Effects of Muscular Strength on Cardiovascular Risk Factors and Prognosis

被引:323
作者
Artero, Enrique G. [1 ,3 ]
Lee, Duck-chul [1 ]
Lavie, Carl J. [4 ,5 ]
Espana-Romero, Vanesa [1 ]
Sui, Xuemei [1 ]
Church, Timothy S. [5 ]
Blair, Steven N. [1 ,2 ]
机构
[1] Univ S Carolina, Dept Exercise Sci, Arnold Sch Publ Hlth, Columbia, SC 29208 USA
[2] Univ S Carolina, Dept Epidemiol & Biostat, Arnold Sch Publ Hlth, Columbia, SC 29208 USA
[3] Univ Almeria, Area Phys Educ & Sport, Sch Educ, Almeria, Spain
[4] Univ Queensland, Sch Med, Dept Cardiovasc Dis, Ochsner Clin Sch,John Ochsner Heart & Vasc Inst, New Orleans, LA USA
[5] Pennington Biomed Res Ctr, Prevent Med Lab, Baton Rouge, LA USA
基金
美国国家卫生研究院;
关键词
cardiorespiratory fitness; cardiovascular disease; muscular strength; resistance training; ALL-CAUSE MORTALITY; MUSCLE STRENGTH; RESISTANCE EXERCISE; METABOLIC SYNDROME; CARDIORESPIRATORY FITNESS; MUSCULOSKELETAL FITNESS; GRIP STRENGTH; PHYSICAL PERFORMANCE; POSITION STATEMENT; HANDGRIP STRENGTH;
D O I
10.1097/HCR.0b013e3182642688
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Physical fitness is one of the strongest predictors of individual future health status. Together with cardiorespiratory fitness (CRF), muscular strength has been increasingly recognized in the pathogenesis and prevention of chronic disease. We review the most recent literature on the effect of muscular strength in the development of cardiovascular disease, with special interest in elucidating its specific benefits beyond those from CRF and body composition. Muscular strength has shown an independent protective effect on all-cause and cancer mortality in healthy middle-aged men, as well as in men with hypertension and patients with heart failure. It has also been inversely associated with age-related weight and adiposity gains, risk of hypertension, and prevalence and incidence of the metabolic syndrome. In children and adolescents, higher levels of muscular fitness have been inversely associated with insulin resistance, clustered cardiometabolic risk, and inflammatory proteins. Generally, the influence of muscular fitness was weakened but remained protective after considering CRF. Also, interestingly, higher levels of muscular fitness seems to some extent counteract the adverse cardiovascular profile of overweight and obese individuals. As many of the investigations have been conducted with non-Hispanic white men, it is important to examine how race/ethnicity and gender may affect these relationships. To conclude, most important effects of resistance training are also summarized, to better understand how higher levels of muscular fitness may result in a better cardiovascular prognosis and survival.
引用
收藏
页码:351 / 358
页数:8
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