在中国成年人中,体力活动与血压之间的剂量反应关系:一项全国性的横截面研究
Tianjia Guan1, Man Cao1, Congyi Zheng2
1School of Health Policy and Management.
Journal of hypertension
|December 1, 2023
概括
在中国成年人中,定期的体力活动显著降低了血压 (BP) 和高血压风险. 总体体力活动 (TPA) 在2000-4000MET-min/week之间观察到降低血压的最佳益处,更高的频率和更短的持续时间产生更好的结果.
科学领域:
- 心血管健康 心血管健康
- 公共卫生 公共卫生
- 运动生理学 运动生理学
背景情况:
- 全球范围内,高血压是一个主要的公共卫生问题,特别是在中国.
- 了解身体活动和血压之间的剂量反应关系对于有效的预防策略至关重要.
研究的目的:
- 调查体力活动水平与血压 (BP) 以及大量中国成年人中高血压风险之间的关联.
- 探索各种体力活动指标和血压结果之间的剂量反应关系,包括非线性模式.
主要方法:
- 利用来自中国高血压调查 (2012-2015) 的数据,其中包括203,108名成年居民.
- 使用标准化问卷进行体力活动评估,以MET-min/week计算体力活动总量 (TPA).
- 采用多变量回归和受限立方线模型来分析关联和剂量反应曲线.
主要成果:
- 观察到的TPA中位数为3213.0MET-min/week,身体不活动的流行率为14.8%.
- TPA与血压有显著的反向关联,缩血压显著降低,高达2500MET-min/week.
- 更高的频率,更短的持续时间和更低的强度的体力活动显示出更有利的与血压的关联,特别是在2000-4000MET-min/week范围内的腹痛血压.
结论:
- 身体活动,在总体,域特定和强度特定的措施中,以剂量-反应的方式与血压相反相关.
- 更高的频率,更短的持续时间和更低的强度体育活动为血压管理提供了更大的好处.
- 这些发现支持在中国成年人群中促进特定的身体活动模式以预防高血压.
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