andrew_gelman_stats andrew_gelman_stats-2012 andrew_gelman_stats-2012-1364 knowledge-graph by maker-knowledge-mining

1364 andrew gelman stats-2012-06-04-Massive confusion about a study that purports to show that exercise may increase heart risk


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Introduction: I read this front-page New York Times article and was immediately suspicious. Here’s the story (from reporter Gina Kolata): Could exercise actually be bad for some healthy people? A well-known group of researchers, including one who helped write the scientific paper justifying national guidelines that promote exercise for all, say the answer may be a qualified yes. By analyzing data from six rigorous exercise studies involving 1,687 people, the group found that about 10 percent actually got worse on at least one of the measures related to heart disease: blood pressure and levels of insulin, HDL cholesterol or triglycerides. About 7 percent got worse on at least two measures. And the researchers say they do not know why. “It is bizarre,” said Claude Bouchard, lead author of the paper , published on Wednesday in the journal PLoS One . . . Dr. Michael Lauer, director of the Division of Cardiovascular Sciences at the National Heart, Lung, and Blood Institute, the lead federal


Summary: the most important sentenses genereted by tfidf model

sentIndex sentText sentNum sentScore

1 Here’s the story (from reporter Gina Kolata): Could exercise actually be bad for some healthy people? [sent-2, score-0.493]

2 A well-known group of researchers, including one who helped write the scientific paper justifying national guidelines that promote exercise for all, say the answer may be a qualified yes. [sent-3, score-0.546]

3 By analyzing data from six rigorous exercise studies involving 1,687 people, the group found that about 10 percent actually got worse on at least one of the measures related to heart disease: blood pressure and levels of insulin, HDL cholesterol or triglycerides. [sent-4, score-1.392]

4 About 7 percent got worse on at least two measures. [sent-5, score-0.315]

5 Michael Lauer, director of the Division of Cardiovascular Sciences at the National Heart, Lung, and Blood Institute, the lead federal research institute on heart disease and strokes, was among the experts not involved in the provocative study who applauded it. [sent-11, score-0.717]

6 First, I didn’t see why the researcher described it as “bizarre” that some people could get less healthy under an exercise regimen. [sent-15, score-0.632]

7 Bouchard stumbled upon the adverse exercise effects when he looked at data from his own study that examined genetics and responses to exercise. [sent-19, score-0.962]

8 He noticed that about 8 percent seemed to be getting worse on at least one measure of heart disease risk. [sent-20, score-0.786]

9 Benjamin Levine, a cardiologist and professor of exercise sciences at the University of Texas Southwestern Medical Center, asked whether the adverse responses represented just random fluctuations in heart risk measures. [sent-24, score-1.217]

10 Would the same proportion of people who did not exercise also get worse over the same periods of time? [sent-25, score-0.647]

11 Maybe the adverse effects just reflected the time of year when people entered the study. [sent-27, score-0.325]

12 Here’s what they had: A fundamental question is whether there are individuals who experience one or several adverse responses (ARs) in terms of exercise-induced changes in common risk factors. [sent-35, score-0.546]

13 For the four traits studied, some subjects experienced changes in an opposite, unfavorable direction compared to the expected beneficial effects. [sent-43, score-0.294]

14 For the four traits in the present study, twice the value of TE ["the technical error (TE), defined as the within-subject standard deviation as derived from repeated measures"] would mean that ARs would be reached if the exercise training-induced increases are ≥10 mm Hg for SBP, ≥0. [sent-48, score-0.554]

15 42 mmol/L for plasma TG, and ≥24 pmol/L for plasma FI or if there is a decrease of ≤0. [sent-49, score-0.272]

16 The question remains: can’t such a decline occur, even in the absence of an exercise regimen? [sent-56, score-0.482]

17 Here’s all that I could find: The percentages of adverse responders for each trait for each study are depicted in Figure 2. [sent-59, score-0.495]

18 It is remarkable that such cases were found in each study, even though the age and health status of the subjects were widely divergent and the exercise programs were quite heterogeneous. [sent-60, score-0.476]

19 As noted above, can’t some people just be getting better and some people getting worse? [sent-62, score-0.302]

20 They make a big deal of the idea that exercise may increase heart risk, but it seems uncontroversial to me that an activity that helps most could be harmful to some . [sent-64, score-0.756]


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