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本文引用的文献

1
Impaired carotid baroreflex control of arterial blood pressure in multiple sclerosis.多发性硬化症患者颈动脉压力反射对动脉血压的控制受损。
J Neurophysiol. 2016 Jul 1;116(1):81-7. doi: 10.1152/jn.00003.2016. Epub 2016 Apr 13.
2
Metaboreflex activity in multiple sclerosis patients.多发性硬化症患者的代谢反射活动。
Eur J Appl Physiol. 2015 Dec;115(12):2481-90. doi: 10.1007/s00421-015-3271-0. Epub 2015 Oct 1.
3
The descriptive epidemiology of daily sitting time as a sedentary behavior in multiple sclerosis.多发性硬化症中作为久坐行为的每日久坐时间的描述性流行病学。
Disabil Health J. 2015 Oct;8(4):594-601. doi: 10.1016/j.dhjo.2015.06.003. Epub 2015 Jun 26.
4
Understanding the Importance of Race/Ethnicity in the Care of the Hypertensive Patient.了解种族/族裔在高血压患者护理中的重要性。
Curr Hypertens Rep. 2015 Mar;17(3):15. doi: 10.1007/s11906-014-0526-9.
5
The incidence and prevalence of comorbidity in multiple sclerosis.多发性硬化症中共病的发病率和患病率。
Mult Scler. 2015 Mar;21(3):261-2. doi: 10.1177/1352458515574151. Epub 2015 Feb 19.
6
A systematic review of the incidence and prevalence of comorbidity in multiple sclerosis: overview.对多发性硬化症合并症发病率和患病率的系统评价:概述。
Mult Scler. 2015 Mar;21(3):263-81. doi: 10.1177/1352458514564491. Epub 2015 Jan 26.
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Sedentary behavior is associated with disability status and walking performance, but not cognitive function, in multiple sclerosis.在多发性硬化症中,久坐行为与残疾状况和步行能力相关,但与认知功能无关。
Appl Physiol Nutr Metab. 2015 Feb;40(2):203-6. doi: 10.1139/apnm-2014-0271. Epub 2014 Oct 28.
8
A systematic review of the incidence and prevalence of cardiac, cerebrovascular, and peripheral vascular disease in multiple sclerosis.一项关于多发性硬化症中心血管、脑血管和外周血管疾病的发病率和患病率的系统回顾。
Mult Scler. 2015 Mar;21(3):318-31. doi: 10.1177/1352458514564485. Epub 2014 Dec 22.
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Sodium intake is associated with increased disease activity in multiple sclerosis.钠摄入量与多发性硬化症的疾病活动增加有关。
J Neurol Neurosurg Psychiatry. 2015 Jan;86(1):26-31. doi: 10.1136/jnnp-2014-307928. Epub 2014 Aug 28.
10
Multiple sclerosis clinical course and cardiovascular disease risk - Swedish cohort study.多发性硬化症临床病程与心血管疾病风险——瑞典队列研究
Eur J Neurol. 2014 Nov;21(11):1353-e88. doi: 10.1111/ene.12518. Epub 2014 Jul 17.

多发性硬化症患者的久坐行为与血压

Sedentary Behavior and Blood Pressure in Patients with Multiple Sclerosis.

作者信息

Hubbard Elizabeth A, Motl Robert W, Fernhall Bo

出版信息

Int J MS Care. 2018 Jan-Feb;20(1):1-8. doi: 10.7224/1537-2073.2016-021.

DOI:10.7224/1537-2073.2016-021
PMID:29507537
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5825981/
Abstract

BACKGROUND

Sedentary behavior is a pervasive public health concern in the general population. To date, little is known regarding the possible health risks associated with sedentary behavior in patients with multiple sclerosis (MS), although this population has increased risks of comorbidities such as hypertension.

METHODS

This cross-sectional study examined the association between sedentary behavior and blood pressure (BP) in 31 patients with MS and 31 matched controls. Self-reported sitting time, one form of sedentary behavior, was measured using the International Physical Activity Questionnaire. Using an automated oscillometric monitor, systolic BP, diastolic BP, and mean arterial pressure were measured in the supine position after 10 minutes of rest lying down in a quiet room.

RESULTS

There were significant correlations between International Physical Activity Questionnaire-measured sitting time and systolic BP (r = 0.365, P = .044, 95% CI, 0.013-0.636), diastolic BP (r = 0.382, P = .034, 95% CI, 0.032-0.648), and mean arterial pressure (r = 0.425, P = .017, 95% CI, 0.084-0.677) in patients with MS but not in controls (P > .05). The associations in patients with MS were unchanged even after adjusting for body mass index in linear regression analyses.

CONCLUSIONS

This study identified a significant association between sitting time and BP outcomes in patients with MS, supporting the need for additional examinations of sitting time and its possible health consequences in patients with MS.

摘要

背景

久坐行为是普通人群中普遍存在的公共卫生问题。迄今为止,对于多发性硬化症(MS)患者久坐行为可能带来的健康风险知之甚少,尽管该人群患高血压等合并症的风险增加。

方法

这项横断面研究调查了31例MS患者和31例匹配对照者的久坐行为与血压(BP)之间的关联。使用国际体力活动问卷测量自我报告的坐姿时间,这是久坐行为的一种形式。在安静房间平躺休息10分钟后,使用自动示波监测仪测量仰卧位的收缩压、舒张压和平均动脉压。

结果

在MS患者中,国际体力活动问卷测量的坐姿时间与收缩压(r = 0.365,P = 0.044,95%CI,0.013 - 0.636)、舒张压(r = 0.382,P = 0.034,95%CI,0.032 - 0.648)和平均动脉压(r = 0.425,P = 0.017,95%CI,0.084 - 0.677)之间存在显著相关性,而在对照组中则无相关性(P > 0.05)。在线性回归分析中,即使对体重指数进行调整后,MS患者中的这些关联仍未改变。

结论

本研究发现MS患者的坐姿时间与血压结果之间存在显著关联,支持对MS患者的坐姿时间及其可能的健康后果进行进一步研究的必要性。