Eur Heart J: 有房颤的人更应多活动!欧洲心脏杂志研究:高强度活动也有好处

2020-04-21 xujing 中国循环杂志

欧洲心脏杂志发表的一项研究发现,有房颤的人如果运动量达标,可降45%的死亡风险。而且,心肺功能越好,获益越大!

欧洲心脏杂志发表的一项研究发现,有房颤的人如果运动量达标,可降45%的死亡风险。而且,心肺功能越好,获益越大!

心肺功能可用心肺适能来表示,是指个人的肺与心脏,从空气中携带氧气并将氧气输送到组织细胞加以使用的能力。

心肺适能好的人,运动持续较久、且不致于很快疲倦。心肺适能较差的人,容易疲劳,精神萎靡不振。

研究还发现,对于心血管疾病死亡,与不活动的房颤患者相比,体力活动达标的房颤患者的心血管死亡风险降低46%。

而且心肺适能每增加一个代谢当量,其全因死亡率降低12%。 心血管死亡风险降低15%。

图1 不同运动水平房颤患者生存率比较

房颤患者进行高强度体力活动是否获益显著?研究者指出,总的来说,进行高强度体力活动的获益稍高于中等强度体力活动者。

对于心血管疾病死亡率,每周运动>150分钟的高强度体力活动患者较不活动者风险降低30%,较中等强度运动者风险降低50%。

该研究发现,与无房颤的一般人群相比,不活动的房颤患者的全因死亡、心血管及卒中风险均较高。

研究对2006-2008年1117例房颤患者进行了随访,直到2015年11月随访结束。

研究者根据体力活动的一般建议将参与者分为三组:(1) 不活动,即无体力活动或每周少于一次;(2) 运动不足,即每周低于150分钟的中等强度体力活动或每周低于75分钟的高强度体力活动;(3)达标或者超标:即≥150分钟的中等强度体力活动或≥75分钟的高强度体力活动。

研究者还对三类体力活动时间(每周<75、75-149和≥150分钟)进行了中等强度和高强度的分层分析。


原始出处:
Garnvik LE, Malmo V, Janszky I, et al. Physical activity, cardiorespiratory fitness, and cardiovascular outcomes in individuals with atrial fibrillation: the HUNT study. Eur Heart J, 2020, 41:1467–1475.

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    2020-05-17 727652150_42303661

    学医路漫漫其修远兮!

    0

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    2020-05-17 Jason20042008

    学医路漫漫其修远兮!

    0

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    2020-05-17 12464da8m54(暂无昵称)

    学医路漫漫其修远兮!

