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肥胖对年轻人心血管健康的影响。

The Impact of Obesity on Cardiovascular Fitness in Young Individuals.

作者信息

Radke Prajakta, Bargal Sheela, Sonawane Swati

机构信息

Department of Physiology, Dr. D.Y. Patil University, School of Medicine, Navi Mumbai, IND.

Department of Forensic Medicine and Toxicology, Dr. D.Y. Patil University, School of Medicine, Navi Mumbai, IND.

出版信息

Cureus. 2022 Sep 11;14(9):e29060. doi: 10.7759/cureus.29060. eCollection 2022 Sep.

Abstract

Background Young individuals are often at a higher risk for cardiovascular disease and obesity due to lifestyle changes like less physical activity and a sedentary lifestyle. Objective The aim of this study is to determine cardiovascular fitness in young individuals and to study the effects of obesity on their cardiovascular fitness. Material and methods In this study, 100 young individuals, out of which 50 were individuals with obesity and 50 were controls, including males and females, of the age group 18-25 years were included. Cardiovascular fitness was assessed in them using body mass index (BMI) and waist-to-hip ratio (WHR). Parameters like SBP (systolic blood pressure), DBP (diastolic blood pressure), PR (pulse rate), and HFI (Harvard fitness index) were measured. Results There was no difference found in the PR of the group with obesity compared to the control group (79.020/min ± 8.651 versus 79.42/min ± 6.737; p value = 0.797). However, a significant increase was observed in both SBP and DBP amongst the group with obesity compared to the control group (SBP = 122.72 mmHg ± 12.287 versus 110.92 mmHg ± 11.803; p-value < 0.001, DBP = 81.96 mmHg ± 7.913 versus 73.24 mmHg ± 11.06; p-value < 0.001). There was a significant reduction in HFI in the group with obesity than in the control group (57.44% ± 9.322 versus 80.34% ± 12.594; p-value < 0.001). When we compared males with obesity and females with obesity, we observed a non-significant difference in PR between males with obesity and females with obesity (77.12/min ± 6.02 versus 80.92/min ± 10.44; p-value = 0.122). However, we found a significant increase in SBP in males with obesity compared to females with obesity (127.76 mmHg ± 10.93 versus 117.68 mmHg ± 11.66; p-value < 0.01). A significant decrease in DBP in males with obesity (78.80 mmHg ± 7.55 versus 85.12 mmHg ± 7.07; < 0.01) than in females with obesity was also observed. Along with a non-significant increase in HFI value in males with obesity compared to females with obesity (58.96% ± 8.14 versus 55.92% ± 10.31; p-value = 0.253). Conclusion Results suggest that both male and female young individuals with obesity are at higher risk for developing cardiovascular comorbidities in the future. So, we need to focus on encouraging activities that promote physical fitness.

摘要

背景 由于身体活动减少和久坐不动的生活方式等生活方式的改变,年轻人患心血管疾病和肥胖症的风险通常更高。目的 本研究的目的是确定年轻人的心血管健康状况,并研究肥胖对其心血管健康的影响。材料和方法 在本研究中,纳入了100名年轻人,其中50名是肥胖个体,50名是对照组,包括18至25岁年龄组的男性和女性。使用体重指数(BMI)和腰臀比(WHR)对他们的心血管健康状况进行评估。测量收缩压(SBP)、舒张压(DBP)、脉搏率(PR)和哈佛健康指数(HFI)等参数。结果 与对照组相比,肥胖组的PR没有差异(79.02次/分钟±8.651对79.42次/分钟±6.737;p值=0.797)。然而,与对照组相比,肥胖组的SBP和DBP均显著升高(SBP = 122.72 mmHg±12.287对110.92 mmHg±11.803;p值<0.001,DBP = 81.96 mmHg±7.913对73.24 mmHg±11.06;p值<0.001)。肥胖组的HFI显著低于对照组(57.44%±9.322对80.34%±12.594;p值<0.001)。当我们比较肥胖男性和肥胖女性时,我们观察到肥胖男性和肥胖女性之间的PR没有显著差异(77.12次/分钟±6.02对80.92次/分钟±10.44;p值=0.122)。然而,我们发现肥胖男性的SBP显著高于肥胖女性(127.76 mmHg±10.93对117.68 mmHg±11.66;p值<0.01)。还观察到肥胖男性的DBP显著低于肥胖女性(78.80 mmHg±7.55对85.12 mmHg±7.07;<0.01)。与肥胖女性相比,肥胖男性的HFI值虽有非显著升高(58.96%±8.14对55.92%±10.31;p值=0.253)。结论 结果表明,肥胖的年轻男性和女性未来患心血管合并症的风险更高。因此,我们需要专注于鼓励促进身体健康的活动。

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