运动和心房动:剂量会产生毒药吗? 一个叙事审查
Jonas Zacher1, Karlo Filipovic2, Georg Predel1
1Institute of Cardiology and Sports Medicine, Preventative and Rehabilitative Sports and Performance Medicine, German Sport University Cologne, Köln, Germany.
International journal of sports medicine
|October 6, 2023
概括
定期炼可以显著保护心房动 (AF),并有助于其治疗. 虽然高强度运动可能会给精英运动员带来风险,但身体活动对AF的整体好处大大超过了潜在的缺点.
科学领域:
- 心脏病学 心脏病学
- 运动医学 运动医学
- 运动生理学 运动生理学
背景情况:
- 运动和心房动 (AF) 之间的关系是复杂的,有证据表明既有保护作用,也有潜在的有害作用.
- 定期体育活动通常与发展AF的风险降低有关.
- 高体积,高强度的运动,特别是在精英运动员中,已与AF的发病率增加有关.
研究的目的:
- 审查当前关于运动对心房的多方面的影响的科学数据.
- 评估运动对AF的保护性,治疗性和增加风险的作用.
- 为运动和AF提供一个平衡的视角,考虑到不同的训练强度和人群.
主要方法:
- 对现有的临床试验和观察性研究进行系统审查.
- 分析精英运动员和普通人的数据.
- 关于运动对AF发病率,治疗和风险因素的影响的综合证据.
主要成果:
- 一致的证据支持定期炼对AF发展的保护作用.
- 运动在现有的AF的管理和治疗中表现出有益的结果.
- 指出了与过度高强度运动和AF相关的潜在风险,主要是在精英运动群体中.
结论:
- 运动对心血管健康和AF预防和治疗的整体好处远远超过了潜在的风险.
- 建议一般人群适度炼以减少AF风险.
- 需要进一步的研究来澄清不同人群中运动诱导的AF的具体值和机制.
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