身体活动对血压和老年高血压患者的死亡率的影响:一个横截面研究
Zhi Zhang1, Cheng Xu2, Wanqi Yu3
1Department of Cardiology, First People's Hospital of Linping District, Hangzhou, Zhejiang, P. R. China.
Medicine
|November 4, 2024
概括
身体活动 (PA) 显著降低高血压 (HTN) 和老年人死亡风险. 定期炼可以降低缩血压,并降低因任何原因或HTN死亡的可能性.
科学领域:
- 老年学是一门学科.
- 心血管健康 心血管健康
- 公共卫生 公共卫生
背景情况:
- 关于身体活动 (PA) 对高血压 (HTN) 和全因死亡率的综合影响的研究有限,特别是在老年人群中.
- 以前对老年人HTN的研究往往受到小样本大小或相互矛盾的结果的影响.
研究的目的:
- 调查身体活动水平与65岁及以上高血压患者全因和HTN特定死亡率之间的关联.
- 为了确定体育活动对血压和伴随疾病的影响,在这个人口群体中.
主要方法:
- 一项采用10个周期国家健康和营养检查调查数据 (1999-2018) 的横截面研究.
- 包括11,258名65岁以上的被诊断为HTN的受访者,通过面试和问卷进行评估.
- 使用后勤回归分析来检查PA状态 (活跃与非活跃) 和死亡结果之间的关系.
主要成果:
- 与不活跃的人相比,身体活跃的个体表现出较低的并发病率.
- 在血压压和缩血压 (P < .0001) 之间观察到显著的负相关性,以及与透气血压 (P = .0007) 的正相关性.
- 在未经校正的模型中,不活动组显示所有原因死亡率 (HR 2.96) 和心脏病死亡率 (HR 3.48) 的风险要高得多,在对共变量进行调整后,这种风险仍然存在.
结论:
- 身体活动对于管理高血压和降低65岁及以上成年人死亡风险至关重要.
- 定期从事体育活动与较低的缩血压和降低全因和高血压死亡风险有关.
- 这些发现强调了在老年护理中促进体育活动的重要性,以提高高血压老年人的健康结果和寿命.
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