身体活动量,强度和死亡率:对前性队列研究的协调元分析
Jakob Tarp1, Knut E Dalene2, Morten W Fagerland1
1Department of Sports Medicine, Norwegian School of Sports Sciences, Oslo, Norway.
American journal of preventive medicine
|August 1, 2024
概括
总体体力活动量,而不仅仅是中度至强度的活动,显著降低了成年人死亡风险. 较高的整体活动水平比单纯的强度提供了更大的死亡保护.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 运动科学 运动科学
背景情况:
- 关于中度至强度体力活动 (MVPA) 与死亡风险的独立关联存在不确定性,除了其对总体体力活动量贡献之外.
- 调查体育活动量和强度的不同作用对于公共卫生建议至关重要.
研究的目的:
- 为了确定MVPA是否与较低的死亡风险相关,独立于总体体育活动量.
- 分析体育活动量和MVPA对死亡率的贡献的综合影响.
主要方法:
- 九项前性队列研究的元分析,涉及46,682名成年人 (平均年龄:64岁).
- 使用加速度计测量体力活动量和体量调整的MVPA,并将其分类为三分之一.
- 使用单独和联合模型估计了死亡危险比率.
主要成果:
- 较高的体力活动量和MVPA的较大贡献都与较低的死亡率独立相关.
- 与MVPA的贡献相比,较高的体力活动量与降低的死亡风险的关联更强.
- 较高的MVPA强度对死亡率的好处主要观察到在总体体力活动量的中三位数内.
结论:
- 总体体力活动量是较低死亡风险的更重要的预测因素,而不是该活动的强度.
- 在中年和老年人中鼓励任何水平的体育活动可以降低死亡风险.
- 增加活动强度为降低死亡率提供了额外的边际益处.
相关概念视频
Exercise and Cardiac Output
967
Regular physical activity is essential for maintaining cardiovascular health, with aerobic exercises being particularly effective. According to the American Heart Association, 150 minutes of moderate to intense aerobic exercise per week is recommended for a healthy heart. Aerobic activities may include brisk walking, running, bicycling, cross-country skiing, and swimming, ideally performed three to five times per week.
Sustained exercise increases the muscles' oxygen demand, which can be...
Sustained exercise increases the muscles' oxygen demand, which can be...
967
Exercise and Cardiovascular Response
765
Exercise significantly impacts cardiovascular response, which is crucial for understanding patient health and designing effective treatment plans.
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
765
Assessment of the Cardiovascular System I: Subjective Data
293
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
293
Cardiac Output and Stroke Volume
2.9K
Cardiac output (CO) is an integral aspect of human physiology, reflecting the heart's efficiency and responsiveness to the body's needs. It represents the volume of blood that the left or right ventricle ejects into the aorta or pulmonary trunk each minute. The CO is calculated by multiplying the heart rate (HR)—the number of heartbeats per minute—by the stroke volume (SV)—the amount of blood pumped out with each heartbeat.
In an average resting adult male, the typical cardiac...
In an average resting adult male, the typical cardiac...
2.9K


