acute effect

急性效应
  • 文章类型: Journal Article
    敲击按摩对腿筋柔韧性的影响尚不清楚。这项研究旨在研究打击乐按摩对腿筋柔韧性的急性影响,并比较其与静态拉伸的有效性。
    54名年龄在18-25岁的健康个体具有至少15度的积极膝盖伸展被纳入研究。该研究于2022年2月至5月间进行。在这项交叉随机研究中,参与者被随机分为3组,作为打击乐按摩(n=18),静态拉伸(n=18),和对照(n=18)。活动膝伸展试验和坐姿和伸手试验作为评价参数,并在干预前和干预后30分钟(急性)进行评估。
    在打击乐和伸展干预组中,与对照组相比,主动膝关节伸展测试中的运动范围(ROM)增益具有统计学意义(p<0.05)。冲击和伸展干预之间的主动膝关节伸展角度增益相似(p>0.05)。结果发现,在敲击按摩组和静态拉伸组中,腿筋的柔韧性均显着提高(p<0.05)。然而,考虑最后的测量和灵活性增益值,研究发现,敲击按摩和静态拉伸对腿筋肌肉柔韧性有相似的急性影响(p>0.05)。
    打击乐按摩对腿筋的柔韧性和ROM具有急性积极作用,它和静态拉伸一样有效。因此,建议使用敲击按摩设备作为结构化热身前运动的一部分,以增加关节的运动范围和灵活性。
    UNASSIGNED: The effect of percussion massage on hamstring flexibility is unknown. This study aimed to investigate the acute effects of percussion massage on hamstring flexibility and to compare its effectiveness with static stretching.
    UNASSIGNED: Fifty-four healthy individuals aged 18-25 years with at least 15 degrees of active knee extension were included in the study. The study was conducted between February and May 2022. The participants were randomly divided into 3 groups in this cross-randomization study as percussion massage (n=18), static stretching (n=18), and control (n=18). The Active Knee Extension test and the Sit and Reach test were used as evaluation parameters, and assessments were performed pre-intervention and 30 min post-intervention (acute).
    UNASSIGNED: In both percussion and stretching intervention groups, the range of motion (ROM) gain in the Active Knee Extension test was statistically significant (p<0.05) compared to the control group. Active knee extension angle gain was similar between percussion and stretching interventions (p>0.05). It was found that hamstring flexibility improved significantly in both percussion massage and static stretching groups (p<0.05). However, considering the last measurement and flexibility gain values, it was found that percussion massage and static stretching had similar acute effects on hamstring muscle flexibility (p>0.05).
    UNASSIGNED: Percussion massage had an acute positive effect on hamstring flexibility and ROM, and it was as effective as static stretching. Therefore, percussion massage devices are recommended as part of pre-exercise in a structured warm-up for increase in joint range of motion and flexibility.
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  • 文章类型: Journal Article
    中国是世界上最大的煤炭生产国和消费国之一。《中国大气污染防治国家行动计划(2013-2017年)》特别旨在减少燃煤排放。这里,我们显示了PM2.5对健康的急性影响在2013年至2018年期间是否发生了变化,以及可能解释了在京津冀(BTH)和PM2.5浓度大幅下降的周边地区观察到的任何变化的因素.我们采用了两阶段分析策略,利用准泊松回归模型和随机效应荟萃分析,评估PM2.5对BTH47个县死亡率的影响。我们发现,在研究期间,平均每日PM2.5水平和SO42-组分比率急剧下降,这可能与控制煤炭排放有关。随后,PM2.5对总死亡率和循环系统死亡率的急性影响显著降低.从2013年至2015年和从2016年至2018年,PM2.5浓度增加10μg/m3分别与死亡率增加0.16%(95%CI:0.08,0.24%)和0.02%(95%CI:-0.09,0.13%)相关。空气污染源或PM2.5成分的变化似乎在减少健康影响方面发挥了核心作用。最近在中国实施的针对煤炭排放的空气污染控制措施可能会带来重大的健康益处。
    China is one of the largest producers and consumers of coal in the world. The National Action Plan on Air Pollution Prevention and Control in China (2013-2017) particularly aimed to reduce emissions from coal combustion. Here, we show whether the acute health effects of PM2.5 changed from 2013 to 2018 and factors that might account for any observed changes in the Beijing-Tianjin-Hebei (BTH) and the surrounding areas where there were major reductions in PM2.5 concentrations. We used a two-stage analysis strategy, with a quasi-Poisson regression model and a random effects meta-analysis, to assess the effects of PM2.5 on mortality in the 47 counties of BTH. We found that the mean daily PM2.5 levels and the SO42- component ratio dramatically decreased in the study period, which was likely related to the control of coal emissions. Subsequently, the acute effects of PM2.5 were significantly decreased for total and circulatory mortality. A 10 μg/m3 increase in PM2.5 concentrations was associated with a 0.16% (95% CI: 0.08, 0.24%) and 0.02% (95% CI: -0.09, 0.13%) increase in mortality from 2013 to 2015 and from 2016 to 2018, respectively. The changes in air pollution sources or PM2.5 components appeared to have played a core role in reducing the health effects. The air pollution control measures implemented recently targeting coal emissions taken in China may have resulted in significant health benefits.
