Saladini Francesca
Cardiology Unit, Cittadella Town Hospital, via Casa di Ricovero 40, 35013 Cittadella, Padova, Italy.
J Clin Med. 2023 Dec 27;13(1):152. doi: 10.3390/jcm13010152.
Regular exercise is one of the main non-pharmacological measures suggested by several guidelines to prevent and treat the development of hypertension and cardiovascular disease through its impact on the vascular system. Routine aerobic training exerts its beneficial effects by means of several mechanisms: decreasing the heart rate and arterial pressure as well as reducing the activation of the sympathetic system and inflammation process without ignoring the important role that it plays in the metabolic profile. Through all these actions, physical training counteracts the arterial stiffening and aging that underlie the development of future cardiovascular events. While the role of aerobic training is undoubted, the effects of resistance training or combined-training exercise on arterial distensibility are still questioned. Moreover, whether different levels of physical activity have a different impact on normotensive and hypertensive subjects is still debated.
规律运动是多项指南推荐的主要非药物措施之一,通过对血管系统的影响来预防和治疗高血压及心血管疾病的发展。常规有氧训练通过多种机制发挥其有益作用:降低心率和动脉血压,减少交感神经系统的激活和炎症过程,同时也不忽视其在代谢状况中所起的重要作用。通过所有这些作用,体育锻炼可抵消导致未来心血管事件发生的动脉僵硬和衰老。虽然有氧训练的作用是毋庸置疑的,但抗阻训练或联合训练运动对动脉可扩张性的影响仍存在疑问。此外,不同水平的身体活动对血压正常和高血压患者是否有不同影响仍存在争议。