在男性退伍军人中进行死亡风险评估的特定年龄的运动能力值
Peter Kokkinos1, Charles Faselis2, Jonathan Myers2
1From the Veterans Affairs Medical Center, Cardiology Department, Washington, DC (P.K., C.F.); Georgetown University School of Medicine, Washington, DC (P.K.); George Washington University School of Medicine, Washington, DC (P.K., C.F.); University of South Carolina, Department of Exercise Science, Arnold School of Public Health (P.K., J.M., X.S., S.N.B.) and Department of Epidemiology and Biostatistics (J.Z., S.N.B.), Columbia; Veterans Affairs Palo Alto Health Care System, Cardiology Division, Palo Alto, CA (J.M.); and Stanford University, Stanford, CA (J.M.). peter.kokkinos@va.gov.
使用代谢等价物 (MET) 定义特定年龄的适应性值有助于评估死亡风险. 更高的健身水平显著降低了成年人因各种原因死亡的风险.
科学领域:
- 心脏病学 心脏病学
- 预防医学 预防医学
- 运动生理学 运动生理学
背景情况:
- 死亡风险与身体健康相反.
- 由于年龄的差异,确定死亡风险的准确健康门是具有挑战性的.
- 准确的健康评估对于预测死亡风险至关重要.
研究的目的:
- 定义特定年龄的运动能力值.
- 为了确定与没有增加死亡风险相关的代谢等价物 (METs) 水平.
- 根据身体健康水平指导对死亡风险的评估.
主要方法:
- 研究了18102名男性退伍军人接受运动测试.
- 定义了特定年龄的峰值METs,为零死亡风险增加的门.
- 分类参与者到相对于值的健身水平 (最不适合到最适合) 中.
- 利用多变量考克斯模型来分析各种健身类别的死亡风险.
主要成果:
- 最不适合和不适合类别 (HR > 1) 的死亡风险增加.
- 在适度适应,适应和高适应类别 (HR <1) 中,死亡风险显著下降.
- 对于5年和10年死亡风险,趋势一致.
结论:
- 成功定义了特定年龄的运动能力值.
- 这些值有助于评估临床炼试验的死亡风险.
- 健身水平是所有原因死亡率的关键决定因素.
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