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AHA声明:运动是高龄心脏病患者“良药”,练太极可增强体力和平衡感

2017-04-02 MedSci MedSci原创

近期,美国心脏协会(AHA)发表声明,指出规律运动是高龄心脏病患者的一剂良药,70岁、80岁甚至更高年龄的患者都能从运动中获益。 除了专业的心脏康复训练,日常步行和做家务也有助于改善心脏病症状和提高运动耐力。 该声明的撰写委员会主席指出,在发生心脏病或其他心脏事件后,患者需要增强体力,这对高龄患者尤为重要,他们需要有力气举起购物袋,并将其搬运到车子上。 然而,大多数医疗保健人员并未直

近期,美国心脏协会(AHA)发表声明,指出规律运动是高龄心脏病患者的一剂良药,70岁、80岁甚至更高年龄的患者都能从运动中获益。


除了专业的心脏康复训练,日常步行和做家务也有助于改善心脏病症状和提高运动耐力。

该声明的撰写委员会主席指出,在发生心脏病或其他心脏事件后,患者需要增强体力,这对高龄患者尤为重要,他们需要有力气举起购物袋,并将其搬运到车子上。

然而,大多数医疗保健人员并未直接帮助患者提高运动能力,而仅关注各种心脏疾病的药物治疗。

Forman表示,改善运动能力应作为高龄心脏病患者治疗的基本组成部分,这可提高患者的生活自理能力,改善其生活质量。

声明指出,心脏康复对于高龄心脏病患者来说是一种非常关键的治疗措施,运动咨询和训练可促进心脏健康,减轻压力和抑郁症状。但遗憾的是,临床上心脏康复的应用率不高。

除了心脏康复,日常步行和处理家务对于改善运动能力也很有益处,对抗训练和平衡训练有助于预防摔倒。练太极和瑜伽可增强体力和平衡感。

该声明列出了评估高龄心脏病患者运动能力的方法。体能评估应作为高龄患者每次常规体检的一部分。患者在应用可能导致肌肉质量和功能受损的药物或住院治疗后,也要评估其运动能力。最大氧摄入、力量、平衡感及灵活性是评估运动能力的重要指标。

声明还提出,未来的临床试验终点不应该局限于血管事件,还应多关注患者的运动能力。

参考资料:

1、Daniel E. Forman, Ross Arena,Rebecca Boxer, et al. Prioritizing Functional Capacity as a Principal End Pointfor Therapies Oriented to Older Adults With Cardiovascular Disease: AScientific Statement for Healthcare Professionals From the American Heart Association.Circulation,2017 Mar 23. pii: CIR.0000000000000483

2、AHA newsroom. Older adults with heart disease can become more independent and heart healthy with physical activity. March 23, 2017

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    2017-08-13 steven_u9
  2. 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    2017-04-24 阿吴

    同意

    0

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    2017-04-08 wei834766788

    !!!!!!!!

    0

  4. 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createdName=阿吴, createdTime=Mon Apr 24 16:11:08 CST 2017, time=2017-04-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=186007, encodeId=e49118600e88, content=!!!!!!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=078f1661649, createdName=wei834766788, createdTime=Sat Apr 08 15:57:50 CST 2017, time=2017-04-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1267410, encodeId=bf06126e41095, content=<a href='/topic/show?id=922f21183d' target=_blank style='color:#2F92EE;'>#AHA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2118, encryptionId=922f21183d, topicName=AHA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf3d82, createdName=zhaohui6731, 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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=74221626377, createdName=tofsw, createdTime=Mon Apr 03 07:59:12 CST 2017, time=2017-04-03, status=1, ipAttribution=)]
    2017-04-04 zhaohui6731
  5. 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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=74221626377, createdName=tofsw, createdTime=Mon Apr 03 07:59:12 CST 2017, time=2017-04-03, status=1, ipAttribution=)]
    2017-04-04 xlysu
  6. 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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=74221626377, createdName=tofsw, createdTime=Mon Apr 03 07:59:12 CST 2017, time=2017-04-03, status=1, ipAttribution=)]
    2017-04-03 lovetcm

    太极拳有效!某些所谓知名站点打着科学科普旗号反对太极拳,被打脸了

    0

  7. 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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=74221626377, createdName=tofsw, createdTime=Mon Apr 03 07:59:12 CST 2017, time=2017-04-03, status=1, ipAttribution=)]
    2017-04-03 lyh994

