脉搏波在运动干预中参数指示作用的Meta分析
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摘要
目的探究评价脉搏波在运动干预评价体系中作为参数的指示效用,为完善运动干预评价体系提供指导。方法通过网上检索中国知网(CNKI)、Web of Science、Latrobe University Library、PubMed等数据库,搜集运动干预中存在以脉搏波为参数进行指示的随机对照试验。由5名研究者依据Corhrane评价标准对纳入的文献进行严格质量评价和资料提取,对符合要求的文献采用Rev Man 5. 3软件进行Meta分析。具体分析指标包括I2、P、CI、MD等。结果共纳入16篇文献,涉及312例对象。Meta分析的结果显示,运动干预对PWV[MD=0. 72,95%CI(0. 46,0. 97),P<0. 0001]、AIx [MD=1. 97,95%CI(0. 75,3. 19)、P=0. 002]、PP[MD=2. 16,95%CI(0. 83,3. 49),P=0. 001]的影响具有统计学意义。结论脉搏波可以加强反映周身血管功能变化的检验效能,起到较好地完善运动干预评价体系的作用。
Objective To explore the indication utility of pulse wave as a parameter in the exercise intervention evaluation system,and to provide guidance for the improvement of the evaluation system of sports intervention. Methods By searching CNKI,Web of Science,Latrobe University Library,PubMed and other databases on the Internet,we collected randomized controlled trials with pulse wave as a parameter in exercise intervention. According to Corhrane evaluation criteria,five researchers conducted strict quality evaluation and data extraction of the included documents. Meta-analysis was performed on the qualified literature using Rev Man 5. 3 software. The specific analysis indicators included I2,P,CI,and MD. Results A total of 15 articles were included, involving 291 subjects. The results of Meta-analysis showed that the parameter indication utility of PWV[MD = 0. 72,95% CI( 0. 46,0. 97),P < 0. 0001],AIx [MD = 1. 97,95% CI( 0. 75,3. 19),P = 0. 002],PP[MD = 2. 16,95% CI( 0. 83,3. 49),P = 0. 001] was statistically significant( [WMD =0. 72,95%CI( 0. 46,0. 97),P<0. 0001]). Conclusions Pulse wave can play a better role in the improvement of the exercise intervention evaluation system.
Objective To explore the indication utility of pulse wave as a parameter in the exercise intervention evaluation system,and to provide guidance for the improvement of the evaluation system of sports intervention. Methods By searching CNKI,Web of Science,Latrobe University Library,PubMed and other databases on the Internet,we collected randomized controlled trials with pulse wave as a parameter in exercise intervention. According to Corhrane evaluation criteria,five researchers conducted strict quality evaluation and data extraction of the included documents. Meta-analysis was performed on the qualified literature using Rev Man 5. 3 software. The specific analysis indicators included I2,P,CI,and MD. Results A total of 15 articles were included, involving 291 subjects. The results of Meta-analysis showed that the parameter indication utility of PWV[MD = 0. 72,95% CI( 0. 46,0. 97),P < 0. 0001],AIx [MD = 1. 97,95% CI( 0. 75,3. 19),P = 0. 002],PP[MD = 2. 16,95% CI( 0. 83,3. 49),P = 0. 001] was statistically significant( [WMD =0. 72,95%CI( 0. 46,0. 97),P<0. 0001]). Conclusions Pulse wave can play a better role in the improvement of the exercise intervention evaluation system.
引文
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[9] Figueroa A,Gil R,Sanchez-Gonzalez MA. Whole-body vibration attenuates the increase in leg arterial stiffness and aortic systolic blood pressure during post-exercise muscle ischemia[J]. European Journal of Applied Physiology,2011,111(7):1261-1268.
[10] Sugawara J,Komine H,Miyazawa T,et al. Influence of single bout of aerobic exercise on aortic pulse pressure[J]. European Journal of Applied Physiology,2015,115(4):739-746.
[11] Kobayashi R,Hatakeyama H,Hashimoto Y. Acute effects of different aerobic exercise duration on pulse wave velocity in healthy young men[J]. Journal of Sports Medicineand Physical Fitness,2016,57(12):1965-1701.
[12] Forouzan O,WarczytowaJ,Wieben O,et al. Non-invasive measurement using cardiovascular magnetic resonance of changes in pulmonary artery stiffness with exercise[J]. Journal of Cardiovascular Magnetic Resonance,2015,17(1):1-10.
