Physical activity and the prevention of hypertension.

Physical activity and the prevention of hypertension.
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DOI:
10.1007/s11906-013-0386-8
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发表时间:
2013-12
影响因子:
5.6
通讯作者:
Shimbo, Daichi
Shimbo, Daichi
中科院分区:
医学2区
文献类型:
--
作者:
Diaz, Keith M.;Shimbo, Daichi

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随着全球高血压患病率持续上升,高血压的一级预防已成为全球重要的公共卫生举措。体育活动通常被建议作为一种重要的生活方式改变,可能有助于预防高血压。最近的流行病学证据表明体力活动与高血压的发生之间存在一致的、时间上的和剂量依赖性的关系。介入研究的实验证据进一步证实了体力活动与高血压之间的关系,因为近年来运动对降低血压的有利作用已得到充分表征。尽管现有证据强烈支持体力活动在预防高血压中的作用,但关于体力活动对高危人群的保护作用、可能调节体力活动与高血压之间关系的因素以及预防高血压的最佳处方等许多悬而未决的问题仍然存在。我们回顾了体力活动在预防高血压中的作用的最新证据,并讨论了试图解决这些未解答问题的最新研究。
As the worldwide prevalence of hypertension continues to increase, the primary prevention of hypertension has become an important global public health initiative. Physical activity is commonly recommended as an important lifestyle modification that may aid in the prevention of hypertension. Recent epidemiologic evidence has demonstrated a consistent, temporal, and dose-dependent relationship between physical activity and the development of hypertension. Experimental evidence from interventional studies have further confirmed a relationship between physical activity and hypertension as the favorable effects of exercise on blood pressure reduction have been well characterized in recent years. Despite the available evidence strongly supporting a role for physical activity in the prevention of hypertension, many unanswered questions regarding the protective benefits of physical activity in high-risk individuals, the factors that may moderate the relationship between physical activity and hypertension, and the optimal prescription for hypertension prevention remain. We review the most recent evidence for the role of physical activity in the prevention of hypertension and discuss recent studies that have sought to address these unanswered questions.
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