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男性高血压患者和非高血压患者有氧运动后动脉僵硬的急性变化。

Arterial stiffness acute changes following aerobic exercise in males with and without hypertension.

机构信息

Department of Emergency, Affiliated Hospital, North China University of Science and Technology, Tangshan, China.

School of Public Health, North China University of Science and Technology, Tangshan, China.

出版信息

J Clin Hypertens (Greenwich). 2022 Apr;24(4):430-437. doi: 10.1111/jch.14461. Epub 2022 Mar 14.

Abstract

While regular exercise exposure is considered the most effective therapy to reduce arterial stiffness, the effect of acute exercise training on arterial stiffness in adults with different blood pressure (BP) levels remains unclear. The authors aimed to investigate the effects of acute aerobic exercise on arterial stiffness in male with different BP levels. This cross-sectional study utilized data for 1200 males aged 20-49 years from the Kailuan study cohort who participated in the fifth National Fitness Monitoring project. A total of 940 participants (621 in the non-hypertensive group and 319 in the hypertensive group) aged 36.82 ± 7.76 who completed a twice-quantitative cycle ergometer exercise and measure of brachial-ankle pulse wave velocity (baPWV) at both the baseline and immediately after exercise were included in this study. The baPWV was decreased after acute aerobic exercise in the non-hypertension and hypertension groups (Δ 40.29 [95% confidence interval [CI], -47.72 to -32.86] vs. Δ20.45 [95% CI, -31.32 to -9.58] cm/s). Participants without hypertension showed a greater decrease in baPWV (Δ 19.84 [95% CI, -33.83 to -5.84] cm/s) than participants with hypertension. Aerobic exercise had an acute positive effect on arterial stiffness. This study provides evidence of a greater reduction in arterial stiffness in individuals without hypertension than in those with hypertension.

摘要

虽然经常进行运动被认为是降低动脉僵硬最有效的治疗方法,但急性运动训练对不同血压(BP)水平成年人动脉僵硬的影响仍不清楚。作者旨在研究急性有氧运动对不同血压水平男性动脉僵硬的影响。本横断面研究利用了来自开滦研究队列的 1200 名 20-49 岁男性的数据,这些男性参加了第五次全国健身监测项目。共有 940 名参与者(非高血压组 621 名,高血压组 319 名)年龄为 36.82±7.76 岁,在基线和运动后立即完成了两次定量循环测力计运动和肱踝脉搏波速度(baPWV)测量。非高血压和高血压组急性有氧运动后 baPWV 降低(Δ 40.29 [95%置信区间 [CI],-47.72 至 -32.86] vs. Δ20.45 [95% CI,-31.32 至 -9.58] cm/s)。无高血压的参与者 baPWV 降低幅度更大(Δ 19.84 [95% CI,-33.83 至 -5.84] cm/s),而高血压的参与者则较低。有氧运动对动脉僵硬有急性的积极影响。本研究为无高血压个体动脉僵硬降低幅度大于高血压个体提供了证据。

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