年龄预测方程在预测中风后个人最大心率时是否有效?
Maria Teresa Ferreira Dos Reis1, Larissa Tavares Aguiar2, Paula da Cruz Peniche1
1Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Disability and rehabilitation
|August 22, 2023
概括
标准最大心率 (HRmax) 方程对于中风后的个人来说是不准确的. 布劳纳方程显示出最好的协议,但对于这个群体需要谨慎应用.
科学领域:
- 心脏病学 心脏病学
- 运动生理学 运动生理学
- 神经学 神经学
背景情况:
- 准确评估最大心率 (HRmax) 对于安全有效的运动处方至关重要,特别是在中风后康复的人群中.
- 现有的年龄预测HRmax方程被广泛使用,但它们在特定人群 (如中风幸存者) 中的有效性仍然不确定.
研究的目的:
- 评估6个常见的年龄预测最大心率 (HRmax) 方程在经历过中风的个体中的准确性.
- 为了确定任何一个研究的方程是否适合在这个临床人群中估计HRmax.
主要方法:
- 60名中风幸存者 (平均年龄54岁,中风后64个月) 接受了心肺运动测试 (CPET) 来确定他们的实际HRmax.
- 测量的HRmax与六个既定方程的预测进行了比较:Fox (220-age),Gellish (206.9 - 0.67×age),Tanaka (208 - 0.7×age),Astrand (216.6 - 0.84×age) 和两个由Brawner (164 - 0.72×age和200 - 0.92×age).
主要成果:
- 测量HRmax与Fox,Gellish,Tanaka和Astrand方程的预测之间没有发现显著的一致性.
- 观察到与布劳纳方程 (200 - 0.92×年龄) 的适度一致,类内相关系数为0.51.
- 布兰德-阿尔特曼分析表明,方程1-4和方程6倾向于高估HRmax,而方程6显示了最小的平均差异.
结论:
- 为一般人群开发的年龄预测HRmax方程对于中风后的个体来说是不够的.
- 布劳纳方程 (200 - 0.92×年龄) 在估计中风幸存者HRmax的测试方程中表现最好.
- 虽然Brawner方程提供了更高的准确性,但它在这个群体中的应用需要仔细考虑和潜在的调整.
相关概念视频
Cardiac Output II: Effect of Stroke Volume on Cardiac Output
1.0K
Cardiac output (CO), the amount of blood the heart pumps per minute, is a parameter in cardiovascular physiology determined by stroke volume and heart rate. Stroke volume, the amount of blood pushed from one of the ventricles per heartbeat, is influenced by preload, afterload, and contractility.
Preload
Preload refers to the initial elongation of the cardiac myocytes before contraction and is related to the volume of blood filling the heart at the end of diastole, or end-diastolic volume. The...
Preload
Preload refers to the initial elongation of the cardiac myocytes before contraction and is related to the volume of blood filling the heart at the end of diastole, or end-diastolic volume. The...
1.0K
Factors Influencing Heart Rate
2.8K
The heart rate, or pulse rate, is a vital indicator of cardiovascular health. It reflects the number of times the heart beats per minute. Various physiological and environmental factors influence heart rate, increasing or decreasing cardiac output. Understanding these factors is crucial for assessing heart function and identifying potential health issues.
Let us explore the significant factors affecting heart rate, including age, body temperature, posture, acute pain, chemical influences,...
Let us explore the significant factors affecting heart rate, including age, body temperature, posture, acute pain, chemical influences,...
2.8K
Cardiac Output I:Effect of Heart Rate on Cardiac Output
863
Cardiac Output
Cardiac output (CO) refers to the total amount of blood ejected by one of the ventricles in liters per minute (L/min). In a resting adult, CO ranges from 5 to 6 L/min, adjusting according to the body's metabolic requirements.
Effect of Heart Rate on Cardiac Output
Cardiac output adapts to metabolic demands during stress, physical activity, or illness. The autonomic nervous system regulates heart rate via the sinoatrial node. The parasympathetic nervous system decreases heart...
Cardiac output (CO) refers to the total amount of blood ejected by one of the ventricles in liters per minute (L/min). In a resting adult, CO ranges from 5 to 6 L/min, adjusting according to the body's metabolic requirements.
Effect of Heart Rate on Cardiac Output
Cardiac output adapts to metabolic demands during stress, physical activity, or illness. The autonomic nervous system regulates heart rate via the sinoatrial node. The parasympathetic nervous system decreases heart...
863
Cardiac Output and Stroke Volume
3.1K
Cardiac output (CO) is an integral aspect of human physiology, reflecting the heart's efficiency and responsiveness to the body's needs. It represents the volume of blood that the left or right ventricle ejects into the aorta or pulmonary trunk each minute. The CO is calculated by multiplying the heart rate (HR)—the number of heartbeats per minute—by the stroke volume (SV)—the amount of blood pumped out with each heartbeat.
In an average resting adult male, the typical cardiac...
In an average resting adult male, the typical cardiac...
3.1K
Exercise and Cardiac Output
1.1K
Regular physical activity is essential for maintaining cardiovascular health, with aerobic exercises being particularly effective. According to the American Heart Association, 150 minutes of moderate to intense aerobic exercise per week is recommended for a healthy heart. Aerobic activities may include brisk walking, running, bicycling, cross-country skiing, and swimming, ideally performed three to five times per week.
Sustained exercise increases the muscles' oxygen demand, which can be...
Sustained exercise increases the muscles' oxygen demand, which can be...
1.1K
Regulation of Stroke Volume
3.3K
The regulation of stroke volume, which is the amount of blood the heart pumps out during each heartbeat, is critical for maintaining a healthy circulatory system. Stroke volume is influenced by three main factors: preload, contractility, and afterload.
Preload refers to the degree of stretch on the heart before it contracts. It's analogous to the stretching of a rubber band; the more it's stretched, the more forcefully it snaps back. This concept is encapsulated in the Frank-Starling law of the...
Preload refers to the degree of stretch on the heart before it contracts. It's analogous to the stretching of a rubber band; the more it's stretched, the more forcefully it snaps back. This concept is encapsulated in the Frank-Starling law of the...
3.3K


