对心脏康复的生理反应的性别差异:系统性审查
J Bouakkar1, T J Pereira1, H Johnston1
1School of Kinesiology and Health Science, Bethune College, York University, 4700 Keele St, Toronto, ON, M3J 1P3, Canada.
BMC sports science, medicine & rehabilitation
|March 29, 2024
概括
男人和女人对大多数心脏康复计划表现出类似的生理反应. 然而,一些研究表明,在最大氧气消耗和功能能力方面,男性的益处更大,这凸显了需要进一步研究的必要性.
科学领域:
- 心脏病学 心脏病学
- 运动生理学 运动生理学
- 健康中的性别差异
背景情况:
- 心脏病是加拿大的主要死亡原因,心脏康复计划改善了患者的治疗结果.
- 心脏康复对两性都至关重要,但对训练反应的生理性差异尚未完全理解.
- 以前的研究集中在临床数据上,需要对心脏康复中的生理结果进行审查.
研究的目的:
- 系统地审查和调查男性和女性心脏病患者进行心脏康复的生理差异.
- 确定当前文献中关于基于性别对心脏康复的反应的优点和弱点.
- 综合有关健康,新陈代谢,身体组成,呼吸和心脏功能以及C-反应蛋白水平的发现.
主要方法:
- 从创立到2023年12月,在多个数据库 (APA PsycInfo,CINAHL,Embase,Emcare,Medline,Web of Science) 进行了系统的文献搜索.
- 该审查侧重于心脏病患者的监督炼计划,生理结果和性别差异.
- 对88项研究进行了数据提取,这些研究检查了各种生理变量.
主要成果:
- 大多数研究表明,在标准心脏康复计划中,男性和女性之间的生理反应相似.
- 有证据表明,男性在最大氧气消耗,功能能力,六分钟步行距离和握力方面可能会获得更大的好处.
- 审查发现了统计方法的局限性,并在各个研究中进行了详细的干预.
结论:
- 对男性和女性来说,心脏康复计划似乎在很大程度上产生了类似的生理益处.
- 需要进一步的研究来探索细微的性别差异,并优化康复策略.
- 解决方法上的局限性对于全面了解性别特异性反应至关重要.
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