从青春到中年期的长期估计体育活动模式和左心室结构和功能:一项为期30年的纵向研究
Shunyi Li1,2, Jianpin Luo3, Shen Zhao1,2
1State Key Laboratory of Organ Failure Research, Department of Cardiology Nanfang Hospital, Southern Medical University Guangzhou China.
Journal of the American Heart Association
|September 19, 2025
概括
高度累积体力活动 (CPA),即使有变化,也会对心脏结构产生长期影响. 这项研究检查了30年的体力活动 (PA) 水平和中年心脏重塑成年人.
科学领域:
- 心脏病学 心脏病学
- 运动生理学 运动生理学
- 公共卫生 公共卫生
背景情况:
- 讨论了体力活动 (PA) 变化和累积PA (CPA) 对心脏重塑的长期影响.
- 不确定性存在于这些效应是否反映了精英运动员的效应.
研究的目的:
- 调查30年身体活动 (PA) 模式 (累计PA和可变性) 与中年心脏重塑之间的关联.
- 为了确定高CPA是否会影响心脏结构,而不管心脏平衡的变化.
主要方法:
- 1465名参与者的PA数据通过CARDIA问卷在30年内收集.
- 30年以心声扫描评估心脏结构和功能.
- 累计PA (CPA) 和PA变化率 (ARVPA) 计算;参与者按PA模式分组.
主要成果:
- 持续高CPA与较低的高血压和糖尿病发病率相关.
- 高CPA和高PA可变性与左心室末腹透度指数增加有关.
- 高CPA和高PA变化也与左心室质量指数和左心房体积指数的增加有关.
结论:
- 高度累积体力活动 (CPA),即使具有显著的变化,也与中年心脏结构变化有关.
- 研究结果表明,PA模式影响了长期的心脏重塑.
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