运动量对亚临床冠状动脉样硬化的影响中的性别差异:元分析
Ahmed Abdelaziz1, Ahmed Elshahat1, Ahmed Farid Gadelmawla2
1Medical Research Group of Egypt (MRGE), Negida Academy, Arlington, Massachusetts, USA; Faculty of Medicine, Al-Azhar University, Cairo, Egypt.
JACC. Advances
|May 15, 2025
概括
在男性 (>3,000 MET-min/wk) 中,高体积耐力运动与冠状动脉化增加有关. 与非运动员相比,女性运动员在斑块负担上没有显著差异.
科学领域:
- 心脏病学 心脏病学
- 运动生理学 运动生理学
- 医疗成像医学成像
背景情况:
- 激烈运动和冠状动脉疾病之间的关系受到争议.
- 了解高体积运动对冠状动脉样硬化的影响至关重要.
研究的目的:
- 评估耐力运动对运动员与非运动员冠状动脉样硬化的影响.
- 分析运动诱导的冠状动脉化中的基于性别的差异.
主要方法:
- 系统审查使用心脏CT (CAC评分,CCTA) 的研究.
- 包括来自9项观察性研究的61,150名参与者.
- 根据性别和运动量分层分析的数据 (MET-min/wk).
主要成果:
- 运动量>3,000MET-min/wk的男性运动员的冠状动脉化 (CAC) 评分更高.
- 在中度运动的男性运动员或女性运动员中没有发现显著的CAC差异.
- CT血管造影显示了与运动量相关的化斑块负担的性别特异.
结论:
- 在男性中,高体积运动 (>3,000 MET-min/wk) 与化斑块增加有关.
- 与非运动员相比,女性运动员的斑块负担没有同样增加.
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