老年男性的运动能力和死亡率:20年后续研究
Peter Kokkinos1, Jonathan Myers, Charles Faselis
1Cardiology Division, Veterans Affairs Medical Center, 50 Irving St NW, Washington, DC 20422, USA. peter.kokkinos@med.va.gov
Circulation
|August 11, 2010
概括
更高的运动能力显著降低了老年男性的死亡风险. 即使从不适合的水平提高健身,也会带来巨大的生存益处.
科学领域:
- 老年学是一门学科.
- 心血管健康 心血管健康
- 预防医学 预防医学
背景情况:
- 现有的关于运动能力和死亡率的流行病学数据主要涉及中年人群.
- 关于老年人与这种关联的信息有限.
研究的目的:
- 调查老年男性运动能力与全因死亡率之间的关联.
- 确定运动能力是否是该人口群中死亡率的独立预测因素.
主要方法:
- 在1986年至2008年期间,一个由5314名65-92岁的男性退伍军人组成的队列接受了运动测试.
- 根据达到的峰值代谢等价值 (METs) 来分类健康状况.
- 死亡风险的评估是在8.1年的中位数随访期间进行的.
主要成果:
- 运动能力强烈预测死亡率;每增加1MET就降低了12%的死亡风险.
- 与最不适合的人 (<4 MET) 相比,达到>5 MET的个体的死亡风险明显较低.
- 改善健康状况与35%的死亡风险降低有关.
结论:
- 运动能力是老年男性全因死亡率的独立和分级预测因素.
- 运动能力超过5MET时,生存益处最为明显.
- 在以前不适合的个体中,身体状况的改善导致了显著的生存增长.
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