步行速度和全因死亡率之间的剂量反应关联:对队列研究的系统审查和元分析
1Institute of Physical Education, Jiangsu Normal University, Xuzhou, China.
Journal of sports sciences
|August 12, 2024
概括
更快的步行速度与较低的全因死亡风险有关. 一项元分析发现,最快步行者的风险降低了43%,每增加0.1米/秒的速度,风险降低了6%.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 老年学是一门学科.
背景情况:
- 步行速度是身体功能的一个关键指标.
- 它与各种健康结果有关,包括死亡率.
- 了解确切的关系可以为公共卫生干预提供信息.
研究的目的:
- 调查步行速度和全因死亡率之间的剂量反应关系.
- 量化与更快的步行速度相关的风险降低.
- 探索潜在的非线性关系和子组差异.
主要方法:
- 对队列研究进行系统审查和元分析.
- 在PubMed,科学网,Embase和Cochrane图书馆搜索到2023年9月.
- 使用了元分析和剂量反应元分析 (STATA中的mvmeta包).
主要成果:
- 包括13项研究,530,841名参与者;11项用于剂量反应分析.
- 最快的步行者有43%的全因死亡风险较低 (HR=0.57,95%CI 0.48-0.66).
- 观察到一个反向线性剂量反应:每0.1m/s的增加,死亡风险降低了6% (HR=0.94,95%CI 0.92-0.96).
结论:
- 步行速度表明,与全因死亡率有显著的反向剂量反应关系.
- 更快的步行速度是不同测量方法对死亡率的保护因素.
- 在老年人 (>65岁) 中观察到非线性关系.
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