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12个月的晚年运动训练对心肺储备,静态心脏结构和功能的影响:一项随机临床试验

Qiaowei Li¹, Feng Huang¹, Wei Lin²

¹Shengli Clinical Medical College of Fujian Medical University, Fuzhou, P.R. China; Department of Geriatric Medicine, Fujian Provincial Hospital, Fuzhou, P.R. China; Fujian Provincial Institute of Clinical Geriatrics, Fuzhou, P.R. China; Fujian Key Laboratory of Geriatrics, Fuzhou, P.R. China; Fujian Provincial Center for Geriatrics, Fuzhou, P.R. China.

Journal of the American Medical Directors Association

|June 30, 2024

概括

晚年体育训练显著改善了老年人的心肺储备和心脏功能. 男人比女性体验到的益处更大,这凸显了运动对健康衰老的重要性.

科学领域:

老年学是一门学科.
心脏病学心脏病学
运动生理学运动生理学

背景情况:

终身炼对心脏有好处,但晚年炼对心脏衰老的影响尚未完全理解.
心脏衰老与心脏储备和功能的下降有关.
了解缓解心脏衰老的干预措施对于公共卫生至关重要.

研究的目的:

研究一个为期12个月的运动训练计划对老年人心脏储备,结构和功能的影响.
评估基于中心的运动 (CBE) 在改善心肺和心脏参数方面的有效性.
为了探索潜在的性别相关的差异,以应对晚年生活的运动.

主要方法:

一个单一中心的随机试验,采用Zelen设计,涉及120名社区居住的老年人 (65-85岁).
参与者被随机分配到一个以中心为基础的炼 (CBE) 组或对照组.
主要结局是12个月的峰值氧气吸收 (峰值VO2/kg) 的变化,次要结局包括其他心肺和心磁共振参数.

主要成果:

与对照组相比,CBE组观察到峰值VO2 / kg的显著改善 (+3.32毫升/千克/分钟,P <.001).
而CBE组在右心室峰填充 (+65.57毫升/秒,P = .006) 和喷射率 (+56.39毫升/秒,P = .026) 中显示出更大的改善.
运动训练反应的性别相关差异被注意到,男性表现出更好的反应.

结论:

晚年开始的12个月的运动训练计划有效地提高了心肺储备和右心室功能.
晚年体育训练可以改善心脏衰老的方面.
男性似乎比女性更受益于这种运动干预措施.

关键词:

心肺储备是指心肺的储备.心脏结构的心脏结构运动训练运动训练运动训练在生命的晚期.

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