Sex/Gender-Specific Imbalance in CVD: Could Physical Activity Help to Improve Clinical Outcome Targeting CVD Molecular Mechanisms in Women?

In the last two decades, new insights have been gained regarding sex/gender-related differences in cardiovascular disease (CVD). CVD represents the leading cause of death worldwide in both men and women, accounting for at least one-third of all deaths in women and half of deaths in women over 50 yea...

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Main Authors: Vaccarezza, Mauro, Papa, Veronica, Milani, Daniela, Gonelli, Arianna, Secchiero, Paola, Zauli, Giorgio, Gemmati, Donato, Tisato, Veronica
Format: Journal Article
Language:English
Published: 2020
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/78112
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author Vaccarezza, Mauro
Papa, Veronica
Milani, Daniela
Gonelli, Arianna
Secchiero, Paola
Zauli, Giorgio
Gemmati, Donato
Tisato, Veronica
author_facet Vaccarezza, Mauro
Papa, Veronica
Milani, Daniela
Gonelli, Arianna
Secchiero, Paola
Zauli, Giorgio
Gemmati, Donato
Tisato, Veronica
author_sort Vaccarezza, Mauro
building Curtin Institutional Repository
collection Online Access
description In the last two decades, new insights have been gained regarding sex/gender-related differences in cardiovascular disease (CVD). CVD represents the leading cause of death worldwide in both men and women, accounting for at least one-third of all deaths in women and half of deaths in women over 50 years in developing countries. Important sex-related differences in prevalence, presentation, management, and outcomes of different CVDs have been recently discovered, demonstrating sex/gender-specific pathophysiologic features in the presentation and prognosis of CVD in men and women. A large amount of evidence has highlighted the role of sex hormones in protecting women from CVDs, providing an advantage over men that is lost when women reach the menopause stage. This hormonal-dependent shift of sex-related CVD risk consequently affects the overall CVD epidemiology, particularly in light of the increasing trend of population aging. The benefits of physical activity have been recognized for a long time as a powerful preventive approach for both CVD prevention and aging-related morbidity control. Exercise training is indeed a potent physiological stimulus, which reduces primary and secondary cardiovascular events. However, the underlying mechanisms of these positive effects, including from a sex/gender perspective, still need to be fully elucidated. The aim of this work is to provide a review of the evidence linking sex/gender-related differences in CVD, including sex/gender-specific molecular mediators, to explore whether sex- and gender-tailored physical activity may be used as an effective tool to prevent CVD and improve clinical outcomes in women.
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spelling curtin-20.500.11937-781122020-05-27T08:50:16Z Sex/Gender-Specific Imbalance in CVD: Could Physical Activity Help to Improve Clinical Outcome Targeting CVD Molecular Mechanisms in Women? Vaccarezza, Mauro Papa, Veronica Milani, Daniela Gonelli, Arianna Secchiero, Paola Zauli, Giorgio Gemmati, Donato Tisato, Veronica CVD clinical outcome molecular mediators physical activity sex/gender differences In the last two decades, new insights have been gained regarding sex/gender-related differences in cardiovascular disease (CVD). CVD represents the leading cause of death worldwide in both men and women, accounting for at least one-third of all deaths in women and half of deaths in women over 50 years in developing countries. Important sex-related differences in prevalence, presentation, management, and outcomes of different CVDs have been recently discovered, demonstrating sex/gender-specific pathophysiologic features in the presentation and prognosis of CVD in men and women. A large amount of evidence has highlighted the role of sex hormones in protecting women from CVDs, providing an advantage over men that is lost when women reach the menopause stage. This hormonal-dependent shift of sex-related CVD risk consequently affects the overall CVD epidemiology, particularly in light of the increasing trend of population aging. The benefits of physical activity have been recognized for a long time as a powerful preventive approach for both CVD prevention and aging-related morbidity control. Exercise training is indeed a potent physiological stimulus, which reduces primary and secondary cardiovascular events. However, the underlying mechanisms of these positive effects, including from a sex/gender perspective, still need to be fully elucidated. The aim of this work is to provide a review of the evidence linking sex/gender-related differences in CVD, including sex/gender-specific molecular mediators, to explore whether sex- and gender-tailored physical activity may be used as an effective tool to prevent CVD and improve clinical outcomes in women. 2020 Journal Article http://hdl.handle.net/20.500.11937/78112 10.3390/ijms21041477 eng http://creativecommons.org/licenses/by/4.0/ fulltext
spellingShingle CVD
clinical outcome
molecular mediators
physical activity
sex/gender differences
Vaccarezza, Mauro
Papa, Veronica
Milani, Daniela
Gonelli, Arianna
Secchiero, Paola
Zauli, Giorgio
Gemmati, Donato
Tisato, Veronica
Sex/Gender-Specific Imbalance in CVD: Could Physical Activity Help to Improve Clinical Outcome Targeting CVD Molecular Mechanisms in Women?
title Sex/Gender-Specific Imbalance in CVD: Could Physical Activity Help to Improve Clinical Outcome Targeting CVD Molecular Mechanisms in Women?
title_full Sex/Gender-Specific Imbalance in CVD: Could Physical Activity Help to Improve Clinical Outcome Targeting CVD Molecular Mechanisms in Women?
title_fullStr Sex/Gender-Specific Imbalance in CVD: Could Physical Activity Help to Improve Clinical Outcome Targeting CVD Molecular Mechanisms in Women?
title_full_unstemmed Sex/Gender-Specific Imbalance in CVD: Could Physical Activity Help to Improve Clinical Outcome Targeting CVD Molecular Mechanisms in Women?
title_short Sex/Gender-Specific Imbalance in CVD: Could Physical Activity Help to Improve Clinical Outcome Targeting CVD Molecular Mechanisms in Women?
title_sort sex/gender-specific imbalance in cvd: could physical activity help to improve clinical outcome targeting cvd molecular mechanisms in women?
topic CVD
clinical outcome
molecular mediators
physical activity
sex/gender differences
url http://hdl.handle.net/20.500.11937/78112