Preventive Effects of Physical Activity on the Development of Atherosclerosis: A Narrative Review

Yusuke Osawa1,2,3, Yasumichi Arai4,5

  • 1Graduate School of Health Management, Keio University.

Insights

Regular physical activity, including aerobic and resistance training, effectively prevents atherosclerosis by improving endothelial function and reducing inflammation. Personalized exercise plans can optimize cardiovascular health and mitigate cardiometabolic risk.

Area of Science:

  • Cardiovascular Science
  • Exercise Physiology
  • Preventive Medicine

Background:

  • Atherosclerosis is a primary cause of cardiovascular disease (CVD) mortality, driven by endothelial dysfunction, inflammation, lipid accumulation, and arterial stiffness.
  • Physical activity is a key non-pharmacological intervention for preventing atherosclerosis.
  • Understanding the impact of different exercise types on atherosclerosis is crucial for public health.

Purpose of the Study:

  • To review the preventive effects of aerobic, resistance, and combined exercise on atherosclerosis development.
  • To explore the mechanisms through which exercise improves cardiovascular health markers.
  • To discuss exercise dose-response, intensity, risks, and personalized approaches.

Main Methods:

  • Review of landmark studies and current research findings on exercise and atherosclerosis.
  • Analysis of mechanisms: endothelial function, inflammation, lipid profiles, arterial stiffness.
  • Discussion of exercise modalities, intensity, dose-response, and personalized medicine.

Main Results:

  • Aerobic, resistance, and combined training demonstrate preventive effects against atherosclerosis.
  • Exercise improves endothelial function, reduces systemic inflammation, and enhances lipid profiles.
  • Combined training offers synergistic benefits, especially for high-risk populations.

Conclusions:

  • Exercise is a potent strategy for mitigating atherosclerosis and cardiometabolic risk.
  • Personalized exercise prescriptions, potentially guided by wearable technology, can maximize cardiovascular benefits.
  • Further research into tailored exercise interventions is warranted for optimal CVD prevention.

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