Editor’s presentation: Physical activity intensity in coronary patients: Vigorous is better than light, but light is better than nothing

Abstract

Novel cardiovascular risk factors Significant residual risk in patients with atherosclerotic cardiovascular disease (CVD) also remains with conventional risk factor control. 1 Thus, alternative strategies to combat this unmet need have been considered as a priority. In the present issue, a number of non-traditional determinants of cardiometabolic health are reviewed, such as poor diet quality, ambient air pollution and noise, sleep deprivation, psychosocial stress and unhealthy body composition. For example, the authors have proposed that shifting the focus from body mass to body composition and cardiorespiratory fitness, from nutrient-and calorie-based approaches to food-based, calorie-unrestricted dietary recommendations and addressing exposure to novel lifestyle risk factors through public health interventions might result in more feasible lifestyle guidance. Furthermore, a combined approach may improve long-term adherence and ameliorate prognosis, achieving cumulative benefit. Finally, the proposed lifestyle changes may cause a set of phenotypic adaptations that shift tissue crosstalk from a proinflammatory milieu, conducive for highrisk atherosclerosis, to an anti-atherogenic milieu.