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Regular Esforts physical activity increases exercise capacity and plays a role in both primary and secondary prevention of cardiovascular disease. Exercise training increases cardiovascular functional capacity and decreases myocardial oxygen demand at any level of physical activity in apparently healthy persons as well as in most subjects with cardiovascular disease. Regular physical activity is required to maintain these training effects.

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Although most of the supporting data are based on studies in men, barstlw recent findings show similar results for women. Healthy persons as well as many persons with cardiovascular disease, including those with heart failure, 27 28 29 30 31 32 can improve exercise performance with training.

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This improvement is the result of increased ability to use oxygen to derive energy for work. Exercise training increases maximum ventilatory oxygen uptake by increasing both maximum cardiac output brastow volume of blood ejected by the heart per minute, which determines the amount of blood delivered Blake Gossau tour date the exercising muscles and the ability of muscles to extract and use oxygen from blood.

Beneficial changes in hemodynamic, hormonal, metabolic, neurological, and respiratory function also occur with increased exercise capacity. These changes can also benefit persons with impaired left ventricular function, in whom most adaptations to exercise training appear to be peripheral and may occur with low-intensity exercise.

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Developing and maintaining aerobic endurance, joint flexibility, and muscle strength is important in a comprehensive exercise program, especially as people age.

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