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Abstract：
Few studies explored the association of different type of physical activity with all-cause mortality in hypertension (HBP) participants. A retrospective cohort analysis was performed using National Health and Nutrition Examination Survey (NHANES) data to explore association of moderate-intensity physical activity (MPA), vigorous-intensity physical activity (VPA), sedentary behavior with mortality in HBP individuals. Among 10,913 HBP participants followed for a median of 6.2 years, VPA was not associated with a reduction in all-cause mortality compared to participants without VPA in multivariate Cox survival analysis. MPA was linked to lower all-cause mortality at durations of 0-150 min/week (HR, 0.72; 95% CI 0.58-0.88), 150-300 min/week (HR, 0.71; 95% CI 0.52-0.96), and > 300 min/week (HR, 0.61; 95% CI 0.49-0.77) compared to no MPA. Sedentary behavior of 6-8 h/day (HR, 1.35; 95% CI 1.15-1.59) and > 8 h/day (HR, 1.55; 95% CI 1.34-1.79) were associated with increased mortality risk versus < 6 h/day. Further research is needed to explore whether VPA can improve outcomes for HBP individuals and to determine the optimal duration of VPA.MPA is linked to lower mortality risk, indicating its potential as the best physical activity intensity for HBP individuals.
摘要：
很少有研究探讨不同类型的体育锻炼与高血压（HBP）参与者的全因死亡率之间的关系。使用国家健康和营养检查调查（NHANES）数据进行回顾性队列分析，以探索中等强度体力活动（MPA）的关联。高强度体力活动（VPA），HBP个体的久坐行为与死亡率。在10913名HBP参与者中，中位随访6.2年，在多变量Cox生存分析中，与没有VPA的参与者相比，VPA与全因死亡率的降低无关。MPA与0-150分钟/周的全因死亡率较低相关(HR，0.72；95%CI0.58-0.88），150-300分钟/周(HR，0.71；95%CI0.52-0.96），和>300分钟/周(HR，0.61；95%CI0.49-0.77）与无MPA相比。6-8小时/天的久坐行为(HR，1.35；95%CI1.15-1.59)和>8小时/天(HR，1.55；95%CI1.34-1.79）与<6小时/天的死亡风险增加相关。需要进一步的研究来探索VPA是否可以改善HBP个体的预后，并确定VPA的最佳持续时间。MPA与较低的死亡风险有关，表明其潜力是HBP个体的最佳体力活动强度。
