JACC:少量运动也可使老年心脏病患者活得更久

2018-03-17 佚名 嘉音

3月5日,在线发表于《JACC》杂志上的一项研究显示,患有心脏病的老年人应经常运动,即使每次运动量很小,所带来的健康获益——寿命,也要比那些不进行任何运动的人长。

3月5日,在线发表于《JACC》杂志上的一项研究显示,患有心脏病的老年人应经常运动,即使每次运动量很小,所带来的健康获益——寿命,也要比那些不进行任何运动的人长。

虽然为了预防冠状动脉心脏病(CHD)疾病的再次复发,指南推荐CHD患者进行积极的体育活动以维持健康的体重。但目前为止,仍缺少有关体质指数(BMI)和体力活动(PA)长期变化与CHD患者死亡率相关的数据。为此,本研究旨在明确CHD患者BMI和PA与死亡率之间的相关性。

本研究从Nord-Trøndelag Health Study(HUNT)研究中共纳入3307例CHD患者,其中1038例为女性。这些患者分别在1985年、1996年和2007年接受了相关检查,并一直随访至2014年末。

研究结果显示,在为期30年的随访时间内,共有1493例患者死亡(55%死于心血管疾病,中位随访时间为15.7年)。与不锻炼的的患者相比,持续进行最小推荐运动量的患者在研究观察期间的死亡概率要低36%;即使这些运动量很低的患者随着时间的推移进一步缩减运动量,他们的死亡风险仍要比那些久坐不动的个体低26%;且如果能够持续运动,即使运动量低于平均水平,死亡风险也仍比那些久坐不运动的个体低19%;即使这些之前运动的个体在研究期间停止运动,死亡风险也仍比那些完全不运动的个体低18%。

在体重方面,体重减轻(定义为BMI变化<-0.10kg/m2/年)与全因死亡风险升高相关(校正HR=1.30,95%CI:1.12~1.50),而体重增加(定义为BMI变化≥0.10 kg/m2/年)却并不与全因死亡风险增加相关(校正HR=0.97,95%CI:0.87~1.09)。

本研究作者,来自挪威科技大学的Trine Moholdt博士指出:“大多数个体随着时间推移倾向于改变他们的运动强度,而本项研究结果的重点在于强调心血管病患者应尽可能保持运动,即使目前已经不运动,任何时候重新开始都为时不晚。”

作者在文中解释为何体重减轻会导致较高的全因死亡风险时指出,这项研究中的受试者在纳入时多数已经60多岁,甚至接近70岁,半数处于不运动状态,并且许多受试者为肥胖或超重状态。还有就是研究并未明确受试者的体重减轻是有意为之还是健康问题所致。

在这项研究同期述评中,美国路易斯安那州彭宁顿生物医学研究中心的Claude Bouchard博士指出:“在过去的几十年中,我们已知维持健康体重和体力活动可以降低发生CHD事件或全因死亡的风险。当前这项研究又提供了关于减轻体重影响的新证据,无论如何,减轻或维持体重并结合适当运动的方案要优于当前那些仅基于热量限制的方案,尽管后者本身确实存在诸多健康益处。”

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    2018-05-24 haige

    患有心脏病的老年人应经常运动.即使每次运动量很小.所带来的健康获益--寿命.也要比那些不进行任何运动的人长.

    0

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    2018-03-27 大爰

    学习了谢谢分享!!

    0

  4. 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    2018-03-18 飛歌

    厉害了我的哥

    0

  6. 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beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRrYOibkVibW9vAkCfb2F55aHjqMoqUVaF9fuXIMCxexawSOsicpbF7Ria7o54zPK65PodlkwhPrNhLhS/0, createdBy=12f71314239, createdName=ann y, createdTime=Sat Mar 17 22:49:54 CST 2018, time=2018-03-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=297187, encodeId=49cf29e187f7, content=少量运动也可使老年心脏病患者活得更久, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRrYOibkVibW9vAkCfb2F55aHjqMoqUVaF9fuXIMCxexawSOsicpbF7Ria7o54zPK65PodlkwhPrNhLhS/0, createdBy=12f71314239, createdName=ann y, createdTime=Sat Mar 17 22:49:46 CST 2018, time=2018-03-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=297186, encodeId=33ca29e18655, content=少量运动也可使老年心脏病患者活得更久, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRrYOibkVibW9vAkCfb2F55aHjqMoqUVaF9fuXIMCxexawSOsicpbF7Ria7o54zPK65PodlkwhPrNhLhS/0, createdBy=12f71314239, createdName=ann y, createdTime=Sat Mar 17 22:49:36 CST 2018, time=2018-03-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=297185, encodeId=5dcf29e185af, content=少量运动也可使老年心脏病患者活得更久, beContent=null, objectType=article, channel=null, level=null, likeNumber=19, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRrYOibkVibW9vAkCfb2F55aHjqMoqUVaF9fuXIMCxexawSOsicpbF7Ria7o54zPK65PodlkwhPrNhLhS/0, createdBy=12f71314239, createdName=ann y, createdTime=Sat Mar 17 22:48:55 CST 2018, time=2018-03-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=297184, encodeId=137c29e18442, content=少量运动也可使老年心脏病患者活得更久, beContent=null, objectType=article, channel=null, level=null, likeNumber=16, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRrYOibkVibW9vAkCfb2F55aHjqMoqUVaF9fuXIMCxexawSOsicpbF7Ria7o54zPK65PodlkwhPrNhLhS/0, createdBy=12f71314239, createdName=ann y, createdTime=Sat Mar 17 22:48:49 CST 2018, time=2018-03-17, status=1, ipAttribution=)]
    2018-03-17 ann y

    少量运动也可使老年心脏病患者活得更久

    0

  7. 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createdBy=12f71314239, createdName=ann y, createdTime=Sat Mar 17 22:48:55 CST 2018, time=2018-03-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=297184, encodeId=137c29e18442, content=少量运动也可使老年心脏病患者活得更久, beContent=null, objectType=article, channel=null, level=null, likeNumber=16, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRrYOibkVibW9vAkCfb2F55aHjqMoqUVaF9fuXIMCxexawSOsicpbF7Ria7o54zPK65PodlkwhPrNhLhS/0, createdBy=12f71314239, createdName=ann y, createdTime=Sat Mar 17 22:48:49 CST 2018, time=2018-03-17, status=1, ipAttribution=)]
    2018-03-17 ann y

    少量运动也可使老年心脏病患者活得更久

    0

  8. 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createdBy=12f71314239, createdName=ann y, createdTime=Sat Mar 17 22:48:55 CST 2018, time=2018-03-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=297184, encodeId=137c29e18442, content=少量运动也可使老年心脏病患者活得更久, beContent=null, objectType=article, channel=null, level=null, likeNumber=16, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfNLvzZhgPxRrYOibkVibW9vAkCfb2F55aHjqMoqUVaF9fuXIMCxexawSOsicpbF7Ria7o54zPK65PodlkwhPrNhLhS/0, createdBy=12f71314239, createdName=ann y, createdTime=Sat Mar 17 22:48:49 CST 2018, time=2018-03-17, status=1, ipAttribution=)]
    2018-03-17 ann y

    少量运动也可使老年心脏病患者活得更久

    0

  9. 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    2018-03-17 ann y

    少量运动也可使老年心脏病患者活得更久

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  10. 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    2018-03-17 ann y

    少量运动也可使老年心脏病患者活得更久

    0

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