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癌症幸存者的身体活动和心血管疾病风险的变化:全国性队列研究
Wonyoung Jung1,2, In Young Cho3, Jinhyung Jung4
1Department of Family Medicine/Obesity and Metabolic Health Center, Kangdong Sacred Heart Hospital, Hallym University, Seoul, Republic of Korea.
JACC. CardioOncology
|January 13, 2025
概括
在癌症诊断之前和之后保持体力活动显著降低了癌症幸存者的心脏病风险,包括心肌梗塞和心力衰竭.
科学领域:
- 心血管流行病学心血管流行病学
- 在瘤学瘤学.
- 身体活动研究研究.
背景情况:
- 癌症幸存者患心血管疾病的风险更高.
- 治疗后的身体不活动可能会加剧这种心血管风险.
- 了解体育活动的作用对于幸存者的健康至关重要.
研究的目的:
- 为了检查身体活动模式 (诊断前后) 与癌症幸存者的心脏病风险之间的联系.
- 评估体育活动对心肌梗塞,心力衰竭和心房动的影响.
- 确定诊断前活动是否能提供长期的心血管保护.
主要方法:
- 全国269943名癌症幸存者的队列研究.
- 在癌症诊断前两年和癌症诊断后两年评估身体活动.
- 使用竞争性风险模型分析了心肌梗塞 (MI),心力衰竭 (HF) 和心房的发病率.
主要成果:
- 持续的体力活动可以使心脏病发作风险降低20%,心脏病发作风险降低16%.
- 诊断后启动活动降低了11%的MI风险和13%的HF风险.
- 仅在诊断前进行活动,就会使心脏病发作风险降低20%,心脏病发作风险降低6%,与心房没有联系.
结论:
- 身体活动对于癌症幸存者的心血管健康至关重要.
- 诊断前的活动可能会对心脏病提供持久的保护.
- 量身定制的体育活动干预措施可以减轻这一群体的心血管风险.
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