身体活动和心脏脏健康 - - 从关联到干预研究
Roseanne E Billany1, Alice C Smith2, Matthew P M Graham-Brown1
1Department of Cardiovascular Sciences, University of Leicester, Leicester, UK.
身体活动和炼对慢性病 (CKD) 患者的心脏和脏健康有益. 有证据表明,运动可以改善功能,降低心血管疾病 (CVD) 风险,并改善整体健康结果.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 心脏病学 心脏病学
- 运动生理学 运动生理学
背景情况:
- 慢性病 (CKD) 患者的心血管疾病 (CVD) 风险因组合风险因素而升高.
- 功能下降与心脏病发病率,病例和死亡率的增加有关.
研究的目的:
- 审查关于身体活动 (PA) 和运动在CKD频谱中的心脏脏健康的证据.
- 评估干预措施的有效性,以预防和管理心脏脏衰退的CKD.
主要方法:
- 系统审查最近关于PA,运动和慢性脏病中心脏脏结局的证据.
- 对慢性病患者心脏脏健康的干预有效性的分析.
主要成果:
- 在预防CKD和减缓患有CKD的功能下降方面,PA显示了剂量-反应益处.
- 运动干预可以改善心肺呼吸能力和心脏健康标志物.
- 机制包括调节传统和非传统的心血管疾病和CKD风险因素.
结论:
- 运动和PA是有效的改善心脏脏病患者的健康.
- 已经制定了用于CKD运动的临床实践指南,但临床实施是有限的.
- 需要进一步进行大规模试验,以确认对硬性临床结果的长期影响,并应对实施挑战.
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