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静坐行为与身体活动不足之间的细微差别:对心血管代谢的影响及其心血管风险。

Nuances between sedentary behavior and physical inactivity: cardiometabolic effects and cardiovascular risk.

机构信息

Universidade Federal do Vale do São Francisco, Campus Paulo Afonso - Paulo Afonso (BA), Brazil.

出版信息

Rev Assoc Med Bras (1992). 2021 Feb;67(2):335-343. doi: 10.1590/1806-9282.67.02.20200746.

Abstract

OBJECTIVE

The aim of this study was to highlight the differences between the cardiometabolic effects and the cardiovascular risk of physical inactivity and sedentary behavior.

METHODS

A narrative bibliographic review was conducted. In the research, national and international articles were selected from the PubMed, SciELO, and LILACS databases using the descriptors "sedentary lifestyle, cardiovascular risk, physical inactivity, sedentary behavior, and cardiovascular risks."

DISCUSSION

Both physical inactivity and sedentary behavior are related to metabolic and organic changes, promoting a chronic proinflammatory state, cardiac remodeling, increased body adiposity, and skeletal muscle dysfunction. It is possibly stated that both of them result in a higher risk of developing chronic diseases, resulting in higher global and cardiovascular morbidity and mortality, with nuances in their intrinsic effects.

CONCLUSIONS

It is inferred that both physical inactivity and sedentary behavior are cardiovascular risk factors that can be modified with the correct clinical approach. It is necessary to differentiate physically inactive individuals from those with a high number of sedentary behaviors. These concepts need better clinical applicability to improve the prevention of primary and secondary cardiovascular risks.

摘要

目的

本研究旨在强调身体活动不足和久坐行为的心血管代谢效应和心血管风险之间的差异。

方法

进行了叙述性文献综述。在研究中,使用“ sedentary lifestyle, cardiovascular risk, physical inactivity, sedentary behavior, and cardiovascular risks”这些描述符从 PubMed、SciELO 和 LILACS 数据库中选择了来自国内外的文章。

讨论

身体活动不足和久坐行为均与代谢和器官变化有关,导致慢性促炎状态、心脏重构、体脂增加和骨骼肌功能障碍。可以说,两者都增加了患慢性病的风险,导致更高的全球和心血管发病率和死亡率,其内在影响存在细微差别。

结论

推断出身体活动不足和久坐行为均是心血管危险因素,可以通过正确的临床方法进行干预。需要将体力活动不足的人与久坐行为较多的人区分开来。这些概念需要更好的临床适用性,以改善一级和二级心血管风险的预防。

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