随着有氧运动训练计划后心血管适应的性别差异:系统性审查和元分析
Lisa M Cotie1, Isabela R Marçal2, Kimberley L Way3
1KITE Research Institute, Toronto Rehabilitation Institute-University Health Network Toronto, Ontario, Canada. Electronic address: https://bsky.app/profile/lisacotie.bsky.social.
The Canadian journal of cardiology
|December 9, 2024
概括
有氧运动训练显著增加左心室终端透缩体积 (LVEDV) 更多的男性比女性. 在运动干预后的左心室质量或喷射分数中没有观察到性别差异.
科学领域:
- 心血管生理学心血管生理学
- 运动科学 运动科学
- 运动医学 运动医学
背景情况:
- 有氧运动对心血管适应的影响在两性之间存在差异,但这一点尚未得到充分理解.
- 本系统性审查和元分析研究了健康成年人对有氧运动的心脏适应的基于性别的差异.
研究的目的:
- 系统地审查和分析在有氧运动训练后心脏适应的基于性别的差异.
- 在有氧运动干预后,在男性和女性之间比较心血管变化,包括左心室 (LV) 尺寸和功能.
主要方法:
- 在2024年6月之前,对五个电子数据库进行了全面的搜索.
- 提取了峰值氧气吸收,心率,动脉静脉氧气差异,血压,中风体积,心脏输出量,心脏静脉体积,心脏静脉体积末腹静脉体积 (LVEDV),心脏静脉体积末静脉体积 (LVESV),心脏静脉体积末静脉体积 (LVEF) 的数据.
- 使用RevMan 5.4进行了元分析,以评估心脏适应结果中的性别差异.
主要成果:
- 分析显示,在有氧运动后,LV质量,LV末缩体积 (LVESV) 或LV喷射率 (LVEF) 没有显著的性别差异.
- 观察到 LV 末端透缩体积 (LVEDV) 中存在显著的性别差异,男性表现出比女性更大的改善 (平均差异 = 7.67,P = 0.002).
- 偏见的整体风险较低,证据质量中等.
结论:
- 与女性相比,有氧运动干预措施导致LVEDV在男性中的增加更大.
- 在有氧运动训练后,心脏形态 (LV质量) 或功能指数 (LVEF) 没有发现基于性别的差异.
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