Effects of walking on coronary heart disease in elderly men - The Honolulu Heart Program
Effects of walking on coronary heart disease in elderly men - The Honolulu Heart Program
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DOI：
10.1161/01.cir.100.1.9
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发表时间：
1999-07-06
期刊：
影响因子：
37.8
通讯作者：
Abbott, RD
中科院分区：
文献类型：
--
作者：
Hakim, AA;Curb, JD;Abbott, RD
背景：老年人中步行对冠心病发病率和死亡率的影响尚未确定。本研究的目的是确定步行是否与老年男性样本中冠心病风险降低相关。方法和结果-对于本研究，步行距离（英里/天）进行了检查，发生在1991年至1993年在檀香山心脏计划的基线检查。对2678例71 ~ 93岁的老年男性进行了2 ~ 4年的随访。在随访过程中，109名男性患上了冠心病。每天步行1.5英里的男性（5.1%对2.5%; P < 0.01）。每天步行0.25 - 1.5英里的男性患冠心病的风险也明显高于步行距离较长的男性（4.5%对2.5%; P < 0.05）。对年龄和其他危险因素的调整未能改变这些发现。结论-来自檀香山心脏项目的发现，该项目针对身体有能力的老年男性，表明冠心病的风险随着步行距离的增加而降低，结合证据表明积极的生活方式可以降低年轻和更多样化群体的心血管疾病风险，这显示鼓励长者步行对健康有重要的好处。
Background-Effects of walking on the risk of coronary heart disease morbidity and mortality have not been identified in the elderly. The purpose of this study was to determine whether walking is associated with a reduced risk of coronary heart disease in a sample of elderly men.Methods and Results-For this study, distance walked (mile/d) was examined at a baseline examination that occurred from 1991 to 1993 in the Honolulu Heart Program. Incident coronary heart disease from all causes was observed over a 2-to 4-year follow-up period, Subjects followed up were 2678 physically capable elderly men aged 71 to 93 years. During the course of follow-up, 109 men developed coronary heart disease. Men who walked 1.5 mile/d (5.1% versus 2.5%; P < 0.01). Men who walked 0.25 to 1.5 mile/d were also at a significantly higher risk of coronary heart disease than men who walked longer distances (4.5% versus 2.5%; P < 0.05). Adjustment for age and other risk factors failed to alter these findings.Conclusions-Findings from the Honolulu Heart Program, which targeted physically capable elderly men, suggest that the risk of coronary heart disease is reduced with increases in distance walked, Combined with evidence that suggests that an active lifestyle reduces the risk of cardiovascular disease in younger and more diverse groups, this suggests that important health benefits could be derived by encouraging the elderly to walk.