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1967270, encodeId=f1d8196e27014, content=<a href='/topic/show?id=494c1023e7f7' target=_blank style='color:#2F92EE;'>#高强度活动#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=102377, encryptionId=494c1023e7f7, topicName=高强度活动)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ef84111, createdName=whlxd, createdTime=Tue Dec 22 12:34:44 CST 2020, time=2020-12-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382906, encodeId=04c8382906df, content=学医路漫漫其修远兮!, beContent=null, objectType=article, channel=null, level=null, likeNumber=109, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=22752482425, createdName=727652150_42303661, createdTime=Sun May 17 09:22:00 CST 2020, time=2020-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382905, encodeId=6096382905cc, content=学医路漫漫其修远兮!, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=287c2410703, createdName=Jason20042008, createdTime=Sun May 17 09:21:07 CST 2020, time=2020-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382904, encodeId=56293829044d, content=学医路漫漫其修远兮!, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f62b2484088, createdName=12464da8m54(暂无昵称), createdTime=Sun May 17 09:20:06 CST 2020, time=2020-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382903, encodeId=648c3829035b, content=学医路漫漫其修远兮!, beContent=null, objectType=article, channel=null, level=null, likeNumber=105, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7d032482433, createdName=临床设计, createdTime=Sun May 17 09:18:25 CST 2020, time=2020-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382902, encodeId=2210382902cc, content=学医路漫漫其修远兮!, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6bed2482428, createdName=国基然, createdTime=Sun May 17 09:16:55 CST 2020, time=2020-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382901, encodeId=c9ad38290136, content=学医路漫漫其修远兮!, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=39345225392, createdName=1478bfb4m38(暂无昵称), createdTime=Sun May 17 09:15:45 CST 2020, time=2020-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382900, encodeId=4e3438290017, content=weishi://feed?feed_id=79AamFCgM1JpptEzp&logsour=2140220301&ext=%7B%22position%22%3A%22video.cover%22%2C%22testid%22%3A%22144138%23119498%23119498%23122683%23122684%23122685%23125482%23125483%23125484%23140186%23125129%22%2C%22xwopenid%22%3A%22o04IBAARlAJLNL8dfOTM0W8k9UqU%22%7D, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210121/686fa813d9f7423a8f4eb8d95ffa18dc/2e4411e44b9c4d0db82bc22975780aa8.jpg, createdBy=f18a2482420, createdName=metal分析, createdTime=Sun May 17 09:14:27 CST 2020, time=2020-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382864, encodeId=dc0b38286495, content=继续努力吧!, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7d032482433, createdName=临床设计, createdTime=Sat May 16 00:17:18 CST 2020, time=2020-05-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382863, encodeId=9aa03828634c, content=继续努力吧!, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=22752482425, createdName=727652150_42303661, createdTime=Sat May 16 00:16:15 CST 2020, time=2020-05-16, status=1, ipAttribution=)]
    2020-05-17 临床设计

    学医路漫漫其修远兮!

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=1967270, encodeId=f1d8196e27014, content=<a href='/topic/show?id=494c1023e7f7' target=_blank style='color:#2F92EE;'>#高强度活动#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=102377, encryptionId=494c1023e7f7, topicName=高强度活动)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ef84111, createdName=whlxd, createdTime=Tue Dec 22 12:34:44 CST 2020, time=2020-12-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382906, encodeId=04c8382906df, content=学医路漫漫其修远兮!, beContent=null, objectType=article, channel=null, level=null, likeNumber=109, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=22752482425, createdName=727652150_42303661, createdTime=Sun May 17 09:22:00 CST 2020, time=2020-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382905, encodeId=6096382905cc, content=学医路漫漫其修远兮!, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=287c2410703, createdName=Jason20042008, createdTime=Sun May 17 09:21:07 CST 2020, time=2020-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382904, encodeId=56293829044d, content=学医路漫漫其修远兮!, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f62b2484088, createdName=12464da8m54(暂无昵称), createdTime=Sun May 17 09:20:06 CST 2020, time=2020-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382903, encodeId=648c3829035b, content=学医路漫漫其修远兮!, beContent=null, objectType=article, channel=null, level=null, likeNumber=105, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7d032482433, createdName=临床设计, createdTime=Sun May 17 09:18:25 CST 2020, time=2020-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382902, encodeId=2210382902cc, content=学医路漫漫其修远兮!, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6bed2482428, createdName=国基然, createdTime=Sun May 17 09:16:55 CST 2020, time=2020-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382901, encodeId=c9ad38290136, content=学医路漫漫其修远兮!, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=39345225392, createdName=1478bfb4m38(暂无昵称), createdTime=Sun May 17 09:15:45 CST 2020, time=2020-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382900, encodeId=4e3438290017, content=weishi://feed?feed_id=79AamFCgM1JpptEzp&logsour=2140220301&ext=%7B%22position%22%3A%22video.cover%22%2C%22testid%22%3A%22144138%23119498%23119498%23122683%23122684%23122685%23125482%23125483%23125484%23140186%23125129%22%2C%22xwopenid%22%3A%22o04IBAARlAJLNL8dfOTM0W8k9UqU%22%7D, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210121/686fa813d9f7423a8f4eb8d95ffa18dc/2e4411e44b9c4d0db82bc22975780aa8.jpg, createdBy=f18a2482420, createdName=metal分析, createdTime=Sun May 17 09:14:27 CST 2020, time=2020-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382864, encodeId=dc0b38286495, content=继续努力吧!, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7d032482433, createdName=临床设计, createdTime=Sat May 16 00:17:18 CST 2020, time=2020-05-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382863, encodeId=9aa03828634c, content=继续努力吧!, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=22752482425, createdName=727652150_42303661, createdTime=Sat May 16 00:16:15 CST 2020, time=2020-05-16, status=1, ipAttribution=)]
    2020-05-17 国基然

    学医路漫漫其修远兮!

