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Evaluating nearly 12,600 adults over more than a decade, scientists found that small amounts of resistance exercise weekly were linked to between 40 percent and 70 percent fewer cardiovascular events.
But doing more weightlifting didn't reduce these risks further.
"Strength training is not just to make yourself look good to be shirtless on the beach," said Dr. Alon Gitig, a cardiologist at Mount Sinai Riverside Medical Group in Yonkers, N.Y.
"It has definite health benefits … and seems to directly impact on cardiovascular health," added Gitig, who wasn't involved in the study.
Weightlifting uses muscle resistance to strengthen and build muscles. Other types of resistance exercise include pushups, sit-ups or lunges.
Study author Duck-chul Lee said, "Traditionally, weightlifting was for athletes, and that's why I think there is less evidence on its health benefits, specifically for the heart." Lee is an associate professor of kinesiology at Iowa State University.
In research published separately, Lee and his colleagues found that less than an hour of weightlifting per week also reduced the risk for high cholesterol and metabolic syndrome, a cluster of conditions linked to diabetes. Those reports are in the journal Mayo Clinic Proceedings.
For the heart and stroke study, the researchers studied nearly 12,600 participants (average age 47) who had undergone at least two clinical examinations between 1987 and 2006. The participants self-reported their levels of resistance exercise, and follow-ups were done about five and 10 years later.
Compared with participants who did no resistance exercise, those who took part from one to three times and up to 59 minutes in all each week experienced a risk reduction of up to 70 percent.
The study didn't prove that weightlifting prevents heart attack or stroke, only that an association exists, however.
"We found benefits of resistance exercise without body mass index [changes]," Lee added. "It means that even though you don't lose weight, you can still get benefits for the heart. People believe the benefits of exercise are from losing weight, but that's not true."
Gitig, however, expressed caution about the findings. He said the cardiovascular benefits "seem to be a lot higher than we would expect from strength training."
In addition, Gitig noted that most participants were male and white, coming voluntarily to the clinic where the study was held. "The question is if confounding variables made these people healthier to begin with," he said.
Still, Gitig said he wasn't as surprised by learning about the cardiovascular benefits linked to weightlifting as he might have been five or 10 years ago.
He and Lee agreed that easing into a weightlifting routine should be safe for anyone who's healthy overall and doesn't have symptoms of cardiovascular or kidney disease. If you do, check with your doctor first, they said.
"I would counsel my patients that [the research] is very eye-opening and suggests that strength exercise is definitely a good thing overall and may have more powerful benefits than previously thought," said Gitig, also an assistant professor of medicine at Icahn School of Medicine at Mount Sinai in New York City.
And what if you don't have access to free weights or weight-training machines? Digging in the yard and lugging heavy shopping bags provide strength-training benefits, too, Lee noted.
The study was published online recently in the journal Medicine & Science in Sports & Exercise.
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