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Hypertension:每日步数与动脉僵硬度

2018-12-21 xing.T MedSci原创

由此可见,该系统评价和荟萃分析显示,每天客观监测的步骤与PWV之间存在临床意义的关联,PWV是动脉僵硬度的公认指标,也是心血管疾病的早期亚临床危险因素。

动脉僵硬度已成为血管发病率和死亡率的独立预测因子。此外,人们普遍认为,每天客观监测的步数有利于控制健康风险因素,并有助于预防发病率和死亡率。近日,血管权威杂志Hypertension上发表了一篇研究文章,该评价的目的是确定每日步数与通过脉搏波速度(PWv)来测量的动脉僵硬度之间的关系。

研究人员系统地检索了解决每日步数与PWv之间关联研究的横断面数据。DerSimonian和Laird方法用于计算相关的汇总估计值及其各自的95%CI。此外,研究人员使用回归模型估计了根据身体活动分组的合并平均PWv:久坐<5000;低活动程度5000至7499;活跃7500至9999;高度活跃为10000+。

该系统评价纳入了20项已发表的研究,但只有10项成人和老年人研究可纳入荟萃分析。每天步数与成人和老年人经PWV测量的动脉僵硬度呈负相关(r=-0.18; 95%CI为-0.27至-0.10; P<0.001),具有显著的异质性(I2=77.9%; P<0.001)。回归模型显示,汇总的PWV较低,每天的步数水平相应较高,主要受高度活跃生活方式组受试者的低PWv值影响(趋势P=0.005)。

由此可见,该系统评价和荟萃分析显示,每天客观监测的步骤与PWV之间存在临床意义的关联,PWV是动脉僵硬度的公认指标,也是心血管疾病的早期亚临床危险因素。

原始出处:

Iván Cavero-Redondo,et al. Steps per Day and Arterial Stiffness Systematic Review and Meta-Analysis
Hypertension.2018.https://www.ahajournals.org/doi/10.1161/HYPERTENSIONAHA.118.11987

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    2019-09-08 feather89
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    2018-12-23 jyzxjiangqin

    每日步数与动脉僵硬度。

    0

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  6. [GetPortalCommentsPageByObjectIdResponse(id=2039003, encodeId=4df12039003d0, content=<a href='/topic/show?id=b45d1e274e8' target=_blank style='color:#2F92EE;'>#TENS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=88, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=17274, encryptionId=b45d1e274e8, topicName=TENS)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3b172500206, createdName=12498ebem19暂无昵称, createdTime=Tue Jan 08 00:07:00 CST 2019, time=2019-01-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1727784, encodeId=153c1e2778478, content=<a href='/topic/show?id=986913980dd' target=_blank style='color:#2F92EE;'>#PE#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=13980, encryptionId=986913980dd, topicName=PE)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f06c33759375, createdName=feather89, createdTime=Sun Sep 08 16:07:00 CST 2019, time=2019-09-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=356218, encodeId=1753356218ef, content=每日步数与动脉僵硬度。, beContent=null, objectType=article, channel=null, level=null, likeNumber=103, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Sun Dec 23 20:20:58 CST 2018, time=2018-12-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1501338, encodeId=7e2a150133844, content=<a href='/topic/show?id=f2db9238f9' target=_blank style='color:#2F92EE;'>#Hypertension#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=75, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=9238, encryptionId=f2db9238f9, topicName=Hypertension)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=11ff9497046, createdName=jambiya, createdTime=Sun Dec 23 08:07:00 CST 2018, time=2018-12-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1546751, encodeId=3a931546e51a8, content=<a href='/topic/show?id=de1233215db' target=_blank style='color:#2F92EE;'>#动脉僵硬#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33215, encryptionId=de1233215db, topicName=动脉僵硬)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b48f13938152, createdName=dlwang_26703131, createdTime=Sun Dec 23 08:07:00 CST 2018, time=2018-12-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1546810, encodeId=d35a1546810ef, content=<a href='/topic/show?id=96a0332168b' target=_blank style='color:#2F92EE;'>#动脉僵硬度#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33216, encryptionId=96a0332168b, topicName=动脉僵硬度)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=eb8013942519, createdName=1696533704_45270458, createdTime=Sun Dec 23 08:07:00 CST 2018, time=2018-12-23, status=1, ipAttribution=)]
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