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Level of Exercise and Risk of Cardiovascular Disease
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To the Editor: Dr Mora and colleagues1 found that both exercise capacity and heart rate recovery after exercise were related to risk of cardiovascular and all-cause mortality. They concluded that their "findings support the potential use of exercise testing as a risk-stratification tool for primary prevention in asymptomatic women. . . ." Although the authors controlled for several cardiac risk factors, they did not include current level of exercise in their analysis. It is possible that simply asking women whether they regularly engage in strenuous exercise or hard physical labor would also similarly identify those women at increased risk of cardiovascular death.
Lorraine L. Tosiello, MD;
Nallu Reddy, MD
Department of Internal Medicine
Overlook Hospital
Summit, NJ
1. Mora S, Redberg RF, Cui Y, et al. Ability of exercise testing to predict cardiovascular and all-cause death in asymptomatic women: a 20-year follow-up of the Lipid Research Clinics Prevalence Study. JAMA. 2003;290:1600-1607.
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Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.
JAMA. 2004;291:183.
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Level of Exercise and Risk of Cardiovascular Disease—Reply
Samia Mora, Rita F. Redberg, A. Richey Sharrett, and Roger S. Blumenthal
JAMA. 2004;291(2):183-184.
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Ability of Exercise Testing to Predict Cardiovascular and All-Cause Death in Asymptomatic Women: A 20-Year Follow-up of the Lipid Research Clinics Prevalence Study
Samia Mora, Rita F. Redberg, Yadong Cui, Maura K. Whiteman, Jodi A. Flaws, A. Richey Sharrett, and Roger S. Blumenthal
JAMA. 2003;290(12):1600-1607.
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