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儿童心血管应激反应与一年后的静息心血管功能之间的关系。

Relationships between children's cardiovascular stress responses and resting cardiovascular functioning 1 year later.

作者信息

Malpass D, Treiber F A, Turner J R, Davis H, Thompson W, Levy M, Strong W B

机构信息

Georgia Prevention Institute, Medical College of Georgia, Augusta 30912, USA.

出版信息

Int J Psychophysiol. 1997 Feb;25(2):139-44. doi: 10.1016/s0167-8760(96)00736-2.

Abstract

Resting cardiovascular parameters were predicted from anthropometric data, resting baseline cardiovascular data, and cardiovascular responses to three laboratory stressors completed 1 year earlier. Subjects were 106 male and female children (72 Whites, 34 Blacks) aged 6-7 years at the initial evaluation. During initial testing, blood pressure, heart rate, cardiac output, and total peripheral resistance were assessed at rest and also during a forehead cold pressor task, postural change, and treadmill exercise. The same cardiovascular parameters were then assessed at rest 1 year later. After controlling for significant anthropometric measures and the pertinent previous year's resting data, systolic and diastolic responses to the cold pressor were predictive of respective follow-up resting levels. Postural change heart rate responses were predictive of follow-up resting heart rate after controlling for initial resting levels. Exercise cardiac index reactivity predicted follow-up cardiac index after controlling for earlier resting levels and adiposity. Follow-up total peripheral resistance index was predicted by earlier resting levels.

摘要

静息心血管参数是根据人体测量数据、静息基线心血管数据以及一年前完成的对三种实验室应激源的心血管反应来预测的。在初始评估时,受试者为106名6至7岁的男女儿童(72名白人,34名黑人)。在初始测试期间,在静息状态下以及在前额冷加压任务、体位改变和跑步机运动期间评估血压、心率、心输出量和总外周阻力。一年后再次在静息状态下评估相同的心血管参数。在控制了显著的人体测量指标和前一年相关的静息数据后,对冷加压的收缩压和舒张压反应可预测各自的随访静息水平。在控制了初始静息水平后,体位改变时的心率反应可预测随访静息心率。在控制了早期静息水平和肥胖程度后,运动心脏指数反应性可预测随访心脏指数。随访总外周阻力指数由早期静息水平预测。

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