患病前的身体活动和发生心肌梗塞后的预后:社区动脉样硬化风险研究
Yejin Mok1, Yifei Lu2, Shoshana H Ballew3
1Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD; Welch Center for Prevention, Epidemiology, and Clinical Research, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
American heart journal
|May 9, 2024
概括
心肌梗塞 (MI) 发生前的体力活动可以改善心血管健康. 保持体力活动 (PA) 除了降低初始心脏病发作风险之外,还提供了预后优势.
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:
- 高到中等体力活动 (PA) 与心血管疾病风险降低有关.
- 在晚年心肌梗塞 (MI) 之后,中年PA对心血管健康的影响仍然不清楚.
研究的目的:
- 研究心肌梗塞前的身体活动 (PA) 水平与心血管健康结果后的心肌梗塞 (MI) 之间的联系.
- 为了确定中年身体活动是否在以后的心脏病发作后提供预后益处.
主要方法:
- 社区动脉样硬化风险研究包括1111名经历了心脏病发作的参与者.
- 在1987年至1995年期间,使用修改后的Baecke问卷来评估MI前的身体活动.
- 使用考克斯模型分析了先发性PA和后发性心脏病结局 (死亡率,复发性心脏病,中风) 之间的关联.
主要成果:
- 在心肌梗塞 (MI) 发生之前,较高水平的体力活动 (PA) 与事件后更好的心血管健康结果有关.
- 在病前总PA的最高三分之一显示,复合结果的10年累计发病率明显低于最低三分之一 (56%对70%).
- 高度的先发性心脏病发作,特别是运动和与工作有关的活动,与复发性心脏病发作的风险降低和心脏病发作后的复合结果有关.
结论:
- 心肌梗塞前的身体活动 (PA) 与心肌梗塞后的心血管健康有关.
- 这些发现突显了维持体育活动的预后优势,超出了其在预防初始心血管事件中的作用.
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