题名

身體活動、心肺適能與靜態心跳數做為預測死亡風險的重要指標

并列篇名

Physical Activity, Cardiorespiratory Fitness and Resting Heart Rate as Important Predictors of Mortality

DOI

10.3966/168232812019032901002

作者

黃森芳(Sen-Fang Huang);陳杰(Chieh Chen)

关键词

身體活動 ; 運動介入 ; 死亡率 ; 心肺適能 ; 靜態心跳數 ; cardiorespiratory fitness ; exercise ; mortality ; physical activity ; resting heart rate

期刊名称

台灣家庭醫學雜誌

卷期/出版年月

29卷1期(2019 / 03 / 01)

页次

12 - 22

内容语文

繁體中文

中文摘要

全球非傳染性疾病(non-communicable diseases,NCDs)逐年上升,缺乏身體活動是非傳染性疾病的主要危險因子之一;增加身體活動可以預防且治療多種非傳染性疾病,提升身體全面的健康。規律運動可以促進人體心肺、循環系統輸送氧氣的效率,提升心肺適能,並降低靜態心跳數。本文以physical activity、exercise、mortality、cardiorespiratory fitness、resting heart rate等關鍵字,經由學術google搜尋國內外相關學術期刊所刊載的研究論文,並探討、分析、彙整其研究結果與結論,確認增加身體活動可以提升心肺適能與降低靜態心跳數、促進整體身體健康,降低罹患多種疾病與死亡風險。身體活動、心肺適能與降低靜態心跳數可作為運動促進身體健康的重要指標。維持身體健康的每週最佳身體活動量應為世界衛生組織最低建議量的5倍,也就是每週中強度身體活動750分鐘左右、心肺適能維持14 METs以上及靜態心跳數應達每分鐘小於50次。

英文摘要

The prevalence of non-communicable diseases (NCDs) has been rising globally, and physical inactivity is one of the major risk factors of NCDs. Increasing physical activity helps prevent and treat a variety of NCDs and improve overall health. Regular exercise promotes efficiency of oxygen delivery by heart, lung and general circulatory system in general, improves cardiorespiratory fitness, and reduces resting heart rate. This article used keywords like physical activity, exercise, mortality, cardiorespiratory fitness, and resting heart rate to identify in Google Scholar related papers published in academic and scientific journals. After reviewing, analyzing, and critically assessing the results and conclusions of the identified papers, we confirmed the effectiveness of increasing physical activity in promoting overall health and lowering risks of various NCDs morbidity and mortality by improving cardiorespiratory fitness, and decreasing resting heart rate. Physical activity, cardiorespiratory fitness, and resting heart rate can therefore be used as important indicators of overall health. Our study further suggests that the optimal physical activity volume should be 5 times of the minimal level recommended by WHO, i.e., moderate-intensity exercise for 150 minutes per week. The best cardiorespiratory fitness level and resting heart rate, on the other hand, are recommended to be higher than 14 metabolic equivalent of task and lower than 50 beats per minute respectively.

