A long-term, comprehensive exercise program that incorporates a variety of physical activities improved the blood pressure, lipid and glucose metabolism, arterial stiffness, and balance of middle-aged and elderly Japanese

A long-term, comprehensive exercise program that incorporates a variety of physical activities improved the blood pressure, lipid and glucose metabolism, arterial stiffness, and balance of middle-aged and elderly Japanese
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DOI:
10.1038/hr.2011.81
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发表时间:
2011-09-01
影响因子:
5.4
通讯作者:
Kawasaki, Junya
Kawasaki, Junya
中科院分区:
医学2区
文献类型:
--
作者:
Kawasaki, Terukazu;Sullivan, Corbet V.;Kawasaki, Junya

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对11名男性(57-73岁)和24名女性(51-68岁)进行了为期6个月,每周两次的运动计划,重点是游泳。对照组包括11名男性(59-70岁)和11名女性(53-70岁)志愿者。运动方案显著改善收缩压和舒张压(SBP/DBP)以及脂质和葡萄糖代谢,而对照组无变化。肱踝脉搏波速度(baPWV),作为全身动脉僵硬度的指标,在每次运动前后使用体积描记仪进行医学检查。运动后肢体收缩压和舒张压明显下降,而对照组无明显变化。运动组的平均baPWV显著降低,从1661 +/- 50 cm/sec降至1581 +/- 40 cm/sec。在对照组中未观察到变化。利用测力板分析了平衡中心的摆动轨迹。分别在睁眼和闭眼状态下测量姿势摆动长度、每秒姿势摆动长度和姿势摆动面积,并计算矩形面积。还计算了睁眼/闭眼比率(Romberg征)。6个月后,运动组的所有身体摇摆参数均显著降低,而对照组无变化。两组的Romberg征均未发生变化。除了促进更好的健康,如临床数据所示,这种类型的运动计划改善平衡功能,这可能有助于防止老年人的福尔斯。高血压研究(2011)34,1059-1066; doi:10.1038/hr.2011.81;在线发表2011年7月14日
A 6-month, twice-a-week exercise program emphasizing swimming was conducted for 11 men (57-73 years) and 24 women (51-68 years). The control group comprised 11 male (59-70 years) and 11 female (53-70) volunteers. The exercise program significantly improved the systolic and diastolic blood pressure (SBP/DBP) and lipid and glucose metabolism, with no change in the controls. Brachial-ankle pulse wave velocity (baPWV), as an index of systemic arterial stiffness, was measured during medical examinations before and after each exercise session using a volume-plethysmographic apparatus. SBP and DBP of the extremities were significantly decreased after exercise, but did not change in the controls. Average baPWV decreased significantly in the exercise group, from 1661 +/- 50 to 1581 +/- 40 cm per sec. No change was seen in the controls. The sway path of the center of balance was analyzed using a force plate. The length of postural sway, the length of postural sway per sec and the area of postural sway were measured with eyes open and eyes closed, and the rectangular area was calculated. The eyes open/eyes closed ratio (Romberg sign) was also calculated. All parameters of body sway were significantly lower after 6 months in the exercise group, with no change in the controls. The Romberg sign did not change for either group. In addition to promoting better health, as shown by the clinical data, this type of exercise program improves balance function, which could help prevent falls of the elderly. Hypertension Research (2011) 34, 1059-1066; doi: 10.1038/hr.2011.81; published online 14 July 2011