身体活动和久坐不动行为为冠心病的二次预防的门:发病率生存树分析
Amanda Lönn1, Theo Niyonsenga2, Suzanne J Carroll2
1Department of Physical Activity and Health, Swedish School of Sport and Health Sciences, Stockholm, Sweden; Health Research Institute, University of Canberra, Bruce, ACT, Australia.
The Canadian journal of cardiology
|December 1, 2024
概括
对于冠心病 (CHD) 患者来说,达到每周94-122分钟的中度至强度体力活动 (MVPA) 并将久坐行为 (SB) 限制在每天4-10小时,可以降低心血管事件的风险.
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:
- 目前还没有关于冠状动脉疾病 (CHD) 患者体力活动和久坐行为的指导方针.
- 这项研究确定了适度至强度体力活动 (MVPA) 和久坐行为 (SB) 的最佳门,以减轻心血管风险.
研究的目的:
- 确定与心脏病患者心血管事件减少相关的特定MVPA和SB值.
- 为心脏病管理提供量身定制的体力活动建议.
主要方法:
- 一项对40156名患有心脏病的澳大利亚人的队列研究 (2006-2022年).
- 收集了自我报告的MVPA和SB数据.
- 生存树分析和考克斯回归确定了心血管事件的风险值.
主要成果:
- 较低的MVPA值 (94-122分钟/周) 与减少非致命心脏事件,心脏事件总和MACE有关.
- 久坐不动的行为值 (4-10小时/天) 与总心脏事件和MACE风险降低有关.
- 在MVPA和SB值中观察到显著的性别特异性差异.
结论:
- 确定的MVPA值 (94-122分钟/周) 低于一般公共卫生指南 (150分钟/周) 对心脏病患者.
- 降低心血管风险的最佳SB水平在每天4到10小时之间.
- 这些发现支持为患有心脏病的人制定个性化的体力活动和久坐行为指南.
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