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Fitness and "fatness" both matter to the heart

Reuters Health News, 2012

NEW YORK (Reuters Health) - Losing fitness or packing on fat with age each can be bad for the heart -- but avoiding either one of those fates may protect the ticker, a study published Monday suggests.
researchers found that of more than 3,100 healthy adults they followed, those who improved -- or simply maintained -- their fitness levels were less likely to develop high blood pressure, high cholesterol or other well-established heart disease risk factors.
Similarly, people who maintained their weight had fewer of those red flags than people who became heavier over time.
That may sound logical, but part of what's new in the findings, researchers say, is that changes in fitness and "fatness" each appeared important on their own.
In general, people who kept their fitness levels over time seemed to counter some of the ill effects of weight gain.
The results suggest that protecting heart health is not as hard as some people think, according to lead researcher Duck-chul Lee, of the University of South Carolina in Columbia.
That is, just maintaining your weight and fitness levels as you age may be enough to see benefits.
"If you're overweight, losing weight and improving your fitness may be the best combination," Lee told Reuters Health.
The study, published in the Journal of the American College of Cardiology, included 3,148 men and women in the Dallas area who were in their early 40s, on average, at the outset.
Over six years, they developed high blood pressure at a rate of four percent each year, high cholesterol at a rate of three percent per year and so-called metabolic syndrome at a rate of two percent per year.
(Metabolic syndrome refers to a collection of risk factors for heart disease -- including high blood pressure, unhealthy cholesterol levels, abdominal obesity and high blood sugar.) But people who kept up or improved their fitness levels -- as measured during treadmill tests -- had lower odds of developing those heart risk factors.