中老年人规律有氧运动对臂踝脉搏波传导速度的影响  

Effects of regular aerobic exercise on brachial ankle pulse wave velocity in middle-aged and elderly people

作　　者：李红卫 沈振海 贾冰[3] 张萍 袁芳岑 陆昀 Li Hongwei;Shen Zhenhai;Jia Bing;Zhang Ping;Yuan Fangcen;Lu Yun(Department of Rehabilitation,The Affiliated Wuri People's Hospital of Nanjing Medical University,Wuri 214023,China;Department of Cardiovascular Medicine,Jiangsu Provincial People's Hospital Group Taihu Sanatorium of Jiangsu Province,Wuxi 214086,China;Departmentof Endocrine,Af filiated Hospital of Jiangsu Institute of Nuclear Medicine,Wuri 214063,China)

机构地区：[1]南京医科大学附属无锡人民医院康复医学科,214023 [2]江苏省人民医院集团江苏省太湖疗养院心内科,无锡214086 [3]江苏省原子医学研究所附属江原医院内分泌科,无锡214063

出　　处：《中华老年医学杂志》2022年第2期151-157,共7页Chinese Journal of Geriatrics

基　　金：江苏省医学重点学科(共建)项目(IDXKC2016011);无锡市科技研发资助项目(CMB41S1701)。

摘　　要：目的探讨规律有氧运动对中老年人臂踝脉搏波传导速度(baPWV)的影响。方法采用横断面研究方法,抽取2019年3月至2020年1月江苏省太湖疗养院体检者7993例,其中男性4371例,女性3622例,年龄(55.8±7.9)岁。收集受检者运动、饮酒、吸烟、体质指数、收缩压、舒张压、静息心率、空腹血糖、总胆固醇、三酰甘油、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇、尿酸、baPWV等指标水平。根据运动情况将受检者分为无运动组489例、一般运动(每周运动小于3次,每次持续时间小于30 min或每周运动累计时间小于90 min)组3222例和规律运动组(3~5次/周或超过90min/周)4282例。结果男性无运动组、一般运动组和规律运动组baPWV水平分别为(1747.37±346.07)cm/s、(1486.77±195.15)cm/s和(1449.77±219.50)cm/s,3组比较差异有统计学意义(P<0.05)。女性无运动组、一般运动组和规律运动组baPWV水平分别为(1865.05±120.19)cm/s、(1593.18±332.51)cm/s和(1227.81±150.89)cm/s,3组差异亦有统计学意义(P<0.05)。随每周运动时间的增加,男性和女性不同运动组间收缩压、舒张压、静息心率、空腹血糖、三酰甘油、尿酸水平呈逐渐降低趋势。多因素线性回归分析结果显示,运动、饮酒、收缩压、舒张压、空腹血糖是男性baPWV水平的独立危险因素(均P<0.05);运动、静息心率、收缩压、舒张压、空腹血糖是女性baPWV水平的独立危险因素(均P<0.05)。随每周运动时间的增加,无论男性和女性baPWV异常率均呈逐渐下降趋势(χ^(2)值分别为74.67、1545.54,均P<0.01)。结论规律有氧运动可改善中老年人baPWV水平,同时改善收缩压、舒张压、静息心率、空腹血糖、三酰甘油、尿酸水平,运动是中老年人群baPWV异常的独立影响因素,规律运动方式更有利于中老年人群心血管健康。Objective To investigate the effects of regular aerobic exercise on brachial anklepulse wave velocity(baPWV)in middle-aged and elderly people.MethodsThis was a cross-sectionalstudy.A total of 7993 subjects receiving health examination at the Taihu Sanatorium of JiangsuProvince were enrolled,including 4371 males and 3622 females with an average age of 55.8 years(±7.9).Information on exercise,alcohol consumption,smoking,body mass index,baPWV,bloodpressure,resting heart rate,fasting blood glucose,total cholesterol(TC),triglycerides(TG),highdensity lipoprotein cholesterol(HDI-C),low density lipoprotein cholesterol(LDL-C)and uric acid in allsubjects were collected and recorded.Based on exercise habits,subjects were divided into the noexercise group(n=489),the occasional exercise group(n=3222,exercise<3 times or<90 min perweek)and regular exercise group(n=4282,exercise 3-5 times or>90 min per week).Results For male subjects,differences in baPWV between the no exercise group(1747.37±346.07 cm/s),theoccasional exercise group(1486.77±195.15 cm/s)and the regular exercise group(1449.77±219.50cm/s)were statistically significant(P≤0.05).For female subjects,difference in baPWV between theno exercise group(1865.05±120.19)cm/s,the occasional exercise group(1593.18±332.51)cm/s andthe regular exercise group(1227.81±150.89)cm/s were also statistically significant(P<0.05).Withincreased time of exercise per week,the levels of systolic blood pressure,diastolic blood pressure,resting heart rate,fasting blood glucose,TG and uric acid in different exercise groups decreasedgradually for both men and women.Multivariate linear regression analysis showed that exercise,alcohol consumption,systolic blood pressure,diastolic blood pressure and fasting blood glucose wereindependent risk factors for baPWV in men(all P<0.05)and that exercise,systolic blood pressure,diastolic blood pressure,resting heart rate and fasting blood glucose were the independent risk factorsfor baPWV in women(all P<0.05).Trend analysis showed that with increased t

关 键 词：臂踝脉搏波传导速度 运动疗法﹔动脉粥样硬化 血压 

分 类 号：R161.7[医药卫生—公共卫生与预防医学]