身体活动变化与缺血性中风后发生的心肌梗塞之间的关联:全国性基于人口的研究
Dae Young Cheon1, Kyung do Han2, Yeon Jung Lee1
1Division of Cardiology, Department of Internal Medicine, Dongtan Sacred Heart Hospital, Hwaseong, Korea.
BMC public health
|May 6, 2024
概括
在缺血性中风 (IS) 后开始或维持体育活动显著降低了心肌梗塞 (MI) 的风险. 即使在中风后进行最少的运动也可以防止心脏病发作,这凸显了身体活动对中风幸存者的重要性.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 公共卫生 公共卫生
背景情况:
- 缺血性中风 (IS) 后的身体活动变化与随后的心肌梗塞 (MI) 风险之间的关系尚不清楚.
- 了解这种联系对于中风患者的二次预防策略至关重要.
研究的目的:
- 为了研究不断变化的体育活动水平对急性心脏病发作后心脏病发作风险的影响.
- 利用一个大型的国家健康数据库来分析运动习惯的变化及其与心脏病发作的关联.
主要方法:
- 分析了224,764名新的IS诊断 (2010-2016) 的患者队列.
- 参与者根据身体活动的变化进行了分类:持续不炼者,新炼者,炼中断者和维持者.
- 多变量考克斯模型评估了运动习惯变化与发生心脏病发作风险之间的关联.
主要成果:
- 在平均4.25年的随访期间,发生了6,611例 (2.94%) 的 MI 病例.
- 与持续不炼的人相比,新炼者和炼者显示出显著较低的MI风险 (aHR分别为0.849和0.746).
- 无论强度如何,中风后的体力活动与心脏病发作风险降低有关,特别是在65岁以上的人群中.
结论:
- 在IS后开始或继续体育活动与患心脏病发作的风险降低有关.
- 在中风幸存者中促进身体活动可能是减轻未来心血管事件 (如心脏病发作) 的关键策略.
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