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儿童暴露于高温环境与心脏疾病:灾难性的后果?

Children With Cardiac Disease and Heat Exposure: Catastrophic Converging Consequences?

机构信息

PhyMedExp, Inserm U 1046, CNRS, University of Montpellier, Montpellier,France.

Department of Pediatric and Congenital Cardiology, M3C Regional Reference Centre, University Hospital, Montpellier,France.

出版信息

Pediatr Exerc Sci. 2024 Jan 3;36(3):118-122. doi: 10.1123/pes.2023-0086. Print 2024 Aug 1.

Abstract

UNLABELLED

The detrimental impact of extreme heat exposure on the health and well-being of children is widely acknowledged. The direct and indirect effects of climate change have led to an increased risk of certain cardiovascular events which may be particularly harmful to children who are born with, or develop, heart disease.

PURPOSE

To highlight the worrying paucity of investigative research aimed at differentiating how higher ambient temperatures further tax an already compromised cardiovascular system in children.

METHODS

This commentary describes basic thermoregulatory concepts relevant to the healthy pediatric population and summarizes common heart diseases observed in this population.

RESULTS

We describe how heat stress and exercise are important factors clinicians should more readily consider when treating children with heart disease. Countermeasures to physical inactivity are suggested for children, parents, clinicians, and policymakers to consider.

CONCLUSIONS

As sudden, excessive heat exposures continue to impact our rapidly warming world, vulnerable populations like children with underlying heart conditions are at greater heat health risk, especially when coupled with the negative physical activity and fitness trends observed worldwide.

摘要

目的:强调目前调查研究的明显不足,这些研究旨在区分高温环境如何进一步加重儿童本已受损的心血管系统的负担。

方法:本述评描述了与健康儿科人群相关的基本体温调节概念,并总结了在该人群中观察到的常见心脏病。

结果:我们描述了热应激和运动是临床医生在治疗心脏病儿童时应更充分考虑的重要因素。我们还为儿童、家长、临床医生和政策制定者提出了针对体力活动不足的对策建议。

结论:随着突然的、过度的热暴露继续影响我们这个迅速变暖的世界,儿童等脆弱人群(特别是那些患有潜在心脏病的儿童)面临更大的热健康风险,尤其是在全球范围内观察到的负面体力活动和健康趋势的情况下。

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