Vanderbilt Translational and Clinical Cardiovascular Research Center (A.S.P., E.L.B.), Vanderbilt University School of Medicine, Nashville, TN.
Department of Epidemiology, The University of Alabama at Birmingham (E.E.D., K.P.G.).
Circ Res. 2023 Jun 9;132(12):1725-1740. doi: 10.1161/CIRCRESAHA.123.322121. Epub 2023 Jun 8.
Despite improvements in cardiovascular care in recent decades, cardiovascular disease (CVD) remains a leading cause of death worldwide. At its core, CVD is a largely preventable disease with diligent risk factor management and early detection. As highlighted in the American Heart Association's , physical activity plays a central role in CVD prevention at an individual and population level. Despite pervasive knowledge of the numerous cardiovascular and noncardiovascular health benefits of physical activity, physical activity has steadily decreased over time and unfavorable changes in physical activity occur throughout people's lives. Here, we use a lifecourse framework to examine the evidence reporting on the association of physical activity with CVD. From in utero to older adults, we review and discuss the evidence detailing how physical activity may prevent incident CVD and mitigate CVD-related morbidity and death across all life stages.
尽管近几十年来心血管保健有所改善,但心血管疾病 (CVD) 仍然是全球范围内的主要死亡原因。从根本上讲,CVD 是一种在很大程度上可以预防的疾病,通过认真管理风险因素和早期发现即可预防。正如美国心脏协会所强调的,体力活动在个体和人群层面预防 CVD 中起着核心作用。尽管人们普遍了解体力活动对心血管和非心血管健康的诸多益处,但随着时间的推移,体力活动稳步减少,人们一生中体力活动的变化也不利于健康。在这里,我们使用生命历程框架来检查报告体力活动与 CVD 之间关联的证据。从子宫内到老年人,我们回顾和讨论了详细说明体力活动如何预防 CVD 事件以及减轻所有生命阶段 CVD 相关发病率和死亡率的证据。