身体活动,运动和患有先前心血管疾病的个体的不良心血管结果:叙述性综述
Setor K Kunutsor1, Jari A Laukkanen2,3,4
1Leicester Real World Evidence Unit, Diabetes Research Centre, University of Leicester, Leicester General Hospital, Leicester, UK.
身体活动对心血管健康有好处,特别是对于那些患有心脏病的人来说. 根据个体需求量身定制运动,最大限度地提高效益,最大限度地降低风险,以获得更好的结果.
科学领域:
- 心脏病学 心脏病学
- 预防医学 预防医学
- 运动生理学 运动生理学
背景情况:
- 已确立的证据支持身体活动作为主要心血管疾病预防.
- 对于患有心血管疾病 (CVD) 的人来说,身体活动在二次预防中的作用不太清楚.
- 目前的指导方针建议身体活动用于二次心血管疾病预防,但经验证据需要进一步加强.
研究的目的:
- 审查之前存在心血管疾病的患者体育活动,运动和心血管结果的观察和干预证据.
- 讨论拟议的生物机制,当前的不确定性和公共卫生影响.
- 为推的身体活动水平和个性化炼方案提供专家意见.
主要方法:
- 观察性研究的系统审查.
- 对干预试验的分析.
- 专家意见和指导方针建议的综合.
主要成果:
- 建议在患有先前心血管疾病的患者中,最低体力活动水平为每周500MET-min.
- 这一水平相当于每周150分钟的中等强度运动或75分钟的高强度运动.
- 个性化的运动处方对于最大化益处和最小化不良影响至关重要.
结论:
- 身体活动对于预防二次心血管疾病至关重要.
- 考虑个体健康状况和心血管疾病类型的个性化炼计划是必不可少的.
- 需要进行进一步的研究,以巩固运动对二次心血管疾病预防的证据基础.
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