February is American Heart Month
28 days to remind everyone that cardiovascular disease (CVD) remains the leading cause of death for men and women worldwide. In fact, someone in the US passes away about every 35 seconds from heart disease, stroke, or related conditions. The heartbreaking reality of these unfavorable statistics is that many of the associated risk factors are preventable. With obesity, hypertension, high cholesterol, diabetes, physical inactivity, and poor diet being our risky six in the category, one cannot overlook that these statistics can be moderated through lifestyle changes. If you ask most people how to improve heart health, they are likely to tell you to do more cardiovascular training: walk, run, hike, bike. While this is not bad advice, I argue that it is incomplete without a regular, full-body strength regimen.
So, why full body?
Full body strength training involves compound movements like squats, deadlifts, rows, and presses that incorporate multiple large muscle groups simultaneously. This offers powerful benefits for heart health and stress management, directly addressing several major risk factors for CVD. In 2023, the American Heart Association updated their scientific statement on the effect of resistance training on cardiovascular health. Showing a ≈15% lower risk of all-cause mortality and ≈17% lower risk of CVD with just 30-60 minutes of resistance training. They highlighted that resistance training reduces blood pressure, improves lipid profiles, enhances body composition, and develops glycemic control.
The Science Behind Strength & Heart Health
Early this year, in Frontiers in Physiology, “Resistance training and cardiovascular health: epigenetic regulation,” Silva, Rodrigues, Torres, Improta-Caria, Oliveira, and Fernandes show that these full-body routines also induce epigenetic regulation. Working through various signaling pathways, influenced by insulin and growth factors, the beneficial arrangement produces positive effects beyond skeletal muscle. Again, showing resistance training to be particularly effective for improving insulin sensitivity and enhancing metabolic demand without the higher joint impact sometimes seen in extended aerobic exercise. In the realm of stress management, resistance training upregulates an important mechanism that can break the wheel of chronic stress.
Strength Training & Stress Management
Elevated cortisol and adrenaline levels can exacerbate anxiety, increase blood pressure, and impair sleep. Resistance training lowers anxiety symptoms by releasing endorphins and improves overall mental health markers, including the reduction of depressive feelings and better self-esteem. Training patterns that involve large muscle groups require consistent, mindful attention to the movement. This level of focus can act as a moving meditation that further reduces stress markers, inflammation, and resting heart rate over time.
How to Get Started (At Any Level)
So, how do you implement this, regardless of your current training level? You move! The most important thing to begin this journey is to start. Get into your NIFS fitness center and meet with one of our exercise physiologists for a fitness assessment and exercise prescription. Here is a simple set to get you moving in the right direction:
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2-3 times per week
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3 sets of 10-12 repetitions per exercise
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Bodyweight squats (add weight if you feel comfortable)
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Chest press or Overhead press (push ups are perfect, if equipment is not available)
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Rows (a machine or barbell/dumbbells, even bodyweight is good)
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A weighted carry (in your hands, on your shoulder, etc) for at least 50 meters
Start simple and work consistently. Your heart will thank you for it.

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