| 196 | 0 | 80 |
| 下载次数 | 被引频次 | 阅读次数 |
<正>在慢性非传染性疾病中,高血压作为一种典型代表,其主要病理生理特征在于动脉系统血压的持续性升高。根据《中国高血压防治指南(2018年修订版)》的诊断标准,在未接受降压药物治疗的前提下,若连续3次在不同日期测量的诊室收缩压不低于140 mmHg, 和(或)舒张压不低于90 mmHg, 即可确诊为高血压[1]。据调查显示,我国60岁及以上人群高血压患病率高达58.3%,且患病率随年龄增长而增加,70岁以上人群患病率超过70%[2]。
Abstract:1 中国高血压防治指南修订委员会,高血压联盟(中国),中华医学会心血管病学分会,等.中国高血压防治指南(2018年修订版)[J].中国心血管杂志,2019;24(1):24-56.
2 Wang Z,Chen Z,Zhang L,et al.Status of hypertension in China:results from the China hypertension survey,2012-2015[J].Circulation,2018;137(22):2344-56.
3 Vincent KR,Vincent HK,Braith RW,et al.Strength training and hemodynamic responses to exercise[J].Am J Geriatr Cardiol,2003;12(2):97-106.
4 Wood RH,Reyes R,Welsch MA,et al.Concurrent cardiovascular and resistance training in healthy older adults[J].Med Sci Sports Exerc,2001;33(10):1751-8.
5 Alpsoy S.Exercise and hypertension[J].Adv Exp Med Biol,2020;1228:153-67.
6 董德龙,王立鑫,于永平,等.中国公共体育服务进程中城市绿地与公共健身区协同实施问题研究[M].北京:经济科学出版社,2024:1-17.
7 Whelton PK,Carey RM,Aronow WS,et al.2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention,detection,evaluation,and management of high blood pressure in adults:a report of the american college of cardiology/american heart association task force on clinical practice guidelines[J].J Am Coll Cardiol,2018;71(19):e127-248.
8 李静,范利,华琦,等.中国老年高血压管理指南2019[J].中国心血管杂志,2019;24(1):1-23.
9 Riebe D,Ehrman JK,Liquori G,et al.ACSM′s guidelines for exercise testing and prescription[J].Med Sci Sports Exerc,2018:358-443.
10 Garber CE,Blissmer B,Deschenes MR,et al.American College of Sports Medicine position stand.Quantity and quality of exercise for developing and maintaining cardiorespiratory,musculoskeletal,and neuromotor fitness in apparently healthy adults:guidance for prescribing exercise[J].Med Sci Sports Exerc,2011;43(7):1334-59.
11 董德朋,汪毅.助力中国航天:微重力环境运动应对理论与实践探索[J].体育科学,2022;42(9):55-71.
12 MacDonald HV,Johnson BT,Huedo-Medina TB,et al.Dynamic resistance training as stand-alone antihypertensive lifestyle therapy:a meta-analysis[J].J Am Heart Assoc,2016;5(10):e003231.
13 张娜.抗阻训练对原发性高血压患者血压和脂质代谢的影响[J].心血管康复医学杂志,2018;27(5):498-501.
14 王建平,张丽,马祖长,等.原发性高血压运动疗法的研究进展[J].实用心脑肺血管病杂志,2015;23(4):1-4.
15 凌志强.长期阻力运动训练对高血压患者血压控制情况的改善作用分析[J].卫生职业教育,2017;35(10):122-4.
16 Terra DF,Mota MR,Rabelo HT,et al.Reduction of arterial pressure and double product at rest after resistance exercise training in elderly hypertensive women[J].Arq Bras Cardiol,2008;91:299-305.
17 Dos Santos ES,Asano RY,Irênio Filho G,et al.Acute and chronic cardiovascular response to 16 weeks of combined eccentric or traditional resistance and aerobic training in elderly hypertensive women:a randomized controlled trial[J].J Strength Cond Res,2014;28(11):3073-84.
18 王磊,高真真,潘化平,等.不同形式的抗阻训练对轻度高血压患者血压的短时及阶段性效应观察[J].中国康复医学杂志,2015;30(4):339-43.
19 Scher L,Ferriolli E,Moriguti JC,et al.The effect of different volumes of acute resistance exercise on elderly individuals with treated hypertension[J].J Strength Cond Res,2011;25(4):1016-23.
20 Bertani RF,Campos GO,Perseguin DM,et al.Resistance exercise training is more effective than interval aerobic training in reducing blood pressure during sleep in hypertensive elderly patients[J].J Strength Cond Res,2018;32(7):2085-90.
