“健步行”运动对社区老年男性高血压人群健康促进效果的研究  

Effect of “brisk walking” on male elderly with hypertension in community-based health centers

作　　者：董恩宏[1] 徐明[2] 郭丽君[1] 卜佳[1] 鲍勇[3] DONG En-hong;XU Ming;GUO Li-jun;BU Jia;BAO Yong(School of Health Information Technology and Management, Shanghai University of Medicine & Health Sciences, Shanghai 201318, China;Department of Medical Rehabilitation, Nanmatou Community Health Service Center in Pudong New Area, Shanghai 200125, China;School of Public Health, Shanghai Jiao Tong University, Shanghai 200025, China)

机构地区：[1]上海健康医学院健康信息技术与管理学院,上海201318 [2]上海市浦东新区南码头社区卫生服务中心医疗康复部,上海200125 [3]上海交通大学公共卫生学院,上海200025

出　　处：《上海交通大学学报（医学版）》2017年第2期230-233,共4页Journal of Shanghai Jiao tong University:Medical Science

基　　金：上海市浦东新区卫生和计划生育委员会科技项目(T140416110453093);上海市卫生和计划生育委员会第四轮公共卫生三年行动计划重点学科建设计划(沪卫计科教[2016]3号);上海市卫生和计划生育委员会科研课题(20144Y0117);上海健康医学院协同创新重点专项(HMC1-16-11-001);2016年中等职业学校内涵发展专项建设项目(FA1-3903-16-116050)~~

摘　　要：目的·分析"健步行"运动处方对上海社区老年男性高血压人群的血压、体质量指数(BMI)、自主神经活动等的干预效果。方法·在上海浦东新区社区医院630名自愿参与"健步行"运动(>10 000步/d)的老年男性中,选取坚持完成12周训练者210名,根据是否患有高血压分为高血压干预组(干预组,n=110)和正常干预对照组(对照组1,n=100)。再选取200名高血压老年男性患者,进行常规治疗,不进行运动干预(对照组2)。比较各组训练前后血压、BMI、心率和自主神经活动的变化。结果·干预组经12周训练后收缩压(SBP)、舒张压(DBP)和交感神经活动较训练前均显著降低(均P<0.05),SBP显著低于对照组2(P<0.05),而心率、BMI、副交感神经活动和压力感受器反射敏感性训练前后差异均无统计学意义(均P>0.05)。结论·对高血压老年男性患者实施12周的"健步行"运动处方,可以降低血压和交感神经活动,值得在社区中普及推广。To explore the effects of “brisk walking” on blood pressure, body mass index (BMI), and autonomic nerve activity of male elderly with hypertension in community-based health centers in Shanghai. Methods · A total of 630 elderly men received “brisk walking” treatment (>10 000 steps/d) voluntarily, who were selected from six community-based health centers in Pudong New Area of Shanghai. Among them, 210 people stick to trainingfor 12 weeks. According to whether suffering from hypertension, the people were assigned to hypertension intervened group (intervention group, n=110)and normal intervened group (control group 1, n=100). Blood pressure, BMI, heart rate and autonomic nerve activity before and after the training were compared. Results · After 12 weeks of training, systolic blood pressure (SBP), diastolic blood pressure (DBP) and sympathetic nerve activity ofintervention group were significantly lower than those before the training (P<0.05). SBP was also significantly lower than control group 2 (P<0.05).However, heart rate, BMI, parasympathetic nerve activity and baroreceptor reflex sensitivity did not change significantly after the training (P>0.05).Conclusion · “Brisk walking” treatment lasting for 12 weeks can decrease blood pressure and sympathetic nerve activity in elderly men with hypertension.It is worthy to be popularized in the community.

关 键 词：健步行 社区 老年男性 原发性高血压 自主神经活动 

分 类 号：R544.1[医药卫生—心血管疾病]