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1967270, encodeId=f1d8196e27014, content=<a href='/topic/show?id=494c1023e7f7' target=_blank style='color:#2F92EE;'>#高强度活动#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=49, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=102377, encryptionId=494c1023e7f7, topicName=高强度活动)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=ef84111, createdName=whlxd, createdTime=Tue Dec 22 12:34:44 CST 2020, time=2020-12-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382906, encodeId=04c8382906df, content=学医路漫漫其修远兮!, beContent=null, objectType=article, channel=null, level=null, likeNumber=109, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=22752482425, createdName=727652150_42303661, createdTime=Sun May 17 09:22:00 CST 2020, time=2020-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382905, encodeId=6096382905cc, content=学医路漫漫其修远兮!, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=287c2410703, createdName=Jason20042008, createdTime=Sun May 17 09:21:07 CST 2020, time=2020-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382904, encodeId=56293829044d, content=学医路漫漫其修远兮!, beContent=null, objectType=article, channel=null, level=null, likeNumber=107, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f62b2484088, createdName=12464da8m54(暂无昵称), createdTime=Sun May 17 09:20:06 CST 2020, time=2020-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382903, encodeId=648c3829035b, content=学医路漫漫其修远兮!, beContent=null, objectType=article, channel=null, level=null, likeNumber=105, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7d032482433, createdName=临床设计, createdTime=Sun May 17 09:18:25 CST 2020, time=2020-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382902, encodeId=2210382902cc, content=学医路漫漫其修远兮!, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6bed2482428, createdName=国基然, createdTime=Sun May 17 09:16:55 CST 2020, time=2020-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382901, encodeId=c9ad38290136, content=学医路漫漫其修远兮!, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=39345225392, createdName=1478bfb4m38(暂无昵称), createdTime=Sun May 17 09:15:45 CST 2020, time=2020-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382900, encodeId=4e3438290017, content=weishi://feed?feed_id=79AamFCgM1JpptEzp&logsour=2140220301&ext=%7B%22position%22%3A%22video.cover%22%2C%22testid%22%3A%22144138%23119498%23119498%23122683%23122684%23122685%23125482%23125483%23125484%23140186%23125129%22%2C%22xwopenid%22%3A%22o04IBAARlAJLNL8dfOTM0W8k9UqU%22%7D, beContent=null, objectType=article, channel=null, level=null, likeNumber=37, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210121/686fa813d9f7423a8f4eb8d95ffa18dc/2e4411e44b9c4d0db82bc22975780aa8.jpg, createdBy=f18a2482420, createdName=metal分析, createdTime=Sun May 17 09:14:27 CST 2020, time=2020-05-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382864, encodeId=dc0b38286495, content=继续努力吧!, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=7d032482433, createdName=临床设计, createdTime=Sat May 16 00:17:18 CST 2020, time=2020-05-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=382863, encodeId=9aa03828634c, content=继续努力吧!, beContent=null, objectType=article, channel=null, level=null, likeNumber=34, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=22752482425, createdName=727652150_42303661, createdTime=Sat May 16 00:16:15 CST 2020, time=2020-05-16, status=1, ipAttribution=)]
    2020-05-17 1478bfb4m38(暂无昵称)

    学医路漫漫其修远兮!

    0

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    2020-05-17 metal分析

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    0

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    2020-05-16 临床设计

    继续努力吧!

    0

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    2020-05-16 727652150_42303661

    继续努力吧!

    0

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