增加步行速度降低了心血管疾病患者在以运动为基础的二次预防期间住院率.
Andrea Raisi1,2, Tommaso Piva1, Jonathan Myers2,3,4
1Center for Exercise Science and Sport, Department of Neuroscience and Rehabilitation, University of Ferrara, Via Gramicia 35, 44121 Ferrara, Italy.
Journal of clinical medicine
|July 12, 2025
概括
心血管疾病患者的步行速度更快预测了较低的住院率. 运动干预可以提高步行速度,减少住院,这对于长期的心脏护理至关重要.
科学领域:
- 心脏病学 心脏病学
- 预防医学 预防医学
- 运动生理学 运动生理学
背景情况:
- 步行速度 (WS) 是已知的发病率和死亡率的预测因素.
- 稳定的心血管疾病 (CVD) 患者经常面临住院风险.
- 了解WS对住院住院的影响对于二次预防至关重要.
研究的目的:
- 为了研究基线行走速度和心血管疾病患者住院治疗之间的关联.
- 分析步行速度的变化如何影响运动干预期间全因住院治疗.
- 为了评估1公里跑步机走路测试 (1公里-TWT) 对于住院治疗的预测值.
主要方法:
- 来自ITER注册表的2871名稳定心血管疾病患者的分析,通过1公里TWT测量WS.
- 根据基线WS tertiles,1年和3年评估的住院情况.
- 对1465名患者的小组分析,追踪WS变化超过3年和住院4年和6年.
主要成果:
- 较高的基线WS与显著较低的住院风险相关 (42%为所有原因,38%为1年内心血管疾病事件).
- 随着时间的推移,WS的改善显示出与住院住院有类似的反向关联.
- 1公里TWT在预测住院治疗方面被证明是有效的,特定的WS改善组显示了可比的风险降低.
结论:
- 1公里TWT是预测心脏门诊患者住院治疗的宝贵工具.
- 改善WS的运动干预措施在二次心血管疾病预防中是有效的.
- 促进运动对于长期管理和减少心血管疾病患者住院治疗至关重要.
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