穿戴设备测量步骤体积和变量的与中国老年人血压的关联:基于移动的纵向观测研究
Han Xiao1,2, Zechen Zhou1,2, Yujia Ma1,2
1Department of Epidemiology and Biostatistics, Peking University, Beijing, China.
Journal of medical Internet research
|August 14, 2024
概括
较高的每日步量和规律性与老年人低血压 (BP) 有关. 针对步骤量和一致性的干预措施可以改善血压控制,特别是在高血压患者中.
科学领域:
- 老年学是一门学科.
- 心血管健康 心血管健康
- 身体活动研究 身体活动研究
背景情况:
- 有限的纵向数据存在体力活动 (PA) 和血压 (BP) 在现实世界的设置.
- 了解每日步量,变化和血压之间的关系对于公共卫生至关重要.
研究的目的:
- 调查设备测量步骤体积和BP之间的短期关系.
- 探索步骤体积和波动性对BP的综合影响.
- 检查PA-BP关联如何因性别,高血压状态和慢性疾病而有所不同.
主要方法:
- 使用移动健康应用数据 (2018-2022) 对3070名老年人进行前性队列研究.
- 分析了每日步数 (体积) 和每日步数的SD (变量).
- 用于评估与BP的关联的概括估计方程模型,与分层分析.
主要成果:
- 较高的每日步骤体积与较低的静脉缩,腹缩,平均动脉和脉冲压相关.
- 高步数体积与正规步数显示最大的缩血压下降 (-1.69 mm Hg).
- 亚组分析显示了基于性别,血压状况和慢性疾病负担的不同影响.
结论:
- 增加的步骤体积在老年人中提供了显著的BP保护,特别是那些患有慢性疾病的人.
- 步骤的规律性增强了步骤体积的BP降低效果,表明了协同效益.
- 在风险人群中,PA干预应考虑步骤量和规律性,以实现最佳的BP管理.
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