极端耐力训练和冠状动脉疾病:系统性审查和元分析
Gianluca Guarnieri1, Federico Emanuele Pozzi2, Edoardo Conte3
1Department of Biomedical and Clinical Sciences, University of Milan, Milan, Italy.
耐力运动员表现出更多的冠状动脉样硬化,但没有高风险斑块. 需要更多的研究来找到可能对心血管健康构成风险的运动门.
科学领域:
- 心血管健康 心血管健康
- 运动生理学 运动生理学
- 放射学 放射学是一门学科.
背景情况:
- 身体活动促进心血管健康,但过度耐力运动可能会带来风险.
- 使用冠状动脉CT血管造影 (CCTA) 调查耐力训练和冠状动脉疾病 (CAD) 之间的联系.
研究的目的:
- 系统地审查和元分析耐力训练和CAD之间的关系.
- 评估耐力运动员使用冠状动脉CT血管造影 (CCTA) 的CAD患病率.
主要方法:
- 按照PRISMA指南进行系统审查和元分析.
- 在 MEDLINE,Embase 和 Scopus 数据库中进行了搜索.
- 包括对样本大小>10的成年人的研究,通过CCTA评估耐力训练和CAD.
主要成果:
- 耐力运动员的冠状动脉样硬化患病率高于对照组.
- 运动员和对照人群之间的高风险或阻塞性斑块没有显著差异.
- 运动员在冠状动脉 (CAC) >400的几率略有增加.
结论:
- 与久坐不动的人相比,耐力运动员更容易患冠状动脉样硬化,但没有高风险斑块.
- 需要进一步的研究来确定潜在伤害的运动门,并确定高风险运动.
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