On behalf of: European Society of Cardiology European Association for Cardiovascular Prevention and Rehabilitation
نویسندگان
چکیده
Background: Several studies have shown that raised cardiovascular risk factors are associated with an impaired lung function in adulthood. Whether this association also exists in the young is unknown. Our aim was to study the relation between blood pressure and lung function from neonatal to elderly age. Study design: This was a cross-sectional study in a general population cohort. Methods: Within the Utrecht Health Project (UHP) 6673 adults (aged 18–91 years) had spirometry and blood pressure measurements taken. In the WHeezing Illnesses STudy LEidsche Rijn (WHISTLER) study, a satellite birth cohort of the UHP, blood pressure and respiratory mechanics were measured using the single occlusion technique in 755 newborns and spirometry in 382 5-year-old participants. Linear regression analyses were performed with lung function as an independent variable and blood pressure as a dependent variable in different age groups. The analyses were adjusted for age, sex, weight and height. Results: In infancy a more favorable lung function (higher compliance and lower resistance) was associated with higher blood pressure. In 5-year-old children and young adults higher forced expiratory volume in 1 second (FEV1) was associated with higher systolic blood pressure (p-values< 0.05). At the age of 5 the adjusted regression coefficient for systolic blood pressure was 4.8 mmHg/L (95% confidence interval (95% CI) 0.3–9.98). The association decreased with increasing age and reversed in the age groups above 40 years to 7.3 mmHg/L (95% CI 15.5–0.9) in those aged over 70 years of age. The association with pulse pressure showed a similar pattern. Conclusions: A positive association between the mechanical properties of the respiratory system and blood pressure in childhood and young adulthood reverses in later adulthood.
منابع مشابه
Executive summary of the position paper of the Working Group on Cardiac Rehabilitation and Exercise Physiology of the European Society of Cardiology (ESC): core components of cardiac rehabilitation in chronic heart failure.
http://cpr.sagepub.com/content/12/4/321 The online version of this article can be found at: DOI: 10.1097/01.hjr.0000173108.76109.88 2005 12: 321 Journal of Cardiovascular Risk Joep Perk, Hugo Saner and Luc Vanhees Dorian Dugmore, Paolo Fioretti, Dan Gaita, Rainer Hambrecht, Irene Hellermans, Hannah McGee, Miguel Mendes, Ugo Corrá, Pantaleo Giannuzzi, Stamatis Adamopoulos, Hans Bjornstad, Birna ...
متن کامل[Psychosocial Aspects in Cardiac Rehabilitation: From Theory to Practice. A Position Paper From the Cardiac Rehabilitation Section of The European Association of Cardiovascular Prevention and Rehabilitation of the European Society of Cardiology].
A large body of empirical research shows that psychosocial risk factors (PSRFs) such as low socio-economic status, social isolation, stress, type-D personality, depression and anxiety increase the risk of incident coronary heart disease (CHD) and also contribute to poorer health-related quality of life (HRQoL) and prognosis in patients with establishedCHD. PSRFs may also act as barriers to life...
متن کاملValidation for coronary stenting: a permanent implant for interventional cardiology.
[1] Pyorala K, De Backer G, Graham I. Poole-Wilson PA, Wood D on behalf of the Task Force. Prevention of coronary heart disease in clinical practice. Recommendations of the Task Force of the European Society of Cardiology, European Atherosclerosis Society and the European Society of Hypertension. Eur Heart J 1994; 15: 1300-31. [2] The Task Force on the Management of Acute Myocardial Infarction ...
متن کاملSecondary prevention through cardiac rehabilitation: from knowledge to implementation. A position paper from the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation.
Increasing awareness of the importance of cardiovascular prevention is not yet matched by the resources and actions within health care systems. Recent publication of the European Commission's European Heart Health Charter in 2008 prompts a review of the role of cardiac rehabilitation (CR) to cardiovascular health outcomes. Secondary prevention through exercise-based CR is the intervention with ...
متن کاملESC Study Group of Sports Cardiology recommendations for participation in leisure-time physical activities and competitive sports for patients with hypertension.
Hypertension and Cardiovascular Rehabilitation Unit, KULeuven, Leuven, Belgium, Department of Heart Disease, Haukelund University Hospital, Bergen, Norway, Department of Medicine, Sahlgrens University Hospital/Östra, Gothenburg, Sweden, Unité Biologie et Médecine du Sport, Hôpital Pontchaillou, Rennes, France, Sports Medicine Division, Aristotle University, Thessaloniki, Greece and Department o...
متن کامل