Santos Beatriz, Monteiro Diogo, Silva Fernanda M, Flores Gonçalo, Bento Teresa, Duarte-Mendes Pedro
ESECS-Polytechnic of Leiria, 2411-901 Leiria, Portugal.
Research Center in Sport, Health and Human Development (CIDESD), 5001-801 Vila Real, Portugal.
Healthcare (Basel). 2024 Sep 16;12(18):1866. doi: 10.3390/healthcare12181866.
This systematic review analysed the association between objectively measured physical activity and sedentary behaviour with cardiovascular risk and HRQoL in adults without previous CVD. Additionally, we analysed the impact of the intensity of the physical activity in this association.
The search was carried out in three electronic databases with access until February 2023 to find studies with an observational design. For quality assessment, we used The National Institute of Health (NIH) Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies.
We identified 5819 references, but only five studies were included. One study shows a positive association between physical activity and HRQoL, while sedentary behaviour was negatively related to HRQoL. Another study showed an association between high-intensity physical activity with a better physical component of HRQoL and low-intensity physical activity with a better mental component of HRQoL. Three studies concluded that higher levels of physical activity are associated with lower levels of cardiovascular risk and higher levels of sedentary behaviour are associated with higher levels of cardiovascular risk.
Our findings suggested that people who spend more time being active and spend less time being sedentary appear to have lower cardiovascular risk and higher HRQoL.
本系统评价分析了在无既往心血管疾病的成年人中,客观测量的身体活动和久坐行为与心血管风险及健康相关生活质量(HRQoL)之间的关联。此外,我们还分析了身体活动强度在这种关联中的影响。
在三个电子数据库中进行检索,检索截至2023年2月,以查找具有观察性设计的研究。对于质量评估,我们使用了美国国立卫生研究院(NIH)观察性队列和横断面研究质量评估工具。
我们识别出5819篇参考文献,但仅纳入了五项研究。一项研究表明身体活动与HRQoL呈正相关,而久坐行为与HRQoL呈负相关。另一项研究显示高强度身体活动与HRQoL更好的身体维度相关,低强度身体活动与HRQoL更好的心理维度相关。三项研究得出结论,较高水平的身体活动与较低水平的心血管风险相关,较高水平的久坐行为与较高水平的心血管风险相关。
我们的研究结果表明,花更多时间进行活动且花更少时间久坐的人似乎心血管风险更低,HRQoL更高。