Dr. Gerald Fletcher from Mayo Clinic, Florida moderated the topic "Exercise to Combat the Cardiovascular Disease Risk of Obesity" with Drs. Randal Thomas from Mayo Clinic, Rochester, Hector Ventura from the Ochsner Clinic, and Malissa Wood from the Harvard School of Medicine and Massachusetts General Hospital participating.
The discussion focused primarily on:
(1) the bio-physiological effects of exercise (anti-atherogenic, anti-thrombotic, anti-arrhythmic, anti-ischemic and anti-inflammatory) on cardiovascular disease risk,
(2) the benefits of the anti-thrombotic effects of exercise on the metabolic risks of obesity,
(3) the beneficial effects of exercise on endothelial function and the autonomic nervous system,
(4) additional factors that effect cardiac arrhythmias such as sleep apnea, fat components of the pericardium and the relationship between QTc and BMI,
(5) the relationship between obesity and heart failure,
(6) the besity paradox,
(7) waist circumference and abdominal obesity as significant risk markers, and
(8) recommendations for amount and type of physical activity needed to reduce cardiovascular risk.