Lee Joowon, Chen Baojiang, Kohl Harold W, Barlow Carolyn E, Lee Chong Do, Radford Nina B, DeFina Laura F, Gabriel Kelley P
J Aging Phys Act. 2019 Dec 6;28(4):534-539. doi: 10.1123/japa.2019-0150. Print 2020 Aug 1.
The purpose of the current investigation was to examine the cross-sectional associations of participation in muscle-strengthening activities (MSAs) with carotid intima-media thickness (CIMT) among older adults. The data are from 2,557 older adult participants enrolled in an observational cohort who reported no history of cardiovascular disease. MSA was determined using a questionnaire. Carotid ultrasound was performed to measure the CIMT of the common carotid artery bilaterally. Logistic regression models were constructed to estimate the association of MSA with CIMT after adjustment for potential confounders. The participants were aged 68.6 ± 7.0 years, and the majority were male (71.7%) and White (96.5%); 18% had abnormal CIMT. Meeting the physical activity guidelines for MSA was inversely associated with abnormal CIMT after adjustment for age and sex. However, this observed inverse relation became statistically null after further adjustment for cardiovascular disease risk factors, including aerobic physical activity.
本研究的目的是调查老年人参与肌肉强化活动(MSA)与颈动脉内膜中层厚度(CIMT)之间的横断面关联。数据来自2557名参与观察性队列研究的老年人,他们均无心血管疾病史。MSA通过问卷调查确定。采用双侧颈动脉超声测量颈总动脉的CIMT。构建逻辑回归模型,在调整潜在混杂因素后估计MSA与CIMT之间的关联。参与者年龄为68.6±7.0岁,大多数为男性(71.7%)和白人(96.5%);18%的人CIMT异常。在调整年龄和性别后,达到MSA的身体活动指南与CIMT异常呈负相关。然而,在进一步调整包括有氧运动在内的心血管疾病危险因素后,这种观察到的负相关在统计学上变得不显著。