身体活动与心力衰竭风险之间的剂量反应关系:元分析
Ambarish Pandey1, Sushil Garg1, Monica Khunger1
1From Division of Cardiology (A.P., C.A., D.J.K., J.A.d.L., J.D.B.), Department of Internal Medicine (D.D.), and Department of Clinical Sciences (C.A., J.D.B.), University of Texas Southwestern Medical Center, Dallas; Department of Internal Medicine, University of Minnesota School of Medicine, Minneapolis (S.G.); Department of Internal Medicine, Cleveland Clinic, OH (M.K.); and University of Texas Southwestern Medical Center Library, Dallas (H.G.M.).
定期进行体力活动显著降低心力衰竭的风险. 超出最低准则的更高的PA水平提供了更好的防范HF的发展.
科学领域:
- 心脏病学
- 预防医学
- 公共卫生
背景情况:
- 之前的研究表明身体活动 (PA) 和心力衰竭 (HF) 风险之间存在反向关系.
- 此前缺乏对这种剂量反应相关性的全面定量分析.
研究的目的:
- 进行元分析,评估身体活动 (PA) 和心力衰竭 (HF) 风险之间的定量剂量反应关系.
- 确定不同水平的PA对事件HF的影响.
主要方法:
- 12个前性队列研究的系统审查和元分析.
- 纳入标准:参与者年龄大于18岁,报告了基线PA和事件HF.
- 使用随机效应和通用最小平方回归模型进行分析.
主要成果:
- 这项研究包括370,460名参与者,共发生了20203次HF事件.
- 最高的PA水平显示HF风险的综合危险比为0. 70 (95% CI,0. 67- 0. 73).
- 两倍和四倍的最低指导水平 (1000和2000MET-min/week) 显示出显著的风险降低 (HR分别为0.81和0.65).
结论:
- 身体活动和心力衰竭风险之间存在反向的剂量反应关系.
- 超过最低PA指南与更显著的HF风险降低有关.
- 较高的体力活动水平对于降低心力衰竭风险至关重要.
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