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commonly stated that daily exercise had to be performed all at once rather than in shorter segments.  However, a recent study has found that the duration of exercise did not matter on the reduction of CHD risk as long as the ener- gy expended was the same (91).  In other words, short segments of exercise throughout the day were equally beneficial to one long exercise session.  This finding is especially important to people who have a very busy schedule or physical limitation which make it very difficult to exercise for prolonged periods of time.   While aerobic exercise such as walking, swim- ming, etc is good for the person with CHD, iso- metric exercise, such as lifting weights, may actually raise a person's blood pressure (92). As a result, it has been suggested that weight lifting and strength training may not be appro- priate for some individuals. Recent research has shed some light on this question by exam- ining 65 healthy elderly men who participated in a strength training program (93).  In these men, a strength training program was well tol- erated with no adverse heart-related events. It is important to point out that none had evi- dence of CHD prior to initiating the program and much different results may be found in individuals who have CHD. Before initiating any weight lifting program, it is important to consult a medical provider.  If not strength training, perhaps muscle toning with light weights may still be appropriate.  This likely has little effect on blood pressure or underlying CHD.  It is important that when lifting any weights for simple muscle toning or strength A recent study has found that short segments of exercise throughout the day (as long as the energy expended is the same) are as beneficial to heart health as one long exercise session. An interesting study examined the benefit of an exercise program along with a diet program plus psychological health education (88).   There was a significant reduction in heart-related deaths of 19%, although no difference in the number of deaths due to all causes.   Not surprisingly, this study emphasizes the need to address the whole person through a variety of modalities in order to achieve heart wellness.

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