Men Might Need to Exercise More than Women for Comparable Heart Health Benefits

For men over 50, engaging in more than twice the exercise as women may be necessary to achieve equivalent heart health benefits. Data analysis from activity trackers indicated that this demographic requires almost nine hours of moderate-to-vigorous activities, such as brisk walking or cycling, each week to lower their risk of coronary heart disease by 30%.

In comparison, women only need around four hours to achieve the same reduction.

Researchers had long speculated that women might experience greater heart benefits from exercise than men, based on self-reported data, although such figures can be misleading.

To address this issue, Chen Jiajing and colleagues at Xiamen University in China utilized data from wrist-worn activity monitors sourced from the British Biobank study, correlated with participants’ health records over an eight-year span.

The team first evaluated data from 80,243 adults, averaging 61 years in age and with no previous history of coronary heart disease. Women achieving at least 150 minutes of moderate to vigorous exercise weekly had a 22% reduced risk of developing coronary heart disease, while men saw only a 17% reduction with the same exercise commitment.

To reach a 30% risk reduction, even greater physical activity was required. There was a notable gender disparity in this regard, with women needing to exercise 250 minutes and men needing 530 minutes.

The team next examined 5,169 participants already diagnosed with coronary heart disease, with an average age of 67, and two-thirds being male. Women who engaged in 150 minutes of moderate to vigorous exercise per week were 70% less likely to die from any cause in the subsequent eight years compared to less active women. Conversely, men who completed the same amount of exercise only experienced a 20% lower likelihood of death than their less active counterparts.

“This isn’t bad news for men, but it’s important to recognize,” says Nir Einon from Monash University, Australia. “With this knowledge, men can strive to improve and exercise more. It’s encouraging for busy women, yet we must not forget that women also need to remain active.”

Chen and his team could not be reached for immediate comments, but the study suggests the discrepancy may be linked to hormonal factors, as higher estrogen levels can enhance fat metabolism during exercise. Eynon posited that biological differences could mean women utilize more breathing capacity, metabolic energy, and muscle strength to achieve comparable physical tasks as men.

The research is “robust”; Guidelines based on gender according to Ercilia DeFilippis at Columbia University in New York City, yet it primarily encompasses individuals who are about 93% white, affluent, and educated. DeFilippis highlighted that Black women typically experience poorer cardiovascular outcomes than their white counterparts, and social factors significantly impact their health and treatment adherence.

“It’s crucial to understand how these findings relate to more racially diverse and socio-economically disadvantaged groups in the future, given the severe impact of cardiovascular disease,” she emphasized.

Nonetheless, these findings for the older demographic indicate that remaining active in later years can offer considerable benefits, but exercise regimens should be customized according to age and physical capabilities, she reiterated. “It’s never too late to become active and move your body.”