不同强度的体育锻炼与外周动脉疾病患者心血管健康之间的关系:一项观察性研究。

IF 1.1 Q2 MEDICINE, GENERAL & INTERNAL
Einstein-Sao Paulo Pub Date : 2024-09-30 eCollection Date: 2024-01-01 DOI:10.31744/einstein_journal/2024AO0682
Max Duarte de Oliveira, Wellington Segheto, Hélcio Kanegusuku, Aline Mendes Gerage, Nelson Wolosker, Marilia de Almeida Correia, Raphael Mendes Ritti-Dias
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引用次数: 0

摘要

背景:我们研究了 260 名外周动脉疾病患者的久坐行为和体育锻炼情况。女性比男性从事更多的轻体力活动。背景:◼患有外周动脉疾病的女性血压和动脉僵化程度高于男性。背景:◼外周动脉疾病患者的体力活动水平较低,尤其是中度到剧烈运动水平较低:目的:分析患有外周动脉疾病的男性和女性久坐不动的时间和不同强度的体力活动与心血管健康之间的关系:对260名患有外周动脉疾病并伴有跛行症状的患者(65.7%为男性;66±1岁;踝肱指数为0.57±0.18)进行了评估。使用加速度计对体力活动和久坐行为进行了评估。体力活动分为轻度和中度-剧烈强度。心血管方面的结果包括血压(示波测量法)、心脏自律调节(心率变异性)和动脉僵化(脉搏波速度):结果:女性从事轻体力活动的时间多于男性(分别为 341±14 分钟/天和 306±9 分钟/天;P=0.040)。久坐不动和中等强度体力活动所花费的时间没有明显差异。女性的收缩压较高(p=0.025),增强指数较高(p结论:较高水平的轻体力活动与患有外周动脉疾病的男性动脉僵化程度较低有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association between physical activity performed at different intensities and cardiovascular health in patients with peripheral artery disease: an observational study.

Background: We examined the sedentary behavior and physical activity of 260 patients with peripheral artery disease. Women engaged in more light physical activity than men did. Light physical activity was associated with lower arterial stiffness in men only, while no significant associations were found between sedentary behavior, moderate-vigorous physical activity, and cardiovascular outcomes.

Background: ◼ Women with peripheral artery disease exhibited higher blood pressure and arterial stiffness than men.

Background: ◼ Low levels of physical activity, particularly moderate to vigorous activity, were observed in individuals with peripheral artery disease.

Objective: To analyze the association between the time spent in sedentary behavior and physical activity of different intensities with cardiovascular health in men and women with peripheral artery disease.

Methods: Two hundred and sixty patients with peripheral artery disease and claudication symptoms (65.7% men; 66±1 years; ankle brachial index 0.57±0.18) were evaluated. Physical activity and sedentary behavior were assessed using an accelerometer. Physical activity was classified into light and moderate-vigorous intensities. The cardiovascular outcomes included blood pressure (oscillometric method), cardiac autonomic modulation (heart rate variability), and arterial stiffness (pulse wave velocity).

Results: Women spent more time engaged in light physical activity than men (341±14 min/day versus 306±9 min/day; p=0.040, respectively). There was no significant difference in the time spent on sedentary behavior and moderate-vigorous physical activity. Women had a higher systolic blood pressure (p=0.025), higher augmentation index (p<0.001), and lower sympathovagal balance (p=0.047) than men. Pulse wave velocity was only negatively associated with light physical activity (β= -4.66; 95%CI= -8.57; -0.76) in men. Light and moderate-vigorous physical activity and sedentary behavior were not associated with other cardiovascular outcomes.

Conclusion: Higher levels of light physical activity were associated with lower arterial stiffness in men with peripheral artery disease.

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来源期刊
Einstein-Sao Paulo
Einstein-Sao Paulo MEDICINE, GENERAL & INTERNAL-
CiteScore
2.00
自引率
0.00%
发文量
210
审稿时长
38 weeks
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