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Although obesity is strongly associated with CHD risk factors such as hypertension, glucose intolerance, and hyperlipidemia, the contribution of obesity to CHD appears to be independent of the influence of obesity on these risk factors. For a comprehensive report and roundtable discussion of the role of physical activity in the prevention and treatment of obesity and its comorbidities, see the November 1999 supplement to Medicine & Science in Sports & Exercise. Obesity may be caused by genetic and environmental factors.

Restricting caloric intake and increasing caloric expenditure through physical activity and exercise are effective ways of reducing body weight and fatness while normalizing blood pressure and blood lipid profiles. Metabolic Syndrome Metabolic syndrome refers to a combination of CVD risk factors associated with hypertension, dyslipidemia, insulin resistance, and abdominal obesity. 4). 29 mmol·L−1 for women *Metabolic syndrome is defined as three or more risk factors. National Cholesterol Education Program 2001.

2011). Age and BMI directly relate to metabolic syndrome (National Cholesterol Education Program 2001). The prevalence of this syndrome is higher (>40%) for older (>60 yr) adults than for younger (20–29 yr) adults (7%). 2%). Lifestyle must be modified in order to manage metabolic syndrome. The combination of healthy nutrition and increased physical activity is an effective way to increase HDL-C and to reduce blood pressure, body weight, triglycerides, and blood glucose levels. 6 million deaths in 2008 (World Health Organization 2012a).

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Advanced fitness assessment and exercise prescription by Vivian Heyward, Ann Gibson

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