临床实践转化为研究:VETS和ETHOS流行病学前队列
Jonathan Myers1,2, Peter Kokkinos3,4, Immanuel Babu Henry Samuel5,6,7
1Cardiology Division, Veterans Affairs Palo Alto Health Care System, Palo Alto, CA, United States.
更高的心肺呼吸能力 (CRF) 与较低的慢性疾病风险和医疗保健成本有关. 随着时间的推移,改进CRF可以提高健康结果,强调其对公共卫生的重要性.
科学领域:
- 心血管和新陈代谢健康
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 运动测试和健康结果研究 (ETHOS) 和退伍军人运动测试研究 (VETS) 队列拥有超过30年的数据.
- 这些研究利用退伍军人管理卫生保健系统的电子医疗记录进行了强大的流行病学研究.
研究的目的:
- 概述ETHOS和VETS队伍的发展情况.
- 突出关于心肺呼吸能力 (CRF) 作为关键健康决定因素的关键研究.
- 为了强调CRF,健康结果和慢性疾病预防之间的关联.
主要方法:
- 使用电子健康记录的纵向队列研究.
- 分析心肺健康水平与慢性疾病发病率之间的关联.
- 随着时间的推移跟踪CRF的变化,并与健康结果的改善相关联.
主要成果:
- 较高的CRF与心血管疾病,癌症,慢性病,心律失常和神经疾病的发病率降低之间的一致的反向和分级关联.
- 较高的CRF与医疗保健成本相反相关.
- CRF的改善与更好的健康结果相关,而CRF的下降与不良结果有关.
结论:
- 心血管健康是健康的关键决定因素,也是预防慢性疾病的关键因素.
- 公共卫生组织和医疗保健系统应促进体育活动,增强CRF以减少疾病风险.
- 这些发现支持基于证据的运动测试指南和身体活动建议.
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