在被诊断为冠心病的老年男性中,身体活动和死亡率
S G Wannamethee1, A G Shaper, M Walker
1Department of Primary Care and Population Sciences, Royal Free and University College Medical School, London, UK. goya@rfhsm.ac.uk
Circulation
|September 20, 2000
概括
参与轻度至中度的体力活动显著降低了冠心病 (CHD) 的男性所有原因死亡风险. 定期步行和园艺为心血管健康提供了巨大的好处.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 运动科学 运动科学
背景情况:
- 已确定的冠心病 (CHD) 具有显著的死亡风险.
- 了解身体活动对心脏病患者死亡率的影响对于公共卫生至关重要.
- 之前的研究已经探讨了体力活动和死亡率,但在已确立的CHD中,具体的益处需要进一步调查.
研究的目的:
- 调查身体活动水平,活动类型和活动变化与已确诊冠心病 (CHD) 的男性所有原因死亡率之间的关系.
- 确定与该人口中死亡风险降低相关的特定体力活动.
主要方法:
- 最初对7735名年龄在40-59岁的男性进行了查,其中5934人提供了12-14年后的随访体育活动数据.
- 这项研究包括772名患有已确定的心血管疾病的男性,随访了5年,期间发生了131例死亡.
- 使用统计分析,包括相对风险计算,来评估身体活动与死亡率之间的关联.
主要成果:
- 与不活跃的个人相比,参与轻度或中度体力活动的已确诊心血管疾病的男性的全因死亡风险显著降低.
- 特定的活动,如娱乐活动 (>4小时/周末),中度/重度园艺和定期步行 (>40分钟/天) 与死亡率的降低有关.
- 对于这一群体来说,非体育活动似乎比体育活动更有益.
结论:
- 轻度至中度的体力活动与已确诊冠心病 (CHD) 的男性所有原因死亡风险显著降低有关.
- 定期步行和适度或重度园艺活动足以赋予这些死亡率的好处.
- 在以前久坐不动的患有心脏病的男性中,开始体育活动,即使是轻微的活动,也与较低的死亡率有关.
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