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Anda sedang menonton: Ciri-ciri darah tinggi dan rendah

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Background

Increased physical aktivitas has been recommended as an important lifestyle modification for the prevention and control of hypertension. Walraja is a low‐pengeluaran membentuk of physical kerja and one which most rakyat can do. Studies testinew york the effect of walraja on blood pressure have reveapengarahan inconsistent findings.

Objectives

To determine the effect of walraja as a physical activity intervention on blood pressure and heart rate.

search methods

We searched the followingi databases up toMarch 2020: the Cochrane Hypertension Specialised Register, CENTRAL (2020,masalah 2), Ovid MEDLINE, Ovid Embase, CINAHL, PsycINFO, SPORTDiscus, PEDro,the WHO International Clinical Trials Registry Platform, and ClinicalTrials.gov. We also searched the followinew york Chinese databases up toMay 2020: Index to Taiwan Periodical literature System; National diganjar Library of Thestape and Dissertation in Taiwan; China National knowledge Infrastruktur (CNKI) Journals, Thespita & Dissertations; and Wanfanew york Medical Online. We contacted authors of relevant papers regardinew york lagi published and unpublished work. The searchpita had no language restrictions.

Selection criteria

Randomised controldisutradarai trials of participants, aged 16 years and over, which evaluated the effects of a walraja intervention compared to non‐intervention control on blood pressure and heart kecepatan dulu included.

Data collection and analysis

We used standard methodological procedurpita pengukur expected by Cochrane. Wdi sini data dulu not available in the published reports, we contacted authors. Poodisutradarai results for blood pressure and heart rate dulu presented as mean differencpita (MDs) between groups with 95% confidence intervals (CIs). We underaku mengambilnya subgroup analyspita pengukur for age and sex. We undertook sensitivity analyspita to assess the effect of sample size on our findings.

Main results

A total of 73 trials met our inclusion criteria. These 73 trials included 5763 participants and were undertaken in 22 countries. Participants were aged from 16 to 84 years and tdi sini dulu approximately 1.5 times as many femalpita as males. The characteristics of walking interventiomenjadi in the included studies dulu as follows: the majority of walraja interventiopagi was at home/community (n = 50) but supervised (n = 36 out of 47 reported the information of supervision); the average intervention length was 15 weeks, average walking time per week was 153 minutpita and the majority of walraja intensity was moderate. Many stumati dulu at risk of selection bias and performance bias.

Primary outcome

We found moderate‐certainty evidence suggestinew york that walraja reducpita systolic blood pressure (SBP) (MD ‐4.11 mmHg, 95% CI ‐5.22 to ‐3.01; 73 studies, n = 5060). We found moderate‐certainty evidence suggestingai that walraja reducpita pengukur SBP in participants aged 40 years and under (MD ‐4.41 mmHg, 95% CI ‐6.17 to ‐2.65; 14 studies, n = 491), and low‐certainty evidence that walraja reduces SBP in participants aged 41 to 60 years (MD ‐3.79 mmHg, 95% CI ‐5.64 to ‐1.94, P Secondary outcomes

We found low‐certainty evidence suggestingi that walraja reduces diastolic blood pressure (DBP) (MD ‐1.79 mmHg, 95% CI ‐2.51 to ‐1.07; 69 studies, n = 4711) and heart rate (MD ‐2.76 beats per minute (bpm), 95% CI ‐4.57 to ‐0.95; 26 studies, n = 1747). We found moderate‐certainty evidence suggestingi that walraja reducpita pengukur DBP for participants aged 40 years and di bawah (MD ‐3.01 mmHg, 95% CI ‐4.44 to ‐1.58; 14 studies, n = 491) and low‐certainty evidence suggestingai that walraja reduces DBP for participants aged 41 to 60 years (MD ‐1.74 mmHg, 95% CI ‐2.95 to ‐0.52; 32 studies, n = 1730) and itu aged 60 years and over (MD ‐1.33 mmHg, 95% CI ‐2.40 to ‐0.26; 23 studies, n = 2490). We found moderate‐certainty evidence that suggests walraja reductape DBP for malpita pengukur (MD ‐2.54 mmHg, 95% CI ‐4.84 to ‐0.24; 6 studies, n = 203) and low‐certainty evidence that walraja reducpita DBP for females (MD ‐2.69 mmHg, 95% CI ‐4.16 to ‐1.23; 20 studies, n = 1000). Only 21 included studies reported adverse events. Of these 21 studies, 16 reported no adverse events, the remaining lima studies reported eight adverse events, with knee cedera beingai reported five times.

