Aerobic exercise has become the 5th vital sign. There is no medical certainty that exercise can extend life. However, it has long been medically proven that moderate exercise can enhance physical fitness as well as improve one’s life status. The medical community defines the four indicators of life presence as blood pressure, heart rate, respiration and body temperature. Today, there is a growing consensus among medical professionals to include aerobic capacity as the fifth vital sign. Aerobic exercise brings the following benefits to the body: improves heart function, increases lung function, increases bone marrow density, prevents osteoporosis, loses weight, relieves stress and improves mental status, and promotes the formation of collateral circulation. Aerobic exercise is in various forms, mostly easy to do, low cost and effective, including brisk walking, jogging, swimming, cycling, climbing, square dancing, skipping rope …… What is aerobic exercise? Why should we actively carry out aerobic exercise? 1, aerobic exercise is exercise to improve the body’s endurance, characterized by continuity, rather than like weightlifting using bursts of force. Aerobic exercise in various forms, mostly easy to do, low cost, good results, including brisk walking, jogging, swimming, cycling, climbing, square dance, rope skipping …… can be selected according to their own body, work and study pace, interests. The key is to be persistent, adhere to several years, there will be benefits. The road is under your feet, towards health. Walking is the easiest way to popularize and promote to hundreds of millions of people and enter thousands of households for aerobic exercise. You can have the excuse of being too busy to swim or climb, anyone who is busy again has no excuse for not being able to spend a good chunk of time walking. I started from the first day of January 2000, the new century, 17 years as a day, adhere to the daily walk 10,000 steps, never slacken! 2, aerobic exercise – the secret of fitness. In 1990 I translated Cooper’s aerobic classics in full for the first time in China, the best-selling health book in the world at that time. The publisher I looked for was China Radio and Television Press. At that time, the general public in China was still very unfamiliar with “aerobics”. The publisher, considering the sales of the book, forced the title to be “Fitness Secrets”. Dr. Cooper did not want to pay royalties and wrote the preface for the Chinese translation himself. I later incorporated the aerobic exercise content into one of the most successful national fitness campaigns in the capital, “Get on the Health Express”, which was first serialized in the Beijing Evening News and then assembled into a book. The title of the book was “Get on the Health Express”, which became a best-seller not only in Beijing but also in the whole country, and pirated copies of the book could be found everywhere at the subway stalls. Aerobic exercise has entered thousands of Chinese households. 3.What are the health promoting effects of aerobic exercise? (1) improve cardiorespiratory function; (2) enhance bone density and prevent osteoporosis. Old people are very concerned about taking calcium tablets to supplement calcium, in fact, sunshine walking is the best medicine to prevent osteoporosis; (3) reduce weight, lower blood sugar and triglycerides effect is obvious, is conducive to the control of blood pressure, especially in young people high pressure is not high, low pressure is high, pulse pressure hours, aerobic exercise is conducive to reducing diastolic blood pressure, pulling the pulse pressure, beneficial to the consumption of excess body fat; aerobic exercise or anti-anxiety / depression, bring people Aerobic exercise is also an anti-anxiety/depression remedy that brings mental pleasure and improves sleep without side effects. Many patients with stable angina do not need stents. Aerobic exercise promotes the formation of collateral circulation, i.e., self-bypass, reduces myocardial ischemia, and controls angina. 4. A person’s aerobic capacity is the fifth vital sign! As you know, you can not survive without the four we call vital signs, any one of them out of serious problems will affect health and life. These four are: blood pressure, heart rate, respiration and body temperature. Recently, the American Heart Association issued a scientific statement that lists each person’s aerobic capacity as the fifth vital sign to assess health and longevity. Both normal people and those with coronary heart disease are at high risk of death if they do not exercise for years and have poor aerobic capacity. With exercise training, the mortality rate decreases as aerobic capacity improves, and the higher the aerobic capacity, the lower the mortality rate. And insist on exercise, the mortality rate of coronary heart disease patients with high aerobic capacity is lower than normal people who do not exercise and have low aerobic capacity! When the aerobic exercise capacity of coronary heart disease patients improves to a certain degree, their mortality rate is no longer higher than that of normal people. Got coronary heart disease, quit smoking, seriously adhere to the good medicine, adhere to the exercise, gradually improve the exercise capacity, still can live a long and healthy life, enjoy life and return to society. 5.Find 4S store and join over good stent life club! Got coronary heart disease, stents many patients are afraid to exercise, afraid of heart trouble. Ask the doctor, most often get the answer is useless a cliché: “can exercise, do not move a lot.” After stenting, one should be active rather than sedentary. However, the need to ensure exercise safety and achieve exercise results requires visiting a cardiac prevention and rehabilitation center (4S) store and participating in the Well Stented Life Club. In special exercise places (medical gyms), with doctors and nurses present and professional exercise therapists. An exercise assessment is made first to clarify at what exercise intensity it is safe to start. Based on this, the exercise intensity is gradually increased and aerobic capacity is improved. Exercise has equipment to monitor blood pressure, heart rate (rhythm), ECG in real time. Risks can be detected in time to terminate the exercise. The site is equipped with cardiac emergency equipment. Patients can exercise with peace of mind. 6. “Exercise cured coronary heart disease?” In the 18th century, there was neither stent bypass nor any “western medicine” for angina pectoris. Dr. Herberden in England organized stable angina patients to go to a forest with fresh air and logging for 30 minutes every day, and after 3-6 months, the patients’ angina was satisfactorily controlled. He used exercise as a remedy for coronary heart disease. As CT and coronary angiography evaluation were not available at that time. He believed that exercise cured coronary heart disease. Today we know that it was exercise that promoted the formation of collateral circulation, reduced myocardial ischemia, and controlled angina pectoris. 7. Is myocardial infarction static or dynamic? Acute myocardial infarction is different from stable angina pectoris, which is a cardiac emergency. Until the 1960s, traditional medical norms emphasized that patients with acute myocardial infarction should be rested and bedridden for at least 6-8 weeks during the acute phase. After that it was also not advisable to move much. Some experts recommended further prolongation of bed rest. I had just worked at Peking University Hospital when hospital treatment routines required patients to be strictly bedridden, with second stools in bed and careful turning. It was not until the 1960s that this model of sedation began to be questioned. Studies have shown that sedation is not only detrimental to cardiac recovery, but that prolonged bed rest can easily lead to deep vein thrombosis/pulmonary embolism. Patients should begin walking in bed, bedside and within the hospital area early, depending on their condition. Gradually, outpatient cardiac rehabilitation clinics and wards emerged. The then President of the United States, Dwight D. Eisenhower, suffered an acute myocardial infarction and his physician was an academic authority at the time who strongly advocated prolonged bed rest, and the President was a very uncooperative patient. He got out of bed very early to walk, swim and play golf. Not only did he not have the cardiac risks his doctors feared, but he recovered very well. 8.Medical (therapy) physical (education) combination, to promote the prevention and rehabilitation of chronic diseases! Health China 2030 proposes that the combination of medical and physical or physical medicine is the highlight of the prevention and control of chronic diseases. I want to especially emphasize that even today we have stents, bypasses, statins, aspirin …… movement still has a unique, irreplaceable, with additional role in the prevention and treatment of chronic diseases. To put the combination of medical and sports on the ground needs to start with the reconstruction of the medical sports education system, the training of new medical personnel adapted to the needs of prevention and control of chronic diseases, the allocation of medical resources, the reform of medical institutions, the transformation of the medical model and the revolution of the health insurance payment mechanism.