在心肌梗塞后的第一年,加速计评估的体力活动减少:前性队列研究
Amanda Lönn1,2, Örjan Ekblom1,3, Lena Viktoria Kallings1,4
1Department of Physical Activity and Health, The Swedish School of Sport and Health Sciences, Stockholm, Sweden.
Scandinavian cardiovascular journal : SCJ
|August 28, 2024
概括
心肌梗塞 (MI) 后的身体活动较低,并在第一年进一步下降. 需要进行干预,以增加中等强度的活动并改善患者的治疗结果.
科学领域:
- 心脏病学 心脏病学
- 运动生理学 运动生理学
- 公共卫生 公共卫生
背景情况:
- 身体活动对于心肌梗塞 (MI) 后的恢复至关重要.
- 了解身体活动模式和影响性因素后MI对于患者管理至关重要.
- COVID-19 流行病可能影响了心脏病患者的体力活动水平.
研究的目的:
- 确定心脏病发作后第一年身体活动水平.
- 研究基于年龄,心脏康复和流行病限制的身体活动差异.
- 探索身体活动变化与血压/脂质水平之间的关联.
主要方法:
- 一项长度研究 (2017-2023) 涉及178名心脏病发作患者.
- 在MI后的2个月和12个月,用加速度计测量身体活动.
- 静坐,轻度,中度和剧烈活动的分析,以及血压和脂质测量.
主要成果:
- 患者大部分时间都处于静坐状态 (72%),活动中度 (8%) 和剧烈 (1%) 程度最低.
- 静坐时间增加,中等强度活动在MI后12个月下降.
- 在年轻患者和COVID-19限制期间观察到更高的中等强度活动;在体力活动强度变化和HDL胆固醇之间发现了积极的关联.
结论:
- 身体活动,特别是中度至强烈的强度,在心脏病发作后是不够的,并在第一年内下降.
- 显然需要加强干预措施,以促进心肌梗塞幸存者的持续体力活动.
- 解决障碍和利用激励因素是改善长期身体活动坚持的关键.
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