, Blair SN. et al. .
Statement on exercise: benefits and recommendations for physical activity programs
for all Americans. A statement for health professionals by the Committee on Exercise
and Cardiac Rehabilitation of the Council on Clinical Cardiology, American Heart Association.
Circulation.
1996;
94
857-862
- 11
Grundy SM.
Primary prevention of coronary heart disease: integrating risk assessment with intervention.
Circulation.
1999;
100
988-998
- 12
Hakim AA, Petrovitch H, Burchfiel CM. et al. .
Effects of walking on mortality among nonsmoking retired men.
N Engl J Med.
1998;
338
94-99
- 13
Helmrich SP, Ragland DR, Leung RW, Paffenbarger RS.
Physical activity and reduced occurrence of non-insulin-dependent diabetes mellitus.
N Engl J Med.
1991;
325
147-152
- 14
Hollmann W, Hettinger T.
Sportmedizin. Grundlagen für Arbeit, Training und Präventivmedizin.
Stuttgart: Schattauer.
2002;
- 15
Horber FF, Kohler SA, Lippuner K, Jaeger P.
Effect of regular physical training on age-associated alteration of body composition
in men.
Eur J Clin Invest.
1996;
26
279-285
- 16
Hu FB, Stampfer MJ, Manson JE. et al. .
Trends in the incidence of coronary heart disease and changes in diet and lifestyle
in women.
N Engl J Med.
2000;
343
530-537
- 17
Knowler WC, Barrett-Connor E, Fowler SE. et al. .
Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin.
N Engl J Med.
2002;
346
393-403
- 18
Leach RE.
Altern und körperliche Aktivität.
Orthopäde.
2000;
29
936-940
- 19
Leitzmann M, Giovannucci E, Rimm EB. et al. .
The relation of physical activity to risk for symptomatic gallstone disease in men.
Ann Intern Med.
1998;
128
417-425
- 20
Leitzmann M, Rimm EB, Willett WC. et al. .
Recreational physical activity and the risk of cholecystectomy in women.
N Engl J Med.
1999;
341
777-784
- 21
Manousos O, Vrachliotis G, Papaevangelou G. et al. .
Relation of diverticulosis of the colon to environmental factors in Greece.
Dig Dis.
1973;
18
174-176
- 22
Manson JE, Greenland P, LaCroix AZ. et al. .
Walking compared with vigorous exercise for the prevention of cardiovascular events
in women.
N Engl J Med.
2002;
347
716-725
- 23
Mather AS.
Effects of exercise on depressive symptoms in older adults with poorly responsive
depressive disorder.
Brit J Psychiartry.
2002;
180
411-415
- 24
Misciagna G, Centonze S, Leoci C. et al. .
Diet, physical activity, and gallstones - a population-based, case control study in
southern Italy.
Am J Clin Nutr.
1999;
69
120-126
- 25
Morris J, Heady JA, Raffle PAB, Roberts CG, Parks JW.
Coronary artery disease and physical activity of work.
Lancet.
1953;
1053-1057
- 26
Myers J, Prakash M, Froelicher V. et al. .
Exercise capacity and mortality among men referred for exercise testing.
N Engl J Med.
2002;
346
793-801
- 27
Ortega RM, Fernandez-Azuela M, Encinas-Sotillos A, Andres P, Lopez-Sobaler AM.
Differences in diet and food habits between patients with gallstones and controls.
J Am Coll Nutr.
1997;
16
88-95
- 28
Paffenbarger Jr. RS, Hyde RT, Wing AL, Hsieh CC.
Physical activity, all-cause mortality, and longevity of college alumni.
N Engl J Med.
1986;
314
605-613
- 29
Paffenbarger Jr. RS, Hyde RT, Wing AL. et al. .
The association of changes in physical-activity level and other lifestyle characteristics
with mortality among men.
N Engl J Med.
1993;
328
538-545
- 30
Peeters A, Barendregt JJ, Willekens F. et al. .
Obesity in adulthood and its consequences for life expectancy: a life-table analysis.
Ann Intern Med.
2003;
138
24-32
- 31
Pooling Project Research Group .
Relationship of blood pressure, serum cholesterol, smoking habit, relative weight
and ECG abnormalities to incidence of major coronary events: final report of the Pooling
Project.
J Chron Dis.
1978;
31
202-306
- 32
Rejeski WJ, Mihalko SL.
Physical activity and quality of life in older adults.
J Gerontol.
2001;
56A
23-35
- 33
Roberts CK, Vaziri ND, Barnard RJ.
Effect of diet and exercise intervention on blood pressure, insulin, oxidative stress,
and nitric oxide availability.
Circulation.
2002;
106
2530-2532
- 34
Sarin S, Kapur B, Tandon R.
Cholesterol and pigment gallstones in northern India: a prospective analysis.
Dig Dis Sci.
1986;
31
1041-1045
- 35
Slattery ML, Jacobs Jr. DR, Nichaman MZ.
Leisure time, physical activity and coronary heart disease death. The US Railroad
Study.
Circulation.
1989;
79
304-311
- 36
Tuomilehto J, Lindstrom J, Eriksson JG. et al. .
Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with
impaired glucose tolerance.
N Engl J Med.
2001;
344
1343-1350
- 37
Vita AJ, Terry RB, Hubert HB, Fries JF.
Aging, health risks, and cumulative disability.
N Engl J Med.
1998;
338
1035-1041
- 38
Whelton SP, Chin A, Xin X, He J.
Effect of aerobic exercise on blood pressure: a meta-analysis of randomized, controlled
trials.
Ann Intern Med.
2002;
136
493-503
1 MET = Metabolisches Äquivalent; i.e. Angabe der Leistungskapazität.
Dr. med. Peter Deibert
Abteilung Präventive und Rehabilitative Sportmedizin
Medizinische Universitätsklinik
Hugstetterstraße 55
79106 Freiburg
Email: deibert@msm1.ukl.uni-freiburg.de