运动训练方案对老年高血压患者血压和血脂的不同影响：系统回顾和荟萃分析。

IF 3.5 3区医学 Q2 GERIATRICS & GERONTOLOGY

Archives of gerontology and geriatrics Pub Date : 2024-12-31 DOI:10.1016/j.archger.2024.105737

Keyvan Hejazi , Zahra Ataran Iraj , Ayoub Saeidi , Anthony C. Hackney , Fatiha Laziri , Katsuhuko Suzuki , Ismail Laher , Zouhal Hassane

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引用次数: 0

摘要

体力活动减少和高血压都是心血管疾病的危险因素。将血压控制在正常范围内可以预防或延缓这些并发症。本系统综述和荟萃分析分析了不同类型的运动训练对老年高血压患者血压和血脂的影响。五个电子数据库（Web of Science, Cochrane, PubMed，谷歌Scholar和Scopus）从其成立到2024年3月3日进行了检索。包括英语出版物和随机对照试验，涉及不同类型的运动训练治疗高血压人群。使用随机效应模型对数据进行分析，以估计加权平均差（WMD）和95%置信区间。系统检索确定了1998篇文章，其中92篇研究符合纳入标准，被认为有资格纳入。meta分析结果显示，有氧训练（p < 0.01）、阻力训练（p < 0.01）、有氧+阻力联合训练（p < 0.01）和等长握力训练（p < 0.01）后收缩压（SBP）和舒张压（DBP）降低。低密度脂蛋白（LDL）和甘油三酯（TG）水平在有氧+阻力联合训练（p < 0.05和p < 0.001）和阻力训练（p < 0.01）后也分别显著降低。高密度脂蛋白（HDL）水平在有氧训练和有氧+阻力联合训练（p < 0.01）后升高（p < 0.01），而在阻力和太极训练后无升高。与有氧运动、抗阻运动、有氧与抗阻结合运动和太极训练相比，等长握力训练对高血压患者血压的降低效果更好。需要进一步的研究来确定运动处方方案，以最大限度地提高老年高血压患者的健康水平。

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Differential effects of exercise training protocols on blood pressures and lipid profiles in older adults patients with hypertension: A systematic review and meta-analysis

Decreased physical activity and high blood pressure are both risk factors for cardiovascular diseases. Controlling blood pressure within the normal range can prevent or delay these complications. This systematic review and meta-analysis analyzed the effects of different types of exercise training on the blood pressure and lipid profiles of older adults patients with hypertension. Five electronic databases (Web of Science, Cochrane, PubMed, Google Scholar, and Scopus) were searched from their inception until March 03, 2024. English publications and randomized controlled trials involving different types of exercise training treatments for hypertensive populations were included. Data were analyzed using a random-effects model to estimate weighted mean differences (WMD) and 95 % confidence intervals. The systematic search identified 1998 articles, of which 92 studies met the inclusion criteria and were deemed eligible for inclusion. The results of the meta‐analysis indicated that reduced systolic (SBP) and diastolic blood pressures (DBP) after aerobic training (p < 0.01), resistance training (p < 0.01), combined (aerobic + resistance) exercise training (p < 0.01) and isometric handgrip training (p < 0.01). Significant reductions were also observed in low-density lipoprotein (LDL) and triglyceride (TG) levels following combined (aerobic + resistance) exercise training (p < 0.05 and p < 0.001), and resistance training (p < 0.01), respectively. High-density lipoprotein (HDL) levels were increased following aerobic training (p < 0.01), and combined (aerobic + resistance) exercise training (p < 0.01), but not after resistance and Tai chi training. Isometric handgrip training leads to greater reductions in blood pressure in hypertensive patients compared to the effects of aerobic, resistance, combined aerobic and resistance exercise, and tai chi training. Additional studies are needed to determine the exercise prescription protocols to maximize the health of older adults patients with hypertension.

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来源期刊

Archives of gerontology and geriatrics 医学-老年医学

CiteScore

7.30

自引率

5.00%

发文量

198

审稿时长

16 days

期刊介绍： Archives of Gerontology and Geriatrics provides a medium for the publication of papers from the fields of experimental gerontology and clinical and social geriatrics. The principal aim of the journal is to facilitate the exchange of information between specialists in these three fields of gerontological research. Experimental papers dealing with the basic mechanisms of aging at molecular, cellular, tissue or organ levels will be published. Clinical papers will be accepted if they provide sufficiently new information or are of fundamental importance for the knowledge of human aging. Purely descriptive clinical papers will be accepted only if the results permit further interpretation. Papers dealing with anti-aging pharmacological preparations in humans are welcome. Papers on the social aspects of geriatrics will be accepted if they are of general interest regarding the epidemiology of aging and the efficiency and working methods of the social organizations for the health care of the elderly.