积极运动的生活方式可减轻高血压老年人肺功能和肺力学的损伤

IF 1.8 Q3 RESPIRATORY SYSTEM Advances in respiratory medicine Pub Date : 2024-07-22 DOI:10.3390/arm92040027
Maysa Alves Rodrigues Brandao-Rangel, Boris Brill, Edilson de Souza Carvalho, Dobroslav Melamed, Renilson Moraes-Ferreira, Anamei Silva-Reis, Patricia Sardinha Leonardo, Claudio Ricardo Frison, Kátia De Angelis, Rodolfo P Vieira
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引用次数: 0

摘要

目的:体育锻炼可减轻老年人的高血压,但其对高血压老年人肺功能和力学的影响尚不清楚。本研究试图通过比较高血压老年人活动组和久坐组的数据,了解体育锻炼的生活方式是否能提高这些人的呼吸能力和肺部机械效率,进而提高他们的生活质量:这是一项横断面研究。我们对 731 名老年人进行了评估,初步分为两组:高血压老年人(HE;n = 445)和非高血压老年人(NHE;n = 286)。在二次分析中,我们使用国际体力活动调查问卷将高血压和非高血压老年人分为四组:非体力活动性高血压(PIH;n = 182)、活动性高血压(AH;n = 110)、非体力活动性非高血压(PINH;n = 104)和活动性非高血压(ANH;n = 65)。肺功能通过肺活量测定法进行测量,肺力学通过脉冲振荡测定法进行评估:结果:与非高血压老年人相比,高血压老年人的肺功能有所下降,而缺乏运动更加剧了肺功能的下降。在肺力学方面,高血压老年人整个呼吸系统(R5 Hz)、中央气道(R20 Hz)和外周气道(R5-20 Hz)的阻力较大,这可能会引发支气管收缩:结论:高血压与老年人肺功能和力学受损有关,而积极的体育生活方式可减轻这些功能障碍。
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Physically Active Lifestyle Attenuates Impairments on Lung Function and Mechanics in Hypertensive Older Adults.

Aim: Physical activity attenuates hypertension in older adults, but its impact on pulmonary function and mechanics in hypertensive older adults is unknown. The study seeks to understand whether a physically active lifestyle can improve respiratory capacity, the mechanical efficiency of the lungs, and, consequently, the quality of life of these individuals, comparing data between groups of active and sedentary hypertensive older adults.

Methods: This is a cross-sectional study. We evaluated 731 older adults, stratified into two initial groups: hypertensive older adults (HE; n = 445) and non-hypertensive older adults (NHE; n = 286). For a secondary analysis, we used the International Physical Activity Questionnaire to sub-stratify HE and NHE into four groups: physically inactive hypertensive (PIH; n = 182), active hypertensive (AH; n = 110), physically inactive non-hypertensive (PINH; n = 104), and active non-hypertensive (ANH; n = 65). Lung function was measured by spirometry, and lung mechanics were assessed by impulse oscillometry.

Results: Hypertensive older adults presented reduced lung function compared to non-hypertensive older adults, and physical inactivity accentuated this decline. Regarding pulmonary mechanics, hypertensive older adults had higher resistance of the entire respiratory system (R5 Hz), the central airways (R20 Hz), and peripheral airways (R5-20 Hz), which may trigger bronchoconstriction.

Conclusions: Hypertension is associated with impaired lung function and mechanics in older adults, and a physically active lifestyle attenuates these dysfunctions.

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来源期刊
Advances in respiratory medicine
Advances in respiratory medicine RESPIRATORY SYSTEM-
CiteScore
2.60
自引率
0.00%
发文量
90
期刊介绍: "Advances in Respiratory Medicine" is a new international title for "Pneumonologia i Alergologia Polska", edited bimonthly and addressed to respiratory professionals. The Journal contains peer-reviewed original research papers, short communications, case-reports, recommendations of the Polish Respiratory Society concerning the diagnosis and treatment of lung diseases, editorials, postgraduate education articles, letters and book reviews in the field of pneumonology, allergology, oncology, immunology and infectious diseases. "Advances in Respiratory Medicine" is an open access, official journal of Polish Society of Lung Diseases, Polish Society of Allergology and National Research Institute of Tuberculosis and Lung Diseases.
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