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体力活动与动脉僵硬和炎症的关系:来自“科林斯”研究的见解。

The Association of Physical Activity with Arterial Stiffness and Inflammation: Insight from the "Corinthia" Study.

机构信息

Cardiology Department, Hippokration General Hospital, University of Athens Medical School, Athens, Greece.

出版信息

Angiology. 2022 Sep;73(8):716-723. doi: 10.1177/00033197211065795. Epub 2022 Feb 9.

DOI:10.1177/00033197211065795
PMID:35138950
Abstract

Diminished physical activity is a frequent phenomenon leading to a higher incidence of cardiovascular morbidity and mortality. Our study aimed to assess the impact of physical activity on arterial stiffness and inflammation. Classification of physical activity was performed in 1945 individuals of the cross-sectional "Corinthia" study using the International Physical Activity Questionnaire. Demographic and clinical characteristics were obtained via a standardized questionnaire. Arterial stiffness was estimated via carotid-femoral pulse wave velocity evaluation, and the inflammatory burden was assessed via high sensitivity C reactive protein (hsCRP) measurement. Participants with low physical activity had the most impaired carotid-femoral pulse wave velocity values while abnormally increased measurements-adjusted for age and blood pressure-were more frequently encountered in individuals with low physical activity. Participants characterized as having vigorous physical activity had the lowest inflammatory burden, as estimated by hsCRP levels. The results remained unaffected even after adjustment for confounders. In a subgroup analysis according to sex, increased arterial stiffness and inflammatory burden were noted similarly in female and male subjects within the lowest percentile of physical activity. In conclusion, a significant association between physical activity, arterial stiffness, and inflammation was observed, even after adjusting for known cardiovascular risk factors.

摘要

体力活动减少是导致心血管发病率和死亡率升高的常见现象。我们的研究旨在评估体力活动对动脉僵硬和炎症的影响。使用国际体力活动问卷,对横断面“科林斯”研究中的 1945 名个体进行体力活动分类。通过标准化问卷获得人口统计学和临床特征。通过颈动脉-股动脉脉搏波速度评估评估动脉僵硬,通过高敏 C 反应蛋白 (hsCRP) 测量评估炎症负担。体力活动水平低的参与者颈动脉-股动脉脉搏波速度值最受损,而在体力活动水平低的个体中,更常出现异常升高的测量值(经年龄和血压调整)。根据 hsCRP 水平估计,具有剧烈体力活动的参与者具有最低的炎症负担。即使在调整混杂因素后,结果仍然没有改变。根据性别进行亚组分析,在体力活动最低百分位的女性和男性受试者中,动脉僵硬和炎症负担均增加。总之,即使在调整了已知的心血管危险因素后,体力活动与动脉僵硬和炎症之间仍存在显著关联。

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