偶然的体力活动能否抵消久坐不动与主要心血管不良事件的有害关联?
Nicholas A Koemel1,2,3, Matthew N Ahmadi1,2,3, Raaj Kishore Biswas1,2,3
1Mackenzie Wearables Research Hub, Charles Perkins Centre, The University of Sydney, Sydney, New South Wales 2006, Australia.
European journal of preventive cardiology
|September 26, 2024
概括
短暂的充满活力的偶尔体育活动可以抵消长时间的久坐行为带来的心血管风险. 即使是短时间的日常活动也能显著降低主要不良心血管事件 (MACE) 风险.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 运动科学 运动科学
背景情况:
- 对于许多成年人来说,传统的炼可能不如偶然的体力活动那么可行.
- 久坐不动的行为与心血管风险增加有关.
- 偶然的身体活动,通过日常生活积累,是一种常见的行为.
研究的目的:
- 调查偶发性体力活动和久坐行为与主要心血管不良事件 (MACE) 的联合关联.
- 确定不同类型和持续时间的偶发体育活动是否可以减轻与高度久坐行为相关的MACE风险.
- 检查与MACE风险相关的强烈间歇性生活方式体育活动 (VILPA) 和中度至强烈间歇性生活方式体育活动 (MV-ILPA).
主要方法:
- 使用加速度计数据对22368名英国生物库参与者的分析.
- 基于机器学习的物理活动强度和姿势的分类.
- 基于三位体的联合协会的评估,静止行为与偶尔的剧烈体力活动 (VPA),偶尔的中度至剧烈体力活动 (MVPA),VILPA和MV-ILPA.
- 随着MACE事件的记录,随访时间的中位数为8.0年.
主要成果:
- 高静坐行为 (>11.4小时/天) 与低偶发的VPA或MVPA相结合,显著增加了MACE风险.
- 偶尔的VPA或VILPA持续时间约为4.1分钟/天,可能会抵消来自高度久坐行为的MACE风险.
- 31-65分钟/天的偶发MVPA或26-52分钟/天的MV-ILPA大大减弱了与高度久坐行为相关的MACE风险.
- 在中度至高水平的VPA或VILPA时,坐姿行为与MACE无关.
结论:
- 短暂的间歇性爆发强烈的偶发性体力活动可以有效地抵消与高度久坐行为相关的心血管风险.
- 每天偶尔的体力活动,即使是短时间的体力活动,在心血管健康中起着至关重要的作用.
- 公共卫生建议可以强调将简短而充满活力的活动纳入日常生活.
相关概念视频
Exercise and Cardiovascular Response
745
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...
745
Exercise and Cardiac Output
939
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...
939
Lifestyle Factors and Health
38
Lifestyle factors play a critical role in maintaining overall health and preventing chronic diseases. Key elements, such as regular physical activity, a nutritious diet, and abstinence from smoking, can significantly enhance physical, mental, and emotional well-being while reducing the risk of several life-threatening conditions.
Benefits of Physical Activity
Physical activity, whether through structured exercise or casual activities like walking, biking, or dancing, is a cornerstone of a...
Benefits of Physical Activity
Physical activity, whether through structured exercise or casual activities like walking, biking, or dancing, is a cornerstone of a...
38
Coronary Artery Disease I: Introduction
3
Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
3
Atherosclerosis III: Management
2
Management of atherosclerosis involves an integrated strategy encompassing pharmacological treatment, surgical interventions, lifestyle changes, and nutrition therapy to address the multifactorial nature of the disease.Pharmacological TherapyA cornerstone of atherosclerosis management is the use of pharmacological agents. Statins, such as atorvastatin, are pivotal in inhibiting HMG-CoA reductase, an enzyme that catalyzes an initial step in cholesterol synthesis in the liver. This reduction in...
2
Assessment of the Cardiovascular System I: Subjective Data
282
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...
282


