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Weekend Workouts: Why Sudden Intense Exercise May Put Stress on Your Heart

Sudden Intense Exercise May Strain the Heart

Exercise is good for the heart. That part is not in question. But on the occasion of <span>World Heart Day</span>, doctors say the way you exercise, and how suddenly you start, can matter just as much as whether you exercise at all.

A lot of us live sedentary weekdays and then try to make up for it with one hard gym, swimming or sports session over the weekend. Dr Dhirendra Singhania, Director of Interventional Cardiology at Yashoda Medicity, says this pattern puts real strain on the body. "In an untrained person, a sudden switch to a much increased load in terms of time or intensity of training is a huge physiological stress on the heart," he told Health and Me.

Dr Ajeet Singh, Senior Consultant and Head of Cardiology at ShardaCare Healthcity, describes the same risk from the other direction. "Stepping into a sedentary lifestyle with a sudden burst of extreme activity, and vice versa, can strain the heart," he told Health and Me. Weekend sport, after a week of sitting, is one of the most common triggers.

Medical literature backs this up. New England Journal of Medicine study found that people who exercised regularly were far better protected against a heart attack being triggered by sudden exertion than those who rarely worked out. Research published in Circulation notes that the least fit individuals face the greatest risk during sudden physical effort. Doctors describe this as a fitness "buffer". A trained heart handles a sharp rise in oxygen demand and blood pressure far better than an untrained one.

This doesn't mean irregular exercise is pointless. A large 2023 study in JAMA, using activity-tracker data from close to 90,000 people, found that "weekend warriors" who packed their exercise into one or two days had a similarly lower cardiovascular risk to people who spread activity evenly through the week. The catch, researchers noted, is that this benefit shows up in people who are already getting regular activity in some form. Suddenly forcing an untrained body into a high-intensity session is a different scenario altogether.

<strong>Read More</strong>: <a href="https://www.healthandme.com/health-wellness/100-blockage-at-18-25-patients-under-40-on-world-heart-day-cardiologists-reveal-an-alarming-heart-attack-pattern-article-156243737" data-type="tilCustomLink" target="_blank">100% Blockage At 18, 25% Patients Under 40: On World Heart Day, Cardiologists Reveal An Alarming Heart Attack Pattern</a>

Both doctors agree that people with undiagnosed heart problems, high blood pressure, high cholesterol, diabetes or a family history of heart disease need to be more cautious. Dr Singh says this doesn't mean exercise should be avoided. It simply has to match "age, fitness level, and overall health and medical history." Dr Singhania advises anyone with existing heart disease or risk factors to consult their doctor before starting intense activity.      

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Both experts point to the same red flags. Chest pain or pressure, unusual breathlessness, dizziness, a racing heart, or simply feeling off during exercise. Dr Singhania lists "angina, unusual breathlessness, pre-syncope, syncope and palpitations" as symptoms that should never be ignored.

The advice from both doctors is simple. Warm up. Build intensity gradually. Cool down. Stay hydrated. And if something feels wrong mid-workout, stop and consult a doctor rather than trying to push through the discomfort.

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Exercise is good for the heart. That part is not in question. But on the occasion of World Heart Day, doctors say the way you exercise, and how suddenly you start, can matter just as much as whether you exercise at all.The Weekend Warrior ProblemA lot of us live sedentary weekdays and then try to make up for it with one hard gym, swimming or sports session over the weekend. Dr Dhirendra Singhania, Director of Interventional Cardiology at Yashoda Medicity, says this pattern puts real strain on the body. "In an untrained person, a sudden switch to a much increased load in terms of time or intensity of training is a huge physiological stress on the heart," he told Health and Me.Dr Ajeet Singh, Senior Consultant and Head of Cardiology at ShardaCare Healthcity, describes the same risk from the other direction. "Stepping into a sedentary lifestyle with a sudden burst of extreme activity, and vice versa, can strain the heart," he told Health and Me. Weekend sport, after a week of sitting, is one of the most common triggers.What the Research ShowsMedical literature backs this up. New England Journal of Medicine study found that people who exercised regularly were far better protected against a heart attack being triggered by sudden exertion than those who rarely worked out. Research published in Circulation notes that the least fit individuals face the greatest risk during sudden physical effort. Doctors describe this as a fitness "buffer". A trained heart handles a sharp rise in oxygen demand and blood pressure far better than an untrained one.This doesn't mean irregular exercise is pointless. A large 2023 study in JAMA, using activity-tracker data from close to 90,000 people, found that "weekend warriors" who packed their exercise into one or two days had a similarly lower cardiovascular risk to people who spread activity evenly through the week. The catch, researchers noted, is that this benefit shows up in people who are already getting regular activity in some form. Suddenly forcing an untrained body into a high-intensity session is a different scenario altogether.Read More: 100% Blockage At 18, 25% Patients Under 40: On World Heart Day, Cardiologists Reveal An Alarming Heart Attack PatternWho Should Be Extra CarefulBoth doctors agree that people with undiagnosed heart problems, high blood pressure, high cholesterol, diabetes or a family history of heart disease need to be more cautious. Dr Singh says this doesn't mean exercise should be avoided. It simply has to match "age, fitness level, and overall health and medical history." Dr Singhania advises anyone with existing heart disease or risk factors to consult their doctor before starting intense activity.      Warning Signs to Watch ForBoth experts point to the same red flags. Chest pain or pressure, unusual breathlessness, dizziness, a racing heart, or simply feeling off during exercise. Dr Singhania lists "angina, unusual breathlessness, pre-syncope, syncope and palpitations" as symptoms that should never be ignored.The advice from both doctors is simple. Warm up. Build intensity gradually. Cool down. Stay hydrated. And if something feels wrong mid-workout, stop and consult a doctor rather than trying to push through the discomfort.

world heart day weekend workouts: why sudden intense exercise may put stress on your heart

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