Cardiologists Urge Doctors to Prescribe Exercise as a Core Part of Heart Disease Care

Physical inactivity is associated with increased risk of cardiovascular disease, type 2 diabetes, high blood pressure, and reduced physical function. Regular exercise can improve cardiorespiratory fitness and contribute to better management of several chronic conditions. The scientific statement highlighted on 15 October 2026 from the American College of Cardiology emphasizes that exercise should be considered a core part of cardiovascular prevention and treatment rather than merely optional lifestyle advice. Aerobic activities such as brisk walking, cycling, and swimming can improve the ability of the heart and lungs to supply oxygen during activity. Resistance training can help maintain muscle strength, improve physical function, and support glucose regulation. Regular activity may also contribute to blood pressure control, improved insulin sensitivity, better lipid profiles, and healthier body composition. These changes can help reduce the burden of risk factors that contribute to coronary artery disease and stroke. Exercise is not a substitute for necessary medication or medical procedures. Its role is complementary and should be adapted to the patient's condition. For people with established heart disease, the appropriate exercise plan depends on symptoms, cardiac function, medication, and previous complications. Some may benefit from structured cardiac rehabilitation, where exercise is supervised and increased gradually. People who are usually inactive should begin with manageable levels of activity and progress according to tolerance. Sudden chest pain, fainting, severe breathlessness, or unusual symptoms during exercise require prompt medical attention. Medical significance: The statement supports making physical activity a more explicit part of routine cardiovascular care. Exercise prescriptions should be individualized, particularly for people with known heart disease, uncontrolled hypertension, or other conditions that increase exercise-related risks.