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成人的行走和静息血压:一项荟萃分析。

Walking and resting blood pressure in adults: a meta-analysis.

作者信息

Kelley G A, Kelley K S, Tran Z V

机构信息

Meta-Analytic Research Group, MGH Institute of Health Professions, 101 Merrimac Street, Boston, MA 02114, USA.

出版信息

Prev Med. 2001 Aug;33(2 Pt 1):120-7. doi: 10.1006/pmed.2001.0860.

Abstract

BACKGROUND

The purpose of this study was to examine the effects of walking on resting systolic and diastolic blood pressure in adults.

METHODS

A total of 24 primary outcomes from 16 studies and 650 subjects (410 exercise, 240 control) met the criteria for inclusion: (1) randomized and nonrandomized controlled trials, (2) walking as the only intervention, (3) subjects apparently sedentary, (4) adult humans > or =18 years of age, (5) English-language studies published between January 1966 and December 1998, (6) resting blood pressure assessed, (7) training studies > or =4 weeks.

RESULTS

Using a random effects model, statistically significant decreases of approximately 2% were found for both resting systolic and diastolic blood pressure (systolic, mean +/- SEM = -3 +/- 1 mm Hg, 95% confidence interval: -5 to -2 mm Hg; diastolic, mean +/- SEM = -2 +/- 1 mm Hg, 95% confidence interval: -3 to -1 mm Hg).

CONCLUSION

Walking exercise programs reduce resting blood pressure in adults.

摘要

背景

本研究的目的是探讨步行对成年人静息收缩压和舒张压的影响。

方法

16项研究中的24项主要结果以及650名受试者(410名运动组,240名对照组)符合纳入标准:(1)随机和非随机对照试验;(2)步行作为唯一干预措施;(3)受试者明显久坐不动;(4)18岁及以上的成年人;(5)1966年1月至1998年12月发表的英文研究;(6)评估静息血压;(7)训练研究持续4周及以上。

结果

使用随机效应模型,发现静息收缩压和舒张压均有统计学意义的显著下降,约2%(收缩压,均值±标准误=-3±1mmHg,95%置信区间:-5至-2mmHg;舒张压,均值±标准误=-2±1mmHg,95%置信区间:-3至-1mmHg)。

结论

步行锻炼计划可降低成年人的静息血压。

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