高血压对体力活动和中风之间剂量反应关联的影响:一项队列研究
Hannah L McLellan1, Ellen A Dawson1, Thijs M H Eijsvogels2
1Liverpool Centre for Cardiovascular Science, Research Institute for Sport and Exercise Science, Liverpool John Moore's University, United Kingdom (H.L.M.L., E.A.D., D.H.J.T.).
Stroke
|August 8, 2024
概括
定期体育活动可以降低中风风险,即使是高血压患者. 然而,抗高血压药物可能会减少这些益处,需要进一步调查.
科学领域:
- 心血管健康 心血管健康
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 身体活动与降低中风风险有关.
- 这种关联可能会被高血压和抗高血压药物削弱.
- 这项研究调查了不同血压组体育活动和中风风险之间的剂量反应关系.
研究的目的:
- 检查身体活动水平与中风风险之间的关系.
- 为了确定高血压是否会影响身体活动对中风的保护作用.
- 评估抗高血压药物对这种关系的影响.
主要方法:
- 一项荷兰基于人口的队列研究,共有139,930名参与者.
- 参与者被分为高血压或正常血压,并按身体活动四分位数 (Q1-Q4) 分类.
- 考克斯回归分析用于估计发生中风的危险比率,按高血压状态分层.
主要成果:
- 中度至强度的体力活动在一般人群中显著降低了中风风险 (Q3与Q1).
- 高血压并没有显著改变身体活动和中风风险之间的关系.
- 一个趋势表明,与非药物治疗高血压患者相比,在药物治疗高血压患者中,身体活动的益处较小.
结论:
- 定期进行中度至强度的体力活动可以减少中风风险,无论高血压状况如何.
- 抗高血压药物可能会减弱身体活动对预防中风的益处.
- 需要进一步的研究才能充分理解抗高血压药物的作用.
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