运动对青少年高血压引起的心脏肥大的有益影响

IF 3.9 2区 医学 Q1 PERIPHERAL VASCULAR DISEASE Current Hypertension Reports Pub Date : 2024-11-01 Epub Date: 2024-06-18 DOI:10.1007/s11906-024-01313-4
Takeshi Tsuda, Bradley W Robinson
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引用次数: 0

摘要

综述的目的:众所周知,高血压诱发的心肌肥厚是导致心血管疾病发病率和死亡率上升的主要风险因素。虽然运动已被证实对高血压和高血压诱发的心脏肥大有整体的有益影响,但提供者对剧烈运动诱发的潜在不良影响仍有一些担忧,尤其是对高血压运动员。我们将概述生理性和病理性肥厚的基本机制,并阐述运动对患有高血压和由此导致肥厚的年轻人的有益影响:多项研究表明,运动训练(包括耐力训练和阻力训练)可降低高血压患者的血压并改善肥厚,但高血压运动员在参加竞技运动时需要注意一些事项:在允许他们参加高强度运动之前,应先控制血压升高。为促进心血管健康,建议进行非剧烈运动和休闲运动。运动诱导的心脏适应是一种良性和有利的反应,可逆转或减轻持续高血压诱导的病理性心血管重塑。运动是治疗高血压最有效的非药物疗法。在允许青少年和年轻成年人参加体育运动时,医疗服务提供者应认识到休闲运动和竞技运动之间的区别。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Beneficial Effects of Exercise on Hypertension-Induced Cardiac Hypertrophy in Adolescents and Young Adults.

Purpose of review: Hypertension-induced cardiac hypertrophy is widely known as a major risk factor for increased cardiovascular morbidity and mortality. Although exercise is proven to exert overall beneficial effects on hypertension and hypertension-induced cardiac hypertrophy, there are some concerns among providers about potential adverse effects induced by intense exercise, especially in hypertensive athletes. We will overview the underlying mechanisms of physiological and pathological hypertrophy and delineate the beneficial effects of exercise in young people with hypertension and consequent hypertrophy.

Recent findings: Multiple studies have demonstrated that exercise training, both endurance and resistance types, reduces blood pressure and ameliorates hypertrophy in hypertensives, but certain precautions are required for hypertensive athletes when allowing competitive sports: Elevated blood pressure should be controlled before allowing them to participate in high-intensity exercise. Non-vigorous and recreational exercise are always recommended to promote cardiovascular health. Exercise-induced cardiac adaptation is a benign and favorable response that reverses or attenuates pathological cardiovascular remodeling induced by persistent hypertension. Exercise is the most effective nonpharmacological treatment for hypertensive individuals. Distinction between recreational-level exercise and competitive sports should be recognized by medical providers when allowing sports participation for adolescents and young adults.

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来源期刊
Current Hypertension Reports
Current Hypertension Reports 医学-外周血管病
CiteScore
10.50
自引率
0.00%
发文量
65
审稿时长
6-12 weeks
期刊介绍: This journal intends to provide clear, insightful, balanced contributions by international experts that review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of hypertension. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as antihypertensive therapies, associated metabolic disorders, and therapeutic trials. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.
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