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高血压患者的"周末战士"体育活动模式和心血管疾病:前性队列研究

Yanan Qiao¹, Hui Yang¹, Ruilang Lin²

¹Department of Epidemiology, School of Public Health, Qilu Hospital, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, 250012, China.

|August 28, 2025

概括

参与体育活动 (PA),即使是"周末战士" (WW),也显著降低了高血压患者心血管疾病 (CVD) 的风险. 无论是WW还是经常活跃的模式,都能提供与心血管疾病及其亚型相似的保护效益.

科学领域:

心脏病学
预防医学
运动生理学

背景情况:

众所周知,身体活动 (PA),特别是中度至强度的PA (MVPA),可以预防心血管疾病 (CVD).
不同的血压模式对高血压患者心血管疾病风险的具体影响仍未得到充分研究.
高血压是心血管疾病的主要危险因素,需要有针对性的预防策略.

研究的目的:

研究三种不同的血压模式与患有高血压的成年人心血管疾病的发病率之间的关联.
将"周末战士" (WW) PA模式的心血管益处与定期活跃模式和不活跃的生活方式进行比较.
分析这些PA模式对整体心脏病及其主要亚型的影响:心肌梗塞 (MI),心房动 (AF),心力衰竭 (HF) 和中风.

主要方法:

一项大型前性队列研究,利用英国生物库中40283名高血压成年人的数据.
在2013年6月至2015年12月期间收集的加速器测量PA数据将参与者分为WW,经常活跃或不活跃的群体.
考克斯的比例危险模型被用来评估PA模式与心血管疾病事件之间的关联,计算危险比率 (HR) 和95%置信区间 (CI).

主要成果:

在7. 59年的中位数随访期间,记录了3789例心血管疾病事件.
与不活跃组相比,WW和经常活跃的PA模式都与整体心脏病风险显著降低相关 (HR分别为0. 76和0. 78).
这两种活跃模式都显示出发生心脏病发作,心肌梗塞,脑脊髓炎和中风的风险降低,而脑脊髓炎与较低的脑脊髓炎风险有特别强烈的关联 (HR 0. 58).

结论:

这种"周末战士"的血压模式降低了心血管风险,与高血压患者的定期活动相比.
这项研究强调了"周末战士"的方法是提高高危人群心血管健康的可行和灵活策略.
对于患有心血管疾病风险的高血压患者,促进任何形式的定期或剧烈的体力活动,包括集中的爆发是有益的.

关键词:

加速度计心血管疾病高血压身体活动周末的战士

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