[13] Horn P,Ostadal P,Ostadal B. Rowing increases stroke volume and cardiac output to a greater extent than cycling[J].Physiological Research,2014,64(2):203-207.
[14] Okamoto T,Masuhara M,Ikuta K. Upper but not lower limb resistance training increases arterial stiffness in humans[J].European Journal of Applied Physiology,2009,107(2):127-134.
[15] Milatz F,Ketelhut S,Ketelhut RG. Favorable effect of aerobic exercise on arterial pressure and aortic pulse wave velocity during stress testing.[J]. Vasa Zeitschrift Für Gefsskrankheiten,2015,44(4):271-276.
[16] Tapia G,Red C. neuronal artificial para detectar esfuerzo físico desde planos de fase de onda de pulso[J]. Revista Ingeniería Biomédica,2015,9(17):21-34
[17] Sharman JE. New insights into cardiovascular risk from the exercise central waveform[J]. Artery Research,2008,2(4):132-137.
[18] Tripkovic L,Hart KH,Frost GS,et al. Interindividual and intraindividual variation in pulse wave velocity measurements in a male population.[J]. Blood Pressure Monitoring,2014,19(4):233-241.
[19] Babcock.MC. Relation between exercise central hemodynamic load and resting cardiac structure and function in young men[J]. Clinical Physiology&Functional Imaging,2015,37(4):145-151.
[20] Davies TS, Frenneaux MP, Campbell RI. Human arterial responses to isometric exercise:The role of the muscle metaboreflex[J]. Clinical Science,2007,112(8):441-447.
[21] Teng XF,Zhang YT. An evaluation of a PTT-based method for noninvasive and cuffless estimation of arterial blood pressure[C]//International Conference of the IEEE Engineering in Medicine&Biology Society. New York:IEEE,2016:6049-6052.
[22] Barnes JN, Trombold JR, Dhindsa M. Arterial stiffening following eccentric exercise-induced muscle damage[J]. Journal of Applied Physiology,2010,109(4):1102-1108..
[23]张燕霞.高频超声结合运动负荷试验评价多个血管功能参数的检验效能[D].太原:山西医科大学,2012.Zhang YX. A preliminary study on test efficiency of arterial function parameters in normal youths by high frequency ultrasound combined with exercise stress testing[D]. Taiyuan:Shanxi Medical University,2012.
[24] Hanssen H,Nussbaumer M,Moor C. Acute effects of interval versus continuous endurance training on pulse wave reflection in healthy young men[J]. Atherosclerosis,2015,238(2):399-406.
[25] Kannel WB,Kannel C. Heart rate and cardiovascular mortality[J]. American Heart Journal,1987,113(6):1489-1494.
[26]季忠,刘旭.基于波形特征和小波的脉搏波特征点识别研究[J].仪器仪表学报,2016,37(2):379-386.Ji Z,Liu X. Study on feature recognition of pulse wave based on waveform features and wavelet[J]. Chinese Journal of Scientific Instrument,2016,37(2):379-386.
[2]邓妮.大众体育发展模式———运动干预工程的理论构建及实证研究[D].湘潭:湖南科技大学,2012.Deng N. The development model of public sports—Thetheorymodel-construction of sports-intervention engineering and empirical studies[D]. Xiangtan:Hunan University of Science and Technology,2012.
[3] Assmann G,Cullen P,Schulte H. Simple scoring scheme for calculating the risk of acute coronary events based on the 10-year follow-up of the prospective cardiovascular Münster(PROCAM)study[J]. Circulation,2002,105(3):310-315.
[4]吕芳,赵玉生.脉搏波传导速度在动脉粥样硬化疾病诊治中的作用[J].中国误诊学杂志,2012,12(3):519-520.
[5]刁越,吴水才.脉搏波分析方法及心血管功能参数检测系统的研究[D].北京:北京工业大学,2005.Yan Y,Wu SC. The study on pulse wave analysis and detecting system of cardiovascular[D]. Beijing:Beijing University of Technology,2005.
[6] Mattaceraso F,Hofman A,Verwoert GC. Determinants of pulse wave velocity in healthy people and in the presence of cardiovascular risk factors:establishing normal and reference values[J]. European Heart Journal,2010,31(19):2338-2350.
[7]宿愿.超声测量脉搏波传导速度评估血管弹性研究进展[J].中国医学装备,2016,13(12):62-65.Su Y. Advances in pulse wave velocity to evaluate vascular elasticity under ultrasound scanner[J]. China Medical Equipment,2016,13(12):62-65.
