遵守2020年欧洲社会委员会关于不同心血管风险水平的人群体育活动的建议:来自Collaus/PsyCoLaus研究的前性基于人群的研究
Rafaël Hauser1, Roxane de la Harpe1, Peter Vollenweider1
1Department of Medicine, Division of Internal Medicine, Lausanne University Hospital and University of Lausanne, Rue du Bugnon 46, 1011 Lausanne, Switzerland.
Preventive medicine reports
|May 6, 2024
概括
在以前患有动脉样硬化心血管疾病 (ASCVD) 或高ASCVD风险的个体中,对欧洲心脏病学会 (ESC) 准则的身体活动 (PA) 遵守程度较差. 肥胖和吸烟等因素进一步降低了PA坚持的可能性.
科学领域:
- 心脏病学 心脏病学
- 预防医学 预防医学
- 公共卫生 公共卫生
背景情况:
- 欧洲心脏病学会 (ESC) 建议每周进行150分钟的中度或75分钟的高强度体力活动 (PA).
- 一般人群的PA粘附率低于最佳,但以前患有动脉样硬化心血管疾病 (ASCVD) 或高ASCVD风险的个体的粘附率是未知的.
研究的目的:
- 通过基于加速度计的测量来评估客观地遵守ESC PA建议.
- 在以前有ASCVD或高心血管风险的人群中研究PA坚持.
主要方法:
- 利用了瑞士科劳斯和PsyCoLaus队列研究 (2014-2016) 的数据.
- 使用14天手腕加速度计测量PA;坚持定义为>80%的推PA实现.
- 使用后勤回归来分析与ASCVD状态,心血管风险组和参与者特征相关的坚持.
主要成果:
- 研究了1867名参与者 (平均年龄:61.2岁,51.3%是女性).
- 总体而言,ESC PA的坚持率为55.5%,但在以前有ASCVD的人中只有37%.
- 之前的ASCVD或高心血管风险与PA坚持之间没有显著的关联 (aOR分别为0.9和0.7).
- 与较低的PA坚持相关的因素包括年龄 (≥60岁),肥胖,吸烟,慢性脏病,高血压,糖尿病和二使用.
结论:
- 遵守ESC PA指南的情况很差,特别是在心血管风险较高的人群中.
- 解决方案的遵守与可修改的风险因素有关,这凸显了需要持续努力促进经济委员会建议的必要性.
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