身体活动强度对心脏代谢多病症的动态进展的影响:使用英国生物库数据的前性队列研究
Bao-Peng Liu1, Jia-Hui Zhu1, Li-Peng Wan1
1Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China.
JMIR public health and surveillance
|September 25, 2023
概括
较高的体力活动强度显著降低了患心脏代谢多病症 (CMM) 和相关死亡率的风险. 参与更有活力的体力活动 (PA) 对于防止CMM进展至关重要.
科学领域:
- 心血管健康 心血管健康
- 代谢障碍 代谢障碍 代谢障碍
- 公共卫生 公共卫生
背景情况:
- 关于身体活动 (PA) 强度对心脏代谢多病变 (CMM) 过渡的影响的证据有限.
- 之前的研究主要关注的是PA的数量,而不是它的强度.
研究的目的:
- 研究身体活动强度如何影响心脏代谢多病症的动态进展.
- 根据PA强度评估心脏代谢疾病不同阶段之间的过渡风险.
主要方法:
- 利用了来自359,773名参与者 (年龄在37-73岁之间) 的英国生物库数据.
- 通过强烈的PA (VPA) 到中度到强烈的PA (MVPA) 的比例来评估PA强度.
- 采用多状态模型来分析与心脏代谢疾病 (CMD) 和死亡率相关的5个或11个转变.
主要成果:
- 较高的PA强度 (VPA与MVPA比率>0.75) 与从无CMD转变为首次CMD的风险降低了13%,死亡风险降低了27%.
- 强烈的PA强度显示出对过渡到2型糖尿病 (T2D) 和从T2D到死亡的保护作用.
- 观察到PA数量和强度的协同效应降低了CMD和死亡风险.
结论:
- 较高的体力活动强度是有效的预防CMM和死亡率,特别是在早期疾病的发展.
- 建议在CMM预防和管理中采取促进更高PA强度的干预措施.
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