主题分类 醫藥衛生 > 社會醫學
参考文献
  1. Al-Mallah, MH,Keteyian, SJ,Brawner, CA,Whelton, S,Blaha, MJ(2014).Rationale and design of the henry ford exercise testing project (The FIT Project).Clin Cardiol,37,456-461.
  2. American College of Sports Medicine(2013).ACSM's Guidelines for Exercise Testing and Prescription.Lippincott Williams & Wilkins.
  3. Archer, E,Blair, SN(2011).Physical activity and the prevention of cardiovascular disease: from evolution to epidemiology.Prog Cardiovasc Dis,53,387-396.
  4. Arem, H,Moore, SC,Patel, A(2015).Leisure time physical activity and mortality: a detailed pooled analysis of the dose-response relationship.JAMA Inter Med,175,959-967.
  5. Athlepedia.(n. d.). Maximal Oxygen Uptake. http://athletics.wikia.com/wiki/Maximal_Oxygen_Uptake. Accessed August 30, 2018.
  6. Aune, D,Sen, A,ó'Hartaigh, B(2017).Resting heart rate and the risk of cardiovascular disease, total cancer, and all-cause mortality - A systematic review and dose-response meta-analysis of prospective studies.Nutr Metab Cardiovasc Dis,27,504-517.
  7. Bassuk, SS,Church, TS,Manson, JE(2013).Why exercise works magic.Sci Am,309,74-79.
  8. Böhm, M,Reil, JC,Deedwania, P,Kim, JB,Borer, JS(2015).Resting heart rate: risk indicator and emerging risk factor in cardiovascular disease.Am J Med,128,219-228.
  9. Booth, FW,Roberts, CK,Laye, MJ(2012).Lack of exercise is a major cause of chronic diseases.Compr Physiol,2,1143-1211.
  10. Borer, JS(2008).Heart rate: from risk marker to risk factor.Eur Heart J,10(Suppl F),F2-F6.
  11. Cassidy, S,Thoma, C,Houghton, D,Trenell, MI(2017).High-intensity interval training: a review of its impact on glucose control and cardiometabolic health.Diabetologia,60,7-23.
  12. Davidson, T,Vainshelboim, B,Kokkinos, P,Myers, J,Ross, R(2018).Cardiorespiratory fitness versus physical activity as predictors of all-cause mortality in men.Am Heart J,196,156-162.
  13. Feldman, DI,Al-Mallah, MH,Keteyian, SJ(2015).No evidence of an upper threshold for mortality benefit at high levels of cardiorespiratory fitness.J Am Coll Cardiol,65,629-630.
  14. Han, C,Zhang, M,Luo, X(2017).The association of resting heart rate and mortality by gender in a rural adult Chinese population: a cohort study with a 6-year follow-up.J Public Health,25,95-101.
  15. Heinonen, I,Kalliokoski, KK,Hannukainen, JC,Duncker, DJ,Nuutila, P,Knuuti, J(2014).Organ-specific physiological responses to acute physical exercise and long-term training in humans.Physiology,29,421-436.
  16. Hussain, N,Gersh, BJ,Carta, KG(2018).Impact of cardiorespiratory fitness on frequency of atrial fibrillation, stroke, and all-cause mortality.Am J Cardiol,121,41-49.
  17. Jensen, MT,Suadicani, P,Hein, HO,Gyntelberg, F(2013).Elevated resting heart rate, physical fitness and all-cause mortality: a 16-year follow-up in the Copenhagen male study.Heart,99,882-887.
  18. Khan, H,Jaffar, N,Rauramaa, R,Kurl, S,Savonen, K,Laukkanen, JA(2017).Cardiorespiratory fitness and nonfatal cardiovascular events: A population based follow-up study.Am Heart J,184,55-61.
  19. Kokkinos, P,Myers, J(2010).Exercise and physical activity: clinical outcomes and applications.Circulation,122,1637-1648.
  20. Kyu, HH,Bachman, VF,Alexander, LT(2016).Physical activity and risk of breast cancer, colon cancer, diabetes, ischemic heart disease, and ischemic stroke events: systematic review and dose-response meta-analysis for the global burden of disease study 2013.BMJ,354,i3857.
  21. Lee, D,Artero, EG,Sui, X,Blair, SN(2010).Mortality trends in the general population: the importance of cardiorespiratory fitness.J Psychopharmacol,24(4 Suppl),27-35.
  22. Lee, DC,Pate, RR,Lavie, CJ,Sui, X,Church, TS,Blair, SN(2014).Leisure-time running reduces all-cause and cardiovascular mortality risk.J Am Coll Cardiol,64,472-481.
  23. Loprinzi, PD(2015).Dose-response association of moderate-to-vigorous physical activity with cardiovascular biomarkers and all-cause mortality: considerations by individual sports, exercise and recreational physical activities.Prev Med,81,73-77.
  24. Myers, J,Prakash, M,Froelicher, V,Do, D,Partington, S,Atwood, JE(2002).Exercise capacity and mortality among men referred for exercise testing.N Engl J Med,346,793-801.
  25. Pedersen, BK,Saltin, B(2015).Exercise as medicine–evidence for prescribing exercise as therapy in 26 different chronic diseases.Scand J Med Sci Sports,25(Suppl 3),1-72.
  26. Shmerling RH: How's your heart rate and why it matters? https://www.health.harvard.edu/heart-health/hows-your-heart-rate-and-why-it-matters. Accessed October 3, 2018.
  27. WHO: Noncommunicable diseases, Key facts. http://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases. Accessed June 1, 2018.
  28. WHO: 2016. Global Physical Activity Questionnaire (GPAQ) Analysis Guide. http://www.who.int/chp/steps/resources/GPAQ_Analysis_Guide.pdf. Accessed August 30, 2018.
  29. WHO: Global Health Observatory (GHO) data. Premature NCD deaths. Situation and trends. http://www.who.int/gho/ncd/mortality_morbidity/ncd_premature_text/en/. Accessed August 30, 2018.
  30. Yates, T,Bakrania, K,Zaccardi, F(2018).Reaction time, cardiorespiratory fitness and mortality in UK biobank: An observational study.Intelligence,66,79-83.
  31. Zhang, D,Shen, X,Qi, X(2016).Association between resting heart rate and coronary artery disease, stroke, sudden death and non-cardiovascular diseases: a meta-analysis.CMAJ,188,E53-E63.
  32. Zhou, Y,Zhang, R,Liu, Y(2017).Association of regular physical activity with total and cause-specific mortality among middle-aged and older Chinese: a prospective cohort study.Sci Rep,7,39939.