    古今中外的绝学,到了新时代了

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1632119, encodeId=80cb163211914, content=<a href='/topic/show?id=34c74421593' target=_blank style='color:#2F92EE;'>#太极#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=44215, encryptionId=34c74421593, topicName=太极)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ec5221859655, createdName=steven_u9, createdTime=Sun Aug 13 08:04:00 CST 2017, time=2017-08-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=190183, encodeId=ead5190183a4, content=同意, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuGx0Nj1tUEG8bCiclXBNCCfjGSeFLCtppUMLTdyCtkvyjxxXViaDnQv43w5VAuic6FGPuCicSgnNKBc3/0, createdBy=21f41994764, 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createdTime=Tue Apr 04 14:04:00 CST 2017, time=2017-04-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1416050, encodeId=4f43141605066, content=<a href='/topic/show?id=99fb1028231b' target=_blank style='color:#2F92EE;'>#高龄#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=102823, encryptionId=99fb1028231b, topicName=高龄)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=307c3130149, createdName=xlysu, createdTime=Tue Apr 04 14:04:00 CST 2017, time=2017-04-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=184810, encodeId=f9d118481008, content=太极拳有效!某些所谓知名站点打着科学科普旗号反对太极拳,被打脸了, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c4a5105539, createdName=lovetcm, createdTime=Mon Apr 03 09:38:59 CST 2017, time=2017-04-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=184793, encodeId=7955184e931c, content=古今中外的绝学,到了新时代了, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/04/24/1c2dbd6706e64df33befd6663f1d6b37.jpg, createdBy=94f61661779, createdName=lyh994, createdTime=Mon Apr 03 08:49:41 CST 2017, time=2017-04-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=184786, encodeId=dab2184e86b5, content=好好学习,涨知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLANEL7Sww3HicKsN9aribicAmGGWXOIMEiaZ1iadgZg9RibjqSwIKUS8gSPib2NwTVg2zVvVJhdP3BkuDIl/0, createdBy=944d1605392, createdName=shaosai, createdTime=Mon Apr 03 08:42:03 CST 2017, time=2017-04-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=184781, encodeId=f5a3184e8118, content=非常好非常受益, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/DYAIOgq83eo2GMhevabZrvYIDhcYQOadp8uNxP2luzicRh5E0OHqMU9kYxib3dV5Qsd9UASTrkcc9ibiaN90Zwo1Tw/132, createdBy=275f1684782, createdName=wang_shengli, createdTime=Mon Apr 03 08:33:55 CST 2017, time=2017-04-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=184775, encodeId=e9d9184e753a, content=所以要坚持运动, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=74221626377, createdName=tofsw, createdTime=Mon Apr 03 07:59:12 CST 2017, time=2017-04-03, status=1, ipAttribution=)]
    2017-04-03 shaosai

    好好学习,涨知识

    0

  9. [GetPortalCommentsPageByObjectIdResponse(id=1632119, encodeId=80cb163211914, content=<a href='/topic/show?id=34c74421593' target=_blank style='color:#2F92EE;'>#太极#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=44215, encryptionId=34c74421593, topicName=太极)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ec5221859655, createdName=steven_u9, createdTime=Sun Aug 13 08:04:00 CST 2017, time=2017-08-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=190183, encodeId=ead5190183a4, content=同意, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6KcicAVC1MwuGx0Nj1tUEG8bCiclXBNCCfjGSeFLCtppUMLTdyCtkvyjxxXViaDnQv43w5VAuic6FGPuCicSgnNKBc3/0, createdBy=21f41994764, createdName=阿吴, createdTime=Mon Apr 24 16:11:08 CST 2017, time=2017-04-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=186007, encodeId=e49118600e88, content=!!!!!!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=106, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=078f1661649, createdName=wei834766788, createdTime=Sat Apr 08 15:57:50 CST 2017, time=2017-04-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1267410, encodeId=bf06126e41095, content=<a href='/topic/show?id=922f21183d' target=_blank style='color:#2F92EE;'>#AHA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2118, encryptionId=922f21183d, topicName=AHA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf3d82, createdName=zhaohui6731, createdTime=Tue Apr 04 14:04:00 CST 2017, time=2017-04-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1416050, encodeId=4f43141605066, content=<a href='/topic/show?id=99fb1028231b' target=_blank style='color:#2F92EE;'>#高龄#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=79, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=102823, encryptionId=99fb1028231b, topicName=高龄)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=307c3130149, createdName=xlysu, createdTime=Tue Apr 04 14:04:00 CST 2017, time=2017-04-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=184810, encodeId=f9d118481008, content=太极拳有效!某些所谓知名站点打着科学科普旗号反对太极拳,被打脸了, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c4a5105539, createdName=lovetcm, createdTime=Mon Apr 03 09:38:59 CST 2017, time=2017-04-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=184793, encodeId=7955184e931c, content=古今中外的绝学,到了新时代了, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/04/24/1c2dbd6706e64df33befd6663f1d6b37.jpg, createdBy=94f61661779, createdName=lyh994, createdTime=Mon Apr 03 08:49:41 CST 2017, time=2017-04-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=184786, encodeId=dab2184e86b5, content=好好学习,涨知识, beContent=null, objectType=article, channel=null, level=null, likeNumber=99, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mONcle9pic3zSn0GqHrsfLANEL7Sww3HicKsN9aribicAmGGWXOIMEiaZ1iadgZg9RibjqSwIKUS8gSPib2NwTVg2zVvVJhdP3BkuDIl/0, createdBy=944d1605392, createdName=shaosai, createdTime=Mon Apr 03 08:42:03 CST 2017, time=2017-04-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=184781, encodeId=f5a3184e8118, content=非常好非常受益, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/DYAIOgq83eo2GMhevabZrvYIDhcYQOadp8uNxP2luzicRh5E0OHqMU9kYxib3dV5Qsd9UASTrkcc9ibiaN90Zwo1Tw/132, createdBy=275f1684782, createdName=wang_shengli, createdTime=Mon Apr 03 08:33:55 CST 2017, time=2017-04-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=184775, encodeId=e9d9184e753a, content=所以要坚持运动, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=74221626377, createdName=tofsw, createdTime=Mon Apr 03 07:59:12 CST 2017, time=2017-04-03, status=1, ipAttribution=)]
    2017-04-03 wang_shengli

    非常好非常受益

    0

  10. 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replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=74221626377, createdName=tofsw, createdTime=Mon Apr 03 07:59:12 CST 2017, time=2017-04-03, status=1, ipAttribution=)]
    2017-04-03 tofsw

    所以要坚持运动

    0

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