21 刘向辉,刘桂华,陈松娥.等张运动与等长运动对高血压患者血脂及内皮素的影响[J].北京体育大学学报,2005;(2):203-5.
22 龚佳青,刘漩,诸贇.抗阻运动对老年高血压患者血压及生活质量的影响[J].中国老年学杂志,2020;40(12):2580-3.
23 王羽晗,陈长香,李淑杏,等.高血压对社区老年人生存质量的影响研究[J].现代预防医学,2014;41(9):1602-4.
24 Tracy BL,Enoka RM.Older adults are less steady during submaximal isometric contractions with the knee extensor muscles[J].J Appl Physiol,2002;92(3):1004-12.
25 Mangione KK,Miller AH,Naughton IV.Cochrane review:improving physical function and performance with progressive resistance strength training in older adults[J].Phys Ther,2010;90(12):1711-5.
26 Liu CJ,Latham NK.Progressive resistance strength training for improving physical function in older adults[J].Cochrane Database Syst Rev,2009;(3):CD002759.
27 Cui S,Ji H,Li L,et al.Effects and long-term outcomes of endurance versus resistance training as an adjunct to standard medication in patients with stable COPD:a multicenter randomized trial[J].BMC Pulm Med,2024;24(1):196.
28 李婷,段书.焦虑抑郁与高血压的研究进展[J].医学与哲学(B),2012;33(5):47-8,58.
29 Hasan F,Tu YK,Lin CM,et al.Comparative efficacy of exercise regimens on sleep quality in older adults:a systematic review and network meta-analysis[J].Sleep Med Rev,2022;65:101673.
30 Gao X,Qiao Y,Chen Q,et al.Effects of different types of exercise on sleep quality based on Pittsburgh Sleep Quality Index in middle-aged and older adults:a network meta-analysis[J].J Clin Sleep Med,2024;20(7):1193-204.
31 胡大一.心血管疾病和精神心理障碍的综合管理——“双心医学”模式的探索[J].中国临床医生,2006;34(5):2-3.
32 Lefferts WK,Augustine JA,Heffernan KS.Effect of acute resistance exercise on carotid artery stiffness and cerebral blood flow pulsatility[J].Front Physiol,2014;5:101.
33 Lefferts WK,Hughes WE,Heffernan KS.Effect of acute high-intensity resistance exercise on optic nerve sheath diameter and ophthalmic artery blood flow pulsatility[J].J Hum Hypertens,2015;29(12):744-8.
34 Muela HCS,Costa-Hong VA,Yassuda MS,et al.Higher arterial stiffness is associated with lower cognitive performance in patients with hypertension[J].J Clin Hypertens,2018;20(1):22-30.
35 Mitchell GF,Van Buchem MA,Sigurdsson S,et al.Arterial stiffness,pressure and flow pulsatility and brain structure and function:the age,gene/environment susceptibility-reykjavik study[J].Brain,2011;134(11):3398-407.
36 Heffernan KS,Augustine JA,Lefferts WK,et al.Arterial stiffness and cerebral hemodynamic pulsatility during cognitive engagement in younger and older adults[J].Exp Gerontol,2018;101:54-62.
37 Coelho FM,Pereira DS,Lustosa LP,et al.Physical therapy intervention(PTI) increases plasma brain-derived neurotrophic factor(BDNF) levels in non-frail and pre-frail elderly women[J].Arch Gerontol Geriatr,2012;54(3):415-20.
38 Liu-Ambrose T,Nagamatsu LS,Graf P,et al.Resistance training and executive functions:a 12-month randomized controlled trial[J].Arch Intern Med,2010;170(2):170-8.
39 Tsai CL,Wang CH,Pan CY,et al.The effects of long-term resistance exercise on the relationship between neurocognitive performance and GH,IGF-1,and homocysteine levels in the elderly[J].Front Behav Neurosci,2015;9:23.
40 Ruangthai R,Phoemsapthawee J.Combined exercise training improves blood pressure and antioxidant capacity in elderly individuals with hypertension[J].J Exerc Sci Fit,2019;17(2):67-76.
基本信息:
中图分类号:R544.1
引用信息:
[1]刘馨怡,董德龙,叶春明.抗阻训练对高血压老年人的影响[J].中国老年学杂志,2026,46(08):1531-1535.
基金信息:
山东省体育局体育社会学研究项目(2526SDTY39)
2026-04-22
2026-04-22