在男性马拉松跑者中,运动诱导的高血压和动脉内膜介质厚度
1Sports for All, Korea National Open University, Jongno-gu, Korea (the Republic of).
International journal of sports medicine
|February 16, 2024
概括
运动诱导的高血压与长距离跑步运动员的动脉内膜介质厚度增加有关,这是心血管疾病的标志物. 监测运动血压对于在这个人群中早期发现风险至关重要.
科学领域:
- 心血管生理学心血管生理学
- 运动医学 运动医学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 心血管疾病 (CVD) 风险因素对运动员至关重要.
- Carotid intima-media 厚度 (CIMT) 是对亚临床动脉样硬化和心血管疾病风险的验证标记.
- 运动引起的高血压 (EIH) 是一种潜在的心血管疾病风险,但其与跑步者的CIMT的关联尚未确立.
研究的目的:
- 为了研究运动引起的高血压和长距离跑步者的动脉内心介质厚度之间的关系.
- 为了确定EIH是否与这个运动队伍中的亚临床动脉样硬化有关.
主要方法:
- 60名健康的男性长途跑者 (40-60岁) 被分为三个组:正常血压反应,EIH和复杂的高血压,基于休息和最大运动血压.
- 最大缩血压 (SBP) ≥210 mmHg定义了一个夸张的反应.
- 用B模式超声波测试来评估心动脉内膜介质的厚度.
主要成果:
- 复杂高血压组 (0.72±0.11毫米) 和EIH组 (0.62±0.12毫米) 的平均CIMT明显高于正常血压组 (0.55±0.13毫米) (p<0.002).
- 线性回归显示,CIMT与年龄 (p=0.015) 和运动期间最大SBP (p=0.046) 独立相关.
- 休息的SBP与CIMT没有显著的关联.
结论:
- 运动引起的高血压与长距离跑步者的动脉内膜介质厚度增加有关.
- CIMT作为心血管疾病的替代标记.
- 评估运动血压反应对于早期识别跑者心血管疾病风险至关重要.
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