1065例中老年体检人群运动状况及其对PWV和ABI的影响  

A Survey on Physical Exercise and Its Impact on the Levels of PWV and ABI in 1 065 Middle Aged and Elderly People

作　　者：骆小红[1] 吴丽娜[2] 燕虹[2] 李冰[1] 

机构地区：[1]武汉大学中南医院体检中心,湖北武汉430071 [2]武汉大学公共卫生学院流行病学与卫生统计学系,湖北武汉430071

出　　处：《武汉大学学报（医学版）》2013年第4期573-576,625,共5页Medical Journal of Wuhan University

摘　　要：目的:了解武汉市部分中老年人的运动情况,并探讨运动对动脉硬化早期检测指标脉搏波传导速度(PWV)与踝臂指数(ABI)的影响。方法:选择到武汉大学中南医院体检中心进行体检的中老年人为研究对象,问卷调查其运动状况,并检测其PWV和ABI水平及和动脉硬化疾病相关的其他生理生化指标。描述人群的运动状况,并分析运动对动脉硬化早期检测指标的影响。结果:1065例45岁及以上的中老年人中,8.2%报告坚持运动。该人群所有研究对象PWV和ABI异常检出率分别为45.1%和1.8%,其中报告不运动的人群的PWV和ABI异常检出率分别为46.9%和1.7%,运动人群的为24.1%和1.1%。运动人群的PWV异常检出率比不运动的人群低(P<0.001),运动人群左侧ABI的平均检测水平低于不运动人群。结论:运动可影响中老年人群PWV和ABI水平,应提倡并鼓励中老年人多参加运动。Objective： To survey on the exercise situation of middle aged and elderly people in Wuhan and explore the impact of exercise on two early detection indicators of atherosclerosis, pulse wave velocity （PWV） and ankle brachial index （ABI）. Methods： A questionnaire on exercise status was conducted to 1 056 middle aged and elderly people who went to our hospital for physical ex- amination, and PWV and ABI as well as some other arteriosclerosis-related biochemical indicators were recorded. Results： Of the 1 065 participants older than 45 years old, only 8.2% kept regular physical exercise. The abnormal detection rates of PWV and ABI were 45. 1% and 1.8% in all participants. The abnormal detection rates of PWV and ABI were 4：6.9% and 1.7% among the people who didn＇t exercise; meanwhile, these rates were 24. 1% and 1. 1% among the people who always exercise. The abnormal detection rate of PWV among the people who always exercise was higher than the people who didn＇t exercise （P〈0. 001）, and the average level of left ABI a- mong the people who always exercise was lower than the people who didn＇t. Conclusion： Exercise can affect the level of PWV and ABI in the middle aged and elderly people, so the population should be encouraged to take part in more exercise.

关 键 词：运动 体检 动脉硬化 中老年人 

分 类 号：R163[医药卫生—公共卫生与预防医学]