在年轻运动员中,中心缩血压的纵向发展
Laura Willinger1, Katharina Köble1, Tobias Engl1
1Chair of Preventive Pediatrics, School of Medicine and Health, Technical University of Munich, Germany.
Journal of science and medicine in sport
|December 19, 2025
概括
年轻的运动员随着时间的推移显示了中央缩血压 (cSBP) 的显著增加. 这种血管健康趋势在男孩中比女孩更急,在耐力运动员中比混合体育运动员慢.
科学领域:
- 心血管健康的心血管健康
- 运动医学 运动医学
- 儿科心脏病学 儿科心脏病学
背景情况:
- 高训练量对年轻运动员血管健康的长期影响尚不清楚.
- 在这个人群中,评估中心缩血压 (cSBP) 的自然过程至关重要.
研究的目的:
- 纵向评估年轻的竞争运动员中随时间的变化中心缩血压 (cSBP).
- 在这个队列中确定影响cSBP轨迹的因素.
主要方法:
- 展望纵向队列研究,涉及512名儿童和青少年 (平均年龄13.4岁).
- 通过使用振荡计仪器非侵入性测量中央静脉压 (cSBP).
- 线性混合效应模型用于分析cSBP变化,平均随访时间为2.2年.
主要成果:
- cSBP显著增加,年龄每年增加1.90mmHg.
- 在对性别,BMI和体育类别进行调整后,这种增长仍然显著.
- 女孩对男孩的cSBP增加较低,耐力运动员对混合体育运动员的增加较低.
结论:
- 年轻运动员表现出cSBP的纵向增加,表明潜在的血管适应.
- 性别和运动类型影响cSBP轨迹,耐力运动员的上升速度较慢.
- 建议对高度活跃的年轻人进行血管健康的持续监测.
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