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[急性冠状动脉综合征患者心血管危险因素与体力活动的描述性及对比研究]

[Descriptive and comparative study of cardiovascular risk factors and physical activity in patients with acute coronary syndrome].

作者信息

Vazquez-Arce Maria Isabel, Marques-Sule Elena

机构信息

Servicio de Rehabilitación y Medicina Física, Hospital Universitario y Politécnico La Fe, Universidad San Vicente Mártir, Valencia, España.

Departamento de Fisioterapia, Universitat de València, Valencia, España.

出版信息

Aten Primaria. 2018 Dec;50(10):576-582. doi: 10.1016/j.aprim.2017.06.008. Epub 2017 Aug 23.

Abstract

AIM

To analyse several cardiovascular risk factors by means of the physical activity performed by patients with acute coronary syndrome (ACS).

DESIGN

Cross-sectional study.

LOCATION

Cardiovascular prevention service (Health Department, Valencia, Spain).

PARTICIPANTS

The study included 401 individuals with acute coronary syndrome and discharged from hospital 2-3months before the assessment. The inclusion criteria included age between 30 and 80years-old, no contraindication for physical activity, and no previous participation in cardiac rehabilitation programmes.

MAIN MEASUREMENTS

Metabolic equivalent MET (Kcal/Kg) was calculated, based on the type of activity, frequency, duration and intensity. Participants were divided into two groups: sedentary group (<10METs/week) and physically active group (≥10METs/week). Several variables associated with cardiovascular risk factors were assessed: body mass index (BMI), waist circumference, lipid profile, blood glucose, and arterial pressure.

RESULTS

The mean consumption was 8.24±12.5METs/week. Prevalent factors were overweight (77.05%), and dyslipidaemia (64.3%), whilst 64.8% were sedentary. The physically active group showed differences when compared to sedentary group in triglycerides (146.53±72.8 vs. 166.94±104.8mg/dL; 95%CI; P=.031), and BMI (27.65±3.86 vs. 28.50±4.38kg/m; 95%CI; P=.045).

CONCLUSION

Physical activity was performed by a limited number of patients with ACS, with a prevalence of overweight and dyslipidaemia. Being physically active improved triglycerides levels and BMI. Therefore, health promotion from Primary Care and encouraging physical activity amongst patients with ACS is crucial.

摘要

目的

通过急性冠状动脉综合征(ACS)患者的身体活动情况分析多种心血管危险因素。

设计

横断面研究。

地点

心血管预防服务机构(西班牙巴伦西亚卫生部)。

参与者

该研究纳入了401例急性冠状动脉综合征患者,这些患者在评估前2 - 3个月出院。纳入标准包括年龄在30至80岁之间、无身体活动禁忌证且此前未参加过心脏康复项目。

主要测量指标

根据活动类型、频率、持续时间和强度计算代谢当量(MET,千卡/千克)。参与者被分为两组:久坐组(每周<10METs)和身体活动组(每周≥10METs)。评估了与心血管危险因素相关的几个变量:体重指数(BMI)、腰围、血脂谱、血糖和动脉压。

结果

平均消耗量为每周8.24±12.5METs。常见因素为超重(77.05%)和血脂异常(64.3%),同时64.8%的患者久坐不动。与久坐组相比,身体活动组在甘油三酯(146.53±72.8 vs. 166.94±104.8mg/dL;95%CI;P = 0.031)和BMI(27.65±3.86 vs. 28.50±4.38kg/m²;95%CI;P = 0.045)方面存在差异。

结论

进行身体活动的急性冠状动脉综合征患者数量有限,超重和血脂异常患病率较高。身体活动可改善甘油三酯水平和BMI。因此,初级保健进行健康促进并鼓励急性冠状动脉综合征患者进行身体活动至关重要。

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