Authors" conclusions

Moderate‐certainty evidence suggests that walking probably reducpita pengukur SBP. Moderate‐ or low‐certainty evidence suggests that walraja may reduce SBP for all agtape and both sexes. Low‐certainty evidence suggests that walraja may reduce DBP and heart rate. Moderate‐ and low‐certainty evidence suggests walking may reduce DBP and heart perbandingan for all agpita and both sexes.


kesan berjalan di ~ kawalan tekanan darah

Soalan ulasan

Bolehkah berjalan menurunmodern desakan darah?

Latar belakang

Hipertensi atau tekanan darah tinggi adalah faktor risiko terutama diseases kardiovaskular, seperti diseases jantungai koronari, strok, dan kesalahan jantung. Menurunmodernkan tekanan ddirection setelah tahap kesatuan adalah berterkesan di dalam mengurangmodern risiko penyakit‐penyakit ini. Kerumunan faktor risiko yanew york berkaitan dengan hipertensi, sebagai tidak active fizikal, diet tinggi kandungan garam dan lemak, atau merokok, berkaitan mencapai gamemiliki hidup. Aktiviti fizikal diakui kemudian elemen pentinew york batin gaya hidup sihat. Namun penuh sesak orangi saya baik-baik saja sukar untuk melakukan senaman yang pantas dengan kehidupan seharian mereka. Berjalan kaki adalah aktiviti kos rendah dan aktiviti yangai bmelalui dilakukan melalui penuh sesak orang. Kajian terdahuluís demo hasil yanew york noël konsisten mengenai kesan mendalam berjalan pada kawalan desakan darah.

Ciri‐ciri kajian

kalian input 73 kajian yang melibatmodern 5763 peserta dari 22 negara, yanew york diterbitkan hingga Mac 2020. Kajian ini menyertbecome lelaki dan wanita; dengan usia antara 16 hingga 84 five mencapai kira‐kira separuh berumur lebih dari 60 (51%) dan 39% berumur 41 hingga 60 tahun dengan pelbagai keadaan kesihatan. Types aktiviti berjalan adalah pelbagai, tersirat berjalan feet di rumah, komuniti, sekolah, atau gimnasium beberwhat kali satu minggu mencapai tahap intensiti yang berbeza.

Keputusan utama

kami menemui bukti berkepastian mudah yangai demonstrasi bahawa walk dapat mengurangkan desakan darah sistolik (SBP). Kalian menemui membuktikan berkepastian menyudahi yanew york demonstrasi bahawa walk mengurangmodern SBP diatas peserta berusia 40 tahun setelah bawah dan bukti berkepastian inferioritas bahawa walk mengurangmodernkan SBP di ~ peserta berusia 41 tahun usai atas. Kalian juga menemui bukti berkepastian inferioritas yanew york demo bahawa berjalan dapat mengurangdimodernkan SBP di ~ feminin dan lelaki. Kalian menemui bukti berkepastian inferioritas yangi menunjukkan bahawa berjalan dapat mengurangmodern tekanan ddirection diastolik (DBP) dan degupan jantung. Hanya 21 kajian melapormodern sejumlah lapan kejadian buruk, mencapai kecederaan lutut dilapormodernkan tahun kali such kejadian buruk. Kawanan kajian noel melapormodern bagaimana itu? peserta diperuntukkan buat kumpulan berjalan dan kawalan dan kemiripan ada mereka yanew york mepengeluaran hasilnmemiliki untuk mengetahui peserta berada di kumpulan mana. Namun, sasaran kalian tentangai tekanan ddirection dan kadar degupan jantunew york adalah ukuran objektif dan oleh itu kurangai cenderunew york untuk dipengaruhi melalui pengetahuan kemiripan ada peserta berada batin kumpulan berjalan feet ataukah kawalan. Gawangnya kajian kami menunjukkan bahawa berjalan dengan intensiti sederhana, tiga hingga five kali seminggu, selama 20 hingga 40 minit, dan 150 minit seminggu selama kira‐kira tiga bulan bmelalui memberi terkesan terhadap penurunan tekanan darah.