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肥胖老年韩国女性的身体活动与心血管风险:对肥胖、高血压和动脉僵硬度的影响。

Physical activity and cardiovascular risk in obese older Korean women: effects on obesity, hypertension, and arterial stiffness.

作者信息

Son Woo-Hyeon, Kwak Yi-Sub, Ha Min-Seong

机构信息

Design Institute, Inje University, Gimhae, Republic of Korea.

Department of Physical Education, Dong-Eui University, Busan, Republic of Korea.

出版信息

Front Public Health. 2025 Jun 11;13:1580825. doi: 10.3389/fpubh.2025.1580825. eCollection 2025.

Abstract

BACKGROUND

With the global aging population, the increasing prevalence of chronic diseases has emerged as a critical public health issue. Obesity, in particular, is a major risk factor for cardiovascular diseases (CVD), such as hypertension and arterial stiffness (AS). Regular physical activity (PA) may help mitigate these risks. This study aimed to investigate the effects of PA levels on body composition, blood pressure (BP), and AS in Korean obese older women.

METHODS

A total of 313 obese older women were enrolled and classified into an inactive group (ING,  = 160) and an active group (AG,  = 153) based on their levels of PA. Body composition was assessed using bioelectrical impedance analysis, BP measured with an automated sphygmomanometer, and AS was evaluated by measuring carotid-femoral pulse wave velocity (cfPWV). Differences between the groups were analyzed using independent sample -tests, and correlation analyses were conducted to examine relationships among key variables.

RESULTS

The active group exhibited significantly lower body fat percentage, systolic blood pressure (SBP), and cfPWV (all  < 0.001) compared to the inactive group, while skeletal muscle mass was significantly higher ( < 0.05). Furthermore, significant positive correlations were observed between body fat percentage and SBP, as well as between SBP and AS.

CONCLUSION

These findings demonstrate that regular PA is associated with improved body composition and reductions in both BP and AS in obese older women. The results underscore the importance of promoting PA as a preventive strategy against CVD in the aging population. Further research is warranted to explore the effects of various intensities and types of PA on vascular health and metabolic function.

摘要

背景

随着全球人口老龄化,慢性病患病率的上升已成为一个关键的公共卫生问题。特别是肥胖,是心血管疾病(如高血压和动脉僵硬度(AS))的主要危险因素。规律的体育活动(PA)可能有助于降低这些风险。本研究旨在调查PA水平对韩国肥胖老年女性身体成分、血压(BP)和AS的影响。

方法

共纳入313名肥胖老年女性,根据她们的PA水平分为不活动组(ING,n = 160)和活动组(AG,n = 153)。使用生物电阻抗分析评估身体成分,用自动血压计测量BP,通过测量颈股脉搏波速度(cfPWV)评估AS。使用独立样本t检验分析两组之间的差异,并进行相关分析以检查关键变量之间的关系。

结果

与不活动组相比,活动组的体脂百分比、收缩压(SBP)和cfPWV均显著降低(均P < 0.001),而骨骼肌质量显著更高(P < 0.05)。此外,体脂百分比与SBP之间以及SBP与AS之间均观察到显著的正相关。

结论

这些发现表明,规律的PA与肥胖老年女性身体成分的改善以及BP和AS的降低有关。结果强调了促进PA作为老年人群预防心血管疾病策略的重要性。有必要进一步研究探索不同强度和类型的PA对血管健康和代谢功能的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0cb/12187796/46df727ab9d9/fpubh-13-1580825-g001.jpg

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