与心血管疾病和2型糖尿病男性的总死亡率相关的身体活动
Mihaela Tanasescu1, Michael F Leitzmann, Eric B Rimm
1Department of Nutrition , Harvard School of Public Health, Boston, Mass, USA. mtanasescu@tourou.edu
定期进行体力活动,包括步行,可显著降低2型糖尿病男性心血管疾病 (CVD) 和死亡风险. 即使是快速的步行步伐也可以提供对心血管疾病和死亡的保护性益处.
科学领域:
- 流行病学 流行病学
- 心血管健康 心血管健康
- 糖尿病管理 糖尿病管理
背景情况:
- 2型糖尿病与心血管疾病 (CVD) 和死亡风险的增加有关.
- 关于体育活动对2型糖尿病患者的影响的流行病学数据有限.
研究的目的:
- 调查身体活动与心血管疾病风险之间的关联.
- 检查2型糖尿病男性体育活动和死亡率之间的关系.
主要方法:
- 来自卫生专业人员随访研究的2803名2型糖尿病男性的前性队列研究.
- 在14年内每两年评估一次体力活动;追踪心血管疾病发病率和死亡率.
- 考克斯的比例危险模型用于估计相对风险,调整混因素.
主要成果:
- 身体活动显示了降低心血管疾病发病率的趋势 (五分位数的多变量相对风险:1.0,0.87,0.64,0.72,0.67;Ptrend=0.07).
- 随着体力活动增加,总死亡率显著降低 (多变量相对风险:1.0,0.80,0.57,0.58,0.58;Ptrend=0.005).
- 步行和更快的步行节奏独立地与降低总死亡率和心血管疾病风险有关.
结论:
- 身体活动与2型糖尿病男性心血管疾病和死亡风险降低有关.
- 步行和保持快节奏等特定活动有助于降低死亡率.
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