自行车和交叉训练器对高血压患者心率压积的影响比较:一项横断面研究

Sweety Shah, Pankti Gajera
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摘要

简介心率压力乘积是心脏功能的重要标志。它是心率和收缩压的乘积。它在了解运动与心血管系统之间的关系,尤其是高血压患者的运动与心血管系统之间的关系方面起着至关重要的作用。高血压是冠心病、中风、充血性心力衰竭、肾功能衰竭和外周血管疾病的主要危险因素。本研究旨在确定骑自行车和交叉训练器对高血压患者心率压力乘积的影响:横断面研究包括 30 名年龄在 25-65 岁之间的高血压患者。患者在运动前接受生命体征监测。每位患者隔天在交叉训练器和自行车上各锻炼 15 分钟,以避免相互叠加影响。计算并比较交叉训练器和自行车运动的速率压力乘积:通过 SPSS 20 得出结果。患者的平均年龄为 45.9+10.2 岁。使用独立 t 检验(t=-2.534)对骑自行车和交叉训练器进行比较。骑自行车和交叉训练器患者的 RPP 有明显差异。交叉训练器的 RPP(平均值=19.09)高于骑自行车的 RPP(平均值=18.14),差异显著(P<0.05):本研究得出结论,交叉训练器运动时的速率压力积大于骑自行车运动时的速率压力积。这表明,交叉训练器运动时心肌耗氧量更大,因为它涉及上肢和下肢。因此,交叉训练器和自行车运动可有效用于高血压患者的运动处方和预防心血管风险,但自行车运动更有效,因为与交叉训练器相比,两者的平均差异较小:静态骑行、速率压力乘积、交叉训练器、高血压
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Comparison of Cycling and Cross Trainer on Rate Pressure Product in Hypertensive Patients: A Cross-Sectional Study
Introduction: The Rate pressure product is the valuable marker of cardiac function. It is the product of heart rate and systolic blood pressure. It plays a pivotal role in understanding the relationship between exercise and the cardiovascular system, particularly in hypertensive individuals. Hypertension is a primary risk factor for coronary heart disease, stroke, congestive heart failure, renal failure and peripheral vascular disease. The aim of the study is to determine the effect of cycling and cross trainer on rate pressure product in hypertensive patients. Methodology: A cross-sectional study includes 30 hypertensive patients with age group of 25-65 years and those who have any recent surgery or any neurological or psychological issues are excluded. Patients vitals were monitored pre exercise. Every patient does exercise on both cross trainer and cycling for 15 min each on alternate day to avoid superimpose effect of each other. Rate pressure product was calculated and compared between cross trainer and cycling exercise. Result: Result has been obtained from SPSS 20. Mean age of patients is 45.9+10.2. Comparison between cycling and cross trainer found using independent t-test (t=-2.534). There was significant difference of RPP between patients performing cycling and cross trainer. RPP of cross trainer (mean=19.09) is more than RPP of cycling (mean=18.14) having significant difference p<0.05. Conclusion: This study concluded that there is greater rate pressure product during cross trainer exercise than in cycling. This shows that more myocardial oxygen consumption is greater in cross trainer as it involves both upper and lower extremity. So, cross trainer and cycling can be used effectively for exercise prescription and preventing cardiovascular risk in hypertensive patients, but the cycling was more effective as the mean difference was low compared to cross trainer. Keywords: Static cycling, rate pressure product, cross trainer, hypertension
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