患有慢性病的超重和肥胖患者的运动强度和死亡率:纵向分析 (1999-2016)
Chuyue Qian1, Fengjun Zhou1, Dandan Lu1
1Department of Nephrology, The First Hospital of Jilin University, Changchun, China.
BMC public health
|November 1, 2024
概括
进行剧烈的体力活动 (PA) 显著降低了患有慢性病 (CKD) 的超重或肥胖患者的全因死亡风险. 公共卫生倡议应该为这一群体促进强有力的PA.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 公共卫生 公共卫生
- 运动生理学 运动生理学
背景情况:
- 慢性病 (CKD) 和超重/肥胖是全球主要的健康问题.
- 对于超重/肥胖的CKD患者,缺乏具体的体力活动 (PA) 准则.
- 这项研究调查了PA与这一人口群中的死亡率之间的联系.
研究的目的:
- 确定空时间体育活动 (PA) 强度与全因死亡率之间的关联.
- 提供证据,为患有CKD的超重/肥胖个体制定PA建议.
主要方法:
- 从NHANES (1999-2016) 分析了3,434名超重/肥胖的成年人患有CKD.
- 卡普兰-梅尔分析和考克斯的比例危险模型评估了死亡率.
- 限制立方线检查了PA强度和死亡率之间的非线性关系.
主要成果:
- 较高的全因死亡率与<10分钟/周的中度/强度PA相关.
- 增加的生存概率与≥150分钟/周强烈的PA或10-149分钟/周适度的PA相关.
- 强烈的PA持续时间显示出与死亡率的非线性反向关联.
结论:
- 较长时间的强烈的PA与超重/肥胖的CKD患者全因死亡率的降低有关.
- 临床医生应鼓励这种患者群体进行充满活力的空PA.
- 公共卫生战略应优先推广强有力的PA,以改善患者的治疗结果.
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