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余暇 の 身体 活動 の 頻度,種類,量 と 若い 女性 の 冠動脈 疾患 の リスク

Andrea K Chomistek1, Beate Henschel2, A Heather Eliassen2

  • 1From the Department of Epidemiology and Biostatistics, School of Public Health, Indiana University, Bloomington (A.K.C., B.H.); Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA (A.H.E., E.B.R.); Channing Division of Network Medicine, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA (A.H.E., E.B.R.); Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA (K.J.M.); and Department of Nutrition, Harvard T.H. Chan School of Public Health, Boston, MA (E.B.R.). achomist@indiana.edu.

Circulation
|July 28, 2016
PubMed
まとめ

定期的な運動は,若い女性における冠動脈疾患 (CHD) のリスクを有意に低下させる. この利点は体重に関係なく適用され,すべての女性にとって運動の重要性を強調しています.

キーワード:
流行病学について運動する心筋梗塞女性

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科学分野:

  • 心血管の健康
  • 予防 医療
  • 流行病学

背景:

  • 身体活動と冠動脈疾患 (CHD) のリスクの低下との関連は,高齢者において十分に確立されています.
  • 若い女性におけるレジャー時間の身体活動の頻度,種類,および量の特定の利点に関する研究は限られている.

研究 の 目的:

  • 大量の若い女性で,レジャータイムでの身体活動と心臓病の発生リスクとの関連を調査する.
  • 身体活動の頻度,種類,および量が,この集団における心血管疾患のリスクとどのように関係しているかを調べる.

主な方法:

  • 27~44歳の女性97,230人を対象とした前向きな分析 (1991年).
  • 休憩時間の身体活動に関する調査
  • 20年以上の身体活動とCHDリスクを分析するためのコックス比例リスクモデル.

主要な成果:

  • 身体活動量 (≥30 MET- 時間/ 週) は,心臓病のリスクが25%低下した (HR 0. 75; 95% CI, 0. 570. 99).
  • 速く歩くことで,心血管疾患のリスクが著しく低下しました.
  • 身体活動と心臓病のリスクとの関連は,ボディマス指数 (BMI) によって変更されませんでした.
  • BMI < 25 kg/ m2の活動的な女性は,肥満の非活動的な女性と比較して,心臓病の発生率が48%低かった.

結論:

  • 余暇の身体活動の総量は,若い女性における発作性心血管疾患と逆に関連しています.
  • 身体活動により,正常体重,超体重,肥満を含むすべての体重カテゴリーでCHDの利点が与えられます.
  • 身体活動の促進は,BMIに関係なく,若い女性の心臓血管の健康に不可欠です.