[8]张俊华,商洪才,张伯礼.系统评价和Meta分析质量的评价方法[J].中西医结合学报,2008,6(4):337-340.Zhang JH,Shang HC,Zhang BL. How to assess the quality of systematic review and meta-analysis[J]. Journal of Integrated Traditional Chinese and Western Medicine,2008,6(4):337-340.
[9] Figueroa A,Gil R,Sanchez-Gonzalez MA. Whole-body vibration attenuates the increase in leg arterial stiffness and aortic systolic blood pressure during post-exercise muscle ischemia[J]. European Journal of Applied Physiology,2011,111(7):1261-1268.
[10] Sugawara J,Komine H,Miyazawa T,et al. Influence of single bout of aerobic exercise on aortic pulse pressure[J]. European Journal of Applied Physiology,2015,115(4):739-746.
[11] Kobayashi R,Hatakeyama H,Hashimoto Y. Acute effects of different aerobic exercise duration on pulse wave velocity in healthy young men[J]. Journal of Sports Medicineand Physical Fitness,2016,57(12):1965-1701.
[12] Forouzan O,WarczytowaJ,Wieben O,et al. Non-invasive measurement using cardiovascular magnetic resonance of changes in pulmonary artery stiffness with exercise[J]. Journal of Cardiovascular Magnetic Resonance,2015,17(1):1-10.
[13] Horn P,Ostadal P,Ostadal B. Rowing increases stroke volume and cardiac output to a greater extent than cycling[J].Physiological Research,2014,64(2):203-207.
[14] Okamoto T,Masuhara M,Ikuta K. Upper but not lower limb resistance training increases arterial stiffness in humans[J].European Journal of Applied Physiology,2009,107(2):127-134.
[15] Milatz F,Ketelhut S,Ketelhut RG. Favorable effect of aerobic exercise on arterial pressure and aortic pulse wave velocity during stress testing.[J]. Vasa Zeitschrift Für Gefsskrankheiten,2015,44(4):271-276.
[16] Tapia G,Red C. neuronal artificial para detectar esfuerzo físico desde planos de fase de onda de pulso[J]. Revista Ingeniería Biomédica,2015,9(17):21-34
[17] Sharman JE. New insights into cardiovascular risk from the exercise central waveform[J]. Artery Research,2008,2(4):132-137.
[18] Tripkovic L,Hart KH,Frost GS,et al. Interindividual and intraindividual variation in pulse wave velocity measurements in a male population.[J]. Blood Pressure Monitoring,2014,19(4):233-241.
[19] Babcock.MC. Relation between exercise central hemodynamic load and resting cardiac structure and function in young men[J]. Clinical Physiology&Functional Imaging,2015,37(4):145-151.
[20] Davies TS, Frenneaux MP, Campbell RI. Human arterial responses to isometric exercise:The role of the muscle metaboreflex[J]. Clinical Science,2007,112(8):441-447.
[21] Teng XF,Zhang YT. An evaluation of a PTT-based method for noninvasive and cuffless estimation of arterial blood pressure[C]//International Conference of the IEEE Engineering in Medicine&Biology Society. New York:IEEE,2016:6049-6052.
[22] Barnes JN, Trombold JR, Dhindsa M. Arterial stiffening following eccentric exercise-induced muscle damage[J]. Journal of Applied Physiology,2010,109(4):1102-1108..
[23]张燕霞.高频超声结合运动负荷试验评价多个血管功能参数的检验效能[D].太原:山西医科大学,2012.Zhang YX. A preliminary study on test efficiency of arterial function parameters in normal youths by high frequency ultrasound combined with exercise stress testing[D]. Taiyuan:Shanxi Medical University,2012.
[24] Hanssen H,Nussbaumer M,Moor C. Acute effects of interval versus continuous endurance training on pulse wave reflection in healthy young men[J]. Atherosclerosis,2015,238(2):399-406.
[25] Kannel WB,Kannel C. Heart rate and cardiovascular mortality[J]. American Heart Journal,1987,113(6):1489-1494.
[26]季忠,刘旭.基于波形特征和小波的脉搏波特征点识别研究[J].仪器仪表学报,2016,37(2):379-386.Ji Z,Liu X. Study on feature recognition of pulse wave based on waveform features and wavelet[J]. Chinese Journal of Scientific Instrument,2016,37(2):379-386.