Despite a large volume of evidence supporting its cardio-protective properties and its numerous other established health benefits, physical activity is not a serious prescription option for the primary prevention of cardiovascular disease. On the other hand, health services increasingly focus on pharmacological prevention without considering properly the long-term consequences of medication. Ethical and feasibility considerations suggest that evidence on the protective value of physical activity may needs to be evaluated using criteria different to those applying to pharmacological trials. The collateral health benefits of physical activity prescription support its use as standard option in preventive health.
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