Time-efficient, high-resistance inspiratory muscle strength training for cardiovascular aging.

Time-efficient, high-resistance inspiratory muscle strength training for cardiovascular aging.
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DOI:
10.1016/j.exger.2021.111515
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发表时间:
2021-10-15
影响因子:
3.9
通讯作者:
Seals, Douglas R.
Seals, Douglas R.
中科院分区:
医学2区
文献类型:
--
作者:
Craighead, Daniel H.;Freeberg, Kaitlin A.;McCarty, Narissa P.;Seals, Douglas R.

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心血管疾病(CVD)仍然是发达国家和发展中国家的主要死亡原因,老龄化是CVD的主要危险因素。中年/老年人(即50岁及以上的成年人)心血管疾病风险增加的主要原因是血压升高、血管内皮功能障碍和大的弹性动脉硬化。有氧运动训练是一种有效的生活方式干预措施,可以改善心血管功能,降低随年龄增长而患心血管疾病的风险。然而,40%的中老年人符合有氧运动指南,这是因为与时间相关的障碍和其他坚持的障碍。因此,需要新的生活方式干预措施,不仅要随着年龄的增长改善简历功能,还要促进坚持。高阻力吸气肌力训练(IMST)是一种新兴的、省时(每天5分钟)的生活方式干预。早期研究表明,高抵抗力的IMST可能会促进黏附,降低血压,并有可能改善血管内皮功能。然而,还需要更多的研究来更明确地确定高抵抗力IMST是一种健康的生活方式干预措施,用于CV老化。这篇综述将总结目前关于高阻IMST随年龄增长改善心血管功能的证据,并将确定关键的研究差距和未来方向。
Cardiovascular diseases (CVD) remain the leading cause of death in developed and developing societies and aging is the primary risk factor for CVD. Much of the increased risk of CVD in midlife/older adults (i.e., adults aged 50 years and older) is due to increases in blood pressure, vascular endothelial dysfunction and stiffening of the large elastic arteries. Aerobic exercise training is an effective lifestyle intervention to improve CV function and decrease CVD risk with aging. However, <40% of midlife/older adults meet guidelines for aerobic exercise, due to time availability-related barriers and other obstacles to adherence. Therefore, there is a need for new lifestyle interventions that not only improve CV function with aging but also promote adherence. High-resistance inspiratory muscle strength training (IMST) is an emerging, time-efficient (5 minutes/day) lifestyle intervention. Early research suggests high-resistance IMST may promote adherence, lower blood pressure and potentially improve vascular endothelial function. However, additional investigation will be required to more definitively establish high-resistance IMST as a healthy lifestyle intervention for CV aging. This review will summarize the current evidence on high-resistance IMST for improving CV function with aging and will identify key research gaps and future directions.
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