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January 14, 2004

Level of Exercise and Risk of Cardiovascular Disease

Author Affiliations

Letters Section Editor: Stephen J. Lurie, MD, PhD, Senior Editor.

JAMA. 2004;291(2):183. doi:10.1001/jama.291.2.183-a

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.