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年轻运动员的心血管健康和潜在的心血管风险因素
Carl Grabitz1, Katharina M Sprung1, Laura Amagliani2
1Department of Pediatric Kidney, Liver and Metabolic Diseases, Hannover Medical School, Hannover, Germany.
年轻运动员表现出高率的心血管风险因素,如血压升高和动脉硬,尽管经常炼. 这些发现凸显了对年轻运动员进行全面健康查的必要性,以监测血管健康.
科学领域:
- 心脏病学 心脏病学
- 运动医学 运动医学
- 儿科健康 儿科健康
背景情况:
- 心血管疾病 (CVD) 是全球主要的死亡原因.
- 早期心血管疾病的表现越来越多地在儿科和青少年群体中被检测出来.
- 身体不活动是心血管疾病的主要可改变的风险因素.
研究的目的:
- 研究年轻运动员心血管疾病的早期标志物和驱动因素.
- 评估竞争性体育事业的青少年的心血管健康状况.
主要方法:
- 研究包括105名运动员 (平均年龄15.7岁).
- 测量包括体阻力,血压 (BP),大脑带股脉冲波速 (PWV),人体体力学,心声学和血液检查.
- 评估了动脉弹性,峰值输出功率和左心室质量.
主要成果:
- 观察到静脉压升高 (12.6%),PWV增加 (9.5%),左心室质量增加 (10.3%).
- 较高的PWV独立地与较高的缩血压相关,这与血红蛋白水平相关.
- 增加左心室质量与更低的静止心率,更高的体力活动和更高的缩血压有关.
结论:
- 在年轻运动员中发现心血管风险因素的意外高率,即使没有肥胖.
- 相关研究表明,训练诱导的血红蛋白水平与血管特性变化之间存在联系.
- 建议年轻运动员进行全面的医学检查和长期随访,以监测血管健康.
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