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Exercise Cuts Inflammation
Related Protein in Blood
Excerpt By Alison McCook, Reuter's Health

NEW YORK (Reuters Health) - Exercise is good for you for a number of reasons, and now researchers think they have found yet one more. Men who are physically fit tend to have lower levels of a protein linked to body-wide inflammation, new research reports.

People with high levels of this protein, known as C-reactive protein (CRP), appear to have a higher than average risk of cardiovascular disease. Indeed, a recent study suggested that testing for CRP could be an even better predictor of heart attack than high cholesterol.

The findings of the new study could help explain why exercise is so beneficial, said study author Dr. Timothy S. Church of The Cooper Institute in Dallas, Texas.

"We know exercise is good for you," Church told Reuters Health. Reducing CRP levels in the body "is one of the potential mechanisms" as to why exercise helps reduce a person's risk of heart disease and a host of other cardiovascular problems, he added.

During the study, Church and his colleagues measured fitness and CRP levels in 722 men. To determine how fit each man was, the researchers asked him to walk on a treadmill of increasing incline for as long as he could. They reasoned that the more fit a man is, the longer he could stay on the treadmill.

The investigators found that men who were the fittest also tended to have the lowest levels of CRP in their bodies, while those deemed the least fit were more likely to show the highest levels of CRP. The relationship between CRP levels and exercise remained even after the researchers eliminated other factors, such as age and obesity.

Specifically, the authors discovered that people who were in the second-to-lowest category of fitness were 57% less likely to have elevated CRP levels, relative to those who were the least fit of the group. The risk of elevated CRP decreased incrementally with increasing fitness, with those who were the most fit appearing to be 83% less likely to have high CRPs than the least fit men.

Church and his team report their findings in the November issue of Arteriosclerosis, Thrombosis, and Vascular Biology, a journal of the American Heart Association.

In an interview with Reuters Health, Church explained that, in women, the relationship between CRP and physical activity is likely similar, but somewhat more complicated. "I think the results will be the same," he said, but might appear less clear because of the dramatic hormonal changes women experience during menopause. For instance, he said, menopause can increase levels of CRP in a woman's body, and hormone replacement therapy can boost CRP even further.

"The main benefit is just getting out of that lowest fitness group," Church added, meaning that the biggest drop in risk of elevated CRP levels in the body occurs between the people who are the least fit, and those who are only moderately more in shape. To graduate to the next-highest level of fitness, the researcher recommended moderate physical activity for 30 minutes each day--even accumulated in bits and pieces, and not all at once--for 5 days a week. And one easy way to get that exercise: walking, he said.

"It's free, you can do it anywhere, you don't need any special equipment," he said.

"Just accumulate those steps throughout the day," Church advised.

SOURCE: Arteriosclerosis, Thrombosis, and Vascular Biology 2002;22:1869-1876.

Reference Source 89

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