JAMA Cardiol:做家务也能预防心脑血管病

2017-11-14 卢芳 中国循环杂志

近日,中国慢病前瞻性研究对近50万人随访7.5年发现,适当增加体力活动水平可明显降低主要心血管病发生风险。


近日,中国慢病前瞻性研究对近50万人随访7.5年发现,适当增加体力活动水平可明显降低主要心血管病发生风险。
 
这项研究中的体力活动包括工作相关体力活动,体育锻炼以及通勤、做家务等。
 
研究者指出,研究再次提示,增加任何形式的体力活动有助于预防血管病。
 
研究显示,我国人群平均活动量为21.5 MET-h/d,而且体力活动多与工作相关,尤其是男性。体力活动水平最高的人群要比最低的人群,其主要血管病事件的发生风险降低23%(图1)。
 

 
图  校正危险因素后,体力活动水平与主要血管事件发生风险
 
进一步分析发现,每天多快走或骑自行车约1小时,就可降低6%的主要血管病事件发生风险。具体可降低9%的冠心病发病风险、5%的缺血性脑卒中发生风险,6%的出血性脑卒中风险和12%的心血管死亡风险。
 
而且这种体力活动带来的益处,不分地区和男女。不过在高血压患者中,这种相关性较弱些。
 
此外,研究显示,男性、年轻人、来自乡村以及受教育水平较低者,平均体力活动水平较高,也相对更健康。
 
这项研究共纳入全国10个地区30~79岁共487334人,受试者均无心血管病史。随访7.5年间,共发生36184例主要血管病事件,其中5082人发生冠脉事件,25647人发生缺血性脑卒中,5252人发生出血性脑卒中,8437人死于心血管病。
 
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    2017-11-15 飛歌

    学习了很有用不错

    0