Kelley G, Tran Z V
Department of Physical Education, Northern Illinois University, DeKalb 60115-2854, USA.
Med Sci Sports Exerc. 1995 Oct;27(10):1371-7.
Using the meta-analytic approach, the purpose of this study was to examine the effects of aerobic exercise on resting systolic (SYS) and diastolic (DIA) blood pressure in normotensive adults: The results of 35 human clinical training studies published in English-language journals between 1963 and 1992 and representing 1,076 subjects (800 exercise, 276 control) met criteria for inclusion. Across all categories and designs, statistically significant post-exercise reductions were found for both SYS and DIA blood pressure (mean +/- SD, SYS: -4.4 +/- 6.6 mm Hg, 95% CI, -6.2 to -2.6 mm Hg; DIA: -3.2 +/- 3.2 mm Hg, 95% CI, -4.0 to -2.2 mm Hg). When partitioned according to type of study: 1) (randomized controlled trials (RCT), 2) controlled trials (CT), and 3) no controls (NC), the following changes were noted: RCT, SYS: -4.5 +/- 7.2 mm Hg, 95% CI, -7.1 to -1.2 mm Hg; DIA: -3.8 +/- 2.9 mm Hg, 95% CI, -5.0 to -2.6 mm Hg; CT, SYS: -2.8 +/- 6.9 mm Hg, 95% CI, -10.0 to 4.4 mm Hg; DIA: -5.0 +/- 3.7 mm Hg, 95% CI, -8.9 to -1.1 mm Hg; NC, SYS: -4.7 +/- 6.1 mm Hg, 95% CI, -7.5 to 1.9 mm Hg; DIA: -1.7 +/- 3.0 mm Hg, 95% CI, -3.2 to -0.36 mm Hg. We concluded that aerobic exercise results in small reductions in resting SYS and DIA blood pressure among normotensive adults.
本研究采用荟萃分析方法，旨在探讨有氧运动对血压正常成年人静息收缩压（SYS）和舒张压（DIA）的影响：1963年至1992年间发表在英文期刊上的35项人体临床训练研究结果符合纳入标准，涉及1076名受试者（800名运动组，276名对照组）。在所有类别和设计中，运动后SYS和DIA血压均有统计学意义的降低（均值±标准差，SYS：-4.4±6.6 mmHg，95%可信区间，-6.2至-2.6 mmHg；DIA：-3.2±3.2 mmHg，95%可信区间，-4.0至-2.2 mmHg）。根据研究类型划分：1）随机对照试验（RCT），2）对照试验（CT），3）无对照（NC），观察到以下变化：RCT，SYS：-4.5±7.2 mmHg，95%可信区间，-7.1至-1.2 mmHg；DIA：-3.8±2.9 mmHg，95%可信区间，-5.0至-2.6 mmHg；CT，SYS：-2.8±6.9 mmHg，95%可信区间，-10.0至4.4 mmHg；DIA：-5.0±3.7 mmHg，95%可信区间，-8.9至-1.1 mmHg；NC，SYS：-4.7±6.1 mmHg，95%可信区间，-7.5至1.9 mmHg；DIA：-1.7±3.0 mmHg，95%可信区间，-3.2至-0.36 mmHg。我们得出结论，有氧运动可使血压正常成年人的静息SYS和DIA血压小幅降低。
