不同运动方式对高血压前患者的血压和内皮功能的影响:系统性审查和网络元分析
Yingtian Yang1, Qianyu Lv1, Xinzheng Hou1
1Department of Cardiovascular Internal Medicine, Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing, China.
Frontiers in cardiovascular medicine
|July 10, 2025
概括
太极拳和同度运动训练在高血压前显著降低了血压. 适度强度的持续训练改善了内皮功能,突出了各种运动对血管健康的好处.
科学领域:
- 心血管健康 心血管健康
- 运动生理学 运动生理学
- 预防医学 预防医学
背景情况:
- 高血压前期是心血管风险的一个关键阶段.
- 需要有效的干预措施来改善血压和内皮功能.
- 运动是一种有前途的非药物治疗方法.
研究的目的:
- 为了比较各种运动方案在高血压前期患者的血压和内皮功能上的有效性.
- 为了确定管理高血压前期的最佳运动方式.
主要方法:
- 随机对照试验的系统审查和贝叶斯网络元分析.
- 搜索了多个数据库,直到2024年9月12日.
- 分析了静缩血压 (SBP),静缩血压 (DBP),流媒体扩张 (FMD) 和脉冲波速度 (PWV).
主要成果:
- 太极拳显示SBP (-8.67 mm Hg) 的最大减少.
- 同度运动训练 (IET) 最有效地降低了DBP (-4.61 mm Hg) 和PWV (-0.82 m/s).
- 中等强度持续训练 (MICT) 在口病 (5.82%) 中取得了最大的改善.
结论:
- 在高血压前期,各种运动类型有利于血压和血管功能.
- 太极拳和IET在降低血压方面非常有效,IET还可以减少动脉硬.
- MICT在增强内皮功能方面表现出色,这表明定制的运动策略是有益的.
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