运动对血压的影响:综述
Andrés F Loaiza-Betancur1,2, Lisette Ethel Iglesias-González3, Víctor Díaz-López1
1Instituto Universitario de Educación Física y Deporte, Universidad de Antioquia, Medellín, Colombia.
运动训练,包括有氧运动和抵抗运动,可能会降低患有高血压或相关疾病的成年人的高血压. 然而,对益处和安全性的证据质量大多低,需要更多的研究.
科学领域:
- 心血管健康
- 运动生理学
- 证据综合
背景情况:
- 高血压 (HBP) 是一个重要的全球健康问题.
- 有很多关于运动对HBP的影响的系统性审查,但方法上的局限性和结果的多样性很常见.
- 需要对高质量的证据进行综合分析.
研究的目的:
- 综合高质量的系统审查结果,研究各种运动训练模式对成人血压管理的益处和危害.
- 评估有关运动对血压和不良事件影响的证据的确定性.
- 发现当前研究领域的局限性.
主要方法:
- 对随机对照试验 (RCT) 的系统审查进行了概述.
- 在MEDLINE,EMBASE,Epistemonikos和PROSPERO中进行了搜索.
- 使用GRADE方法评估证据的确定性,遵循PRIOR声明的指导方针.
主要成果:
- 其中包括352个RCT和20518名成年人.
- 有氧,组合和同位压力训练可能会降低HBP,心血管疾病或代谢疾病的成年人的血压 (中等确定性证据).
- 九次审查的安全数据的确定性很低,对不良事件的信息很少.
结论:
- 目前关于运动对成年人血压的影响的证据基础主要是非常低的确定性.
- 现有研究存在重大局限性.
- 进一步进行高质量的RCT对于加强关于HBP运动的证据和临床实践至关重要.
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