中老年和老年运动员的穿戴式训练负载和冠状动脉样硬化以及身体活跃的对照:来自Master@Heart Study的新视角
Rik Pauwels1, Christophe Dausin2, Sergio Ruiz-Carmona3
1Department of Cardiology, Hartcentrum, Jessa Ziekenhuis, Hasselt, Belgium; Faculty of Medicine and Life Sciences, Biomedical Research Institute, LCRC, UHasselt, Hasselt, Belgium; Department of Cardiovascular Sciences, KU Leuven, Leuven, Belgium; Department of Cardiology, University Hospitals Leuven, Leuven, Belgium.
Circulation
|January 29, 2026
概括
高训练时间和强度,客观地测量,与耐力运动员的冠状动脉疾病 (CAD) 增加有关. 仅仅是运动强度本身并没有显示出与CAD风险的明显关联.
科学领域:
- 心脏病学 心脏病学
- 运动医学 运动医学
- 预防性心脏病学 预防性心脏病学
背景情况:
- 中年和年长的耐力运动员表现出比对照人群更高的冠状动脉疾病 (CAD) 患病率,尽管心血管风险较低.
- 之前的研究使用了自我报告的训练负载 (TL),这与客观措施的相关性很差,可能会导致结果偏差.
- 客观测量的TL对运动员CAD风险的影响尚不清楚.
研究的目的:
- 调查客观测量的训练负载 (TL) 与中老年和老年耐力运动员中亚临床冠状动脉疾病 (CAD) 的患病率之间的联系.
- 为了比较CAD风险的客观TL与自我报告TL的预测值.
- 为了确定运动强度或持续时间是否与CAD更强烈相关.
主要方法:
- 从Master@Heart研究中对222名男性参与者 (终身运动员,晚期运动员,对照) 的观察,横截面分析.
- 通过12个月的可穿戴衍生训练时间和强度 (eTRIMP) 评估目标TL;也收集了自我报告的TL.
- 冠状动脉CT血管图 (CCTA) 用于评估CAD患病率;根据心血管风险因素和运动年份进行调整的后勤回归模型.
主要成果:
- 客观eTRIMP和训练持续时间较高的四分位数与较低的四分位数相比,与患冠状动脉斑块 (≥1斑块,CAC>0,CAC>100) 的概率明显增加有关.
- 对TL的客观测量显示了与CAD流行率的更强的关联,而不是自我报告的测量.
- 仅仅是运动强度,而不是高持续时间,与CAD患病率没有明确的联系.
结论:
- 高训练持续时间,特别是与高累积强度 (eTRIMP) 相结合时,独立地与运动员的亚临床CAD增加有关.
- 客观测量的训练负载为耐力运动员的CAD关联提供了宝贵的见解.
- 研究结果强调了客观TL评估对于理解与运动相关的心血管健康的重要性.
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