身体活动和急性冠状动脉综合征后的生存:来自ERICO研究的数据
Carlos Alberto Treff1, Gisela Tunes da Silva2, Alessandra Carvalho Goulart1
1Centro de Pesquisa Clínica e Epidemiológica do Hospital Universitário da, Universidade de São Paulo, São Paulo, SP, Brazil.
Journal of physical activity & health
|May 13, 2025
概括
经过急性冠状动脉综合征 (ACS) 后的身体不活动显著增加了死亡风险. 在ACS幸存者中促进身体活动对于改善长期生存和降低死亡率至关重要.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 运动科学 运动科学
背景情况:
- 医疗保健的进步导致急性冠状动脉综合征 (ACS) 后的生存率增加.
- 身体活动对ACS幸存者的长期生存的作用仍在调查中.
- 这项研究调查了ACS患者体力活动水平和生存率之间的关联.
研究的目的:
- 分析急性冠状动脉综合征事件后患者体力活动水平和生存率之间的关联.
- 为了确定体力活动是否会影响ACS幸存者的长期结果.
- 提供证据支持心脏康复中的体育活动干预措施.
主要方法:
- 分析了来自巴西社区医院692名因ACS入院的患者的数据.
- 在ACS之后的多个时间点使用国际体育活动问卷评估的体育活动.
- 时间依赖的考克斯比例危险模型用于评估身体活动与死亡率之间的关联.
主要成果:
- 很大一部分ACS幸存者 (50.8%-74.9%) 的体力活动水平低于推指南.
- 身体不活动与死亡风险显著增加有关 (HR,1.82;95% CI,1.13-2.92).
- 在不够活跃和活跃的参与者之间没有观察到统计学上显著的生存差异.
结论:
- 许多幸存下来ACS事件的个人表现出不充分的体力活动水平.
- 在ACS后的身体不活动是死亡率的重要风险因素.
- 临床实践应强调身体活动对ACS幸存者的好处,以提高长期生存率.
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