Innes Kim E, Selfe Terry Kit, Taylor Ann Gill
Center for the Study of Complementary and Alternative Therapies, University of Virginia Health Systems, Charlottesville, VA 22908-0905, USA.
Menopause. 2008 Sep-Oct;15(5):1005-13. doi: 10.1097/01.gme.0b013e318166904e.
Cardiovascular disease risk rises sharply with menopause, likely due to the coincident increase in insulin resistance and related atherogenic changes that together comprise the metabolic or insulin resistance syndrome, a cluster of metabolic and hemodynamic abnormalities strongly implicated in the pathogenesis and progression of cardiovascular disease. A growing body of research suggests that traditional mind-body practices such as yoga, tai chi, and qigong may offer safe and cost-effective strategies for reducing insulin resistance syndrome-related risk factors for cardiovascular disease in older populations, including postmenopausal women. Current evidence suggests that these practices may reduce insulin resistance and related physiological risk factors for cardiovascular disease; improve mood, well-being, and sleep; decrease sympathetic activation; and enhance cardiovagal function. However, additional rigorous studies are needed to confirm existing findings and to examine long-term effects on cardiovascular health.
心血管疾病风险在绝经后急剧上升,这可能是由于胰岛素抵抗及相关致动脉粥样硬化变化同时增加,这些变化共同构成了代谢或胰岛素抵抗综合征,这是一组代谢和血液动力学异常,与心血管疾病的发病机制和进展密切相关。越来越多的研究表明,瑜伽、太极拳和气功等传统身心锻炼方法可能为降低老年人群(包括绝经后女性)中与胰岛素抵抗综合征相关的心血管疾病风险因素提供安全且经济有效的策略。目前的证据表明,这些锻炼方法可能降低胰岛素抵抗及相关的心血管疾病生理风险因素;改善情绪、幸福感和睡眠;减少交感神经激活;并增强心迷走神经功能。然而,需要更多严格的研究来证实现有发现,并研究其对心血管健康的长期影响。