sociated with improvements in numerous health conditions, including coronary artery disease, hypertension, stroke, insulin sensitivity, osteoporosis, and depression. [1][2][3][4] Because of these extensive health benefits, the Department of Health and Human Services recommends "physical activity most days of the week for at least 30 minutes for adults." 5 Despite these recommendations and the well-documented evidence that physical activity is beneficial, more than half of all adults in the United States do not get adequate physical activity and approximately one quarter do not get any leisure time physical activity. 6 The costs associated with physical inactivity are high. For example, if 10% of adults in the United States began a regular walking program, an estimated $5.6 billion in heart disease costs could be saved. 6 Pedometers are small, relatively inexpensive CME available online at www.jama.com
RCTs suggest that elective induction of labor at 41 weeks of gestation and beyond is associated with a decreased risk for cesarean delivery and meconium-stained amniotic fluid. There are concerns about the translation of these findings into actual practice; thus, future studies should examine elective induction of labor in settings where most obstetric care is provided.
Compared with PCI, CABG was more effective in relieving angina and led to fewer repeated revascularizations but had a higher risk for procedural stroke. Survival to 10 years was similar for both procedures.
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