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  • 文章类型: Editorial
    暂无摘要。
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  • 文章类型: Journal Article
    本研究旨在探讨咖啡因摄入对青少年运动员无氧表现和肌肉活动的影响。在这个随机的,双盲,和安慰剂对照研究,十名年龄在15.9±1.2岁的训练有素的男性五人制足球运动员进行了两次实验。运动员在摄入咖啡因后60分钟进行了Wingate测试(CAF,6mg/kg体重)或安慰剂(PL,右旋糖)(盲给药)。峰值功率,平均力量,并对疲劳指数进行评估。在进行Wingate试验期间,从选定的下肢肌肉记录肌电图(EMG)数据,以确定均方根(RMS),平均电源频率(MPF),和中值电源频率(MDPF)作为频域参数和小波(WT)作为时频域参数。咖啡因摄入增加了峰值(0.80±0.29W/Kg;p=0.01;d=0.42)和平均功率(0.39±0.02W/Kg;p=0.01;d=0.26),但没有显着影响疲劳指数(52.51±9.48%,PL:49.27±10.39%;p=0.34)。EMG数据显示MPF和MDPF参数降低,WT升高,但咖啡因对这些变化没有显著影响(p>0.05)。此外,咖啡因摄入对所选肌肉的RMS变化没有显著影响(p>0.05)。在这里,我们表明,急性咖啡因摄入可改善年轻男性五人制足球运动员的无氧表现,而不会影响EMG参数。
    This study aimed to investigate the effects of caffeine ingestion on anaerobic performance and muscle activity in young athletes. In this randomized, double-blind, and placebo-controlled study, ten highly trained male post-puberal futsal players aged 15.9 ± 1.2 years conducted two laboratory sessions. Athletes performed the Wingate test 60 min after ingestion of caffeine (CAF, 6 mg/kg body mass) or placebo (PL, dextrose) (blinded administration). Peak power, mean power, and the fatigue index were assessed. During the performance of the Wingate test, electromyographic (EMG) data were recorded from selected lower limbs muscles to determine the root mean square (RMS), mean power frequency (MPF), and median power frequency (MDPF) as frequency domain parameters and wavelet (WT) as time-frequency domain parameters. Caffeine ingestion increased peak (0.80 ± 0.29 W/Kg; p = 0.01; d = 0.42) and mean power (0.39 ± 0.02 W/Kg; p = 0.01; d = 0.26) but did not significantly affect the fatigue index (52.51 ± 9.48%, PL: 49.27 ± 10.39%; p = 0.34). EMG data showed that the MPF and MDPF parameters decreased and the WT increased, but caffeine did not have a significant effect on these changes (p > 0.05). Moreover, caffeine ingestion did not significantly affect RMS changes in the selected muscles (p > 0.05). Here we showed that acute caffeine ingestion improved anaerobic performance without affecting EMG parameters in young male futsal athletes.
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  • 文章类型: Journal Article
    在欧洲法规实施后,限制某些食品中托烷生物碱的存在,在塞尔维亚对103种玉米产品进行了调查(粗粒,玉米粥和粗面粉)使用液相色谱和串联质谱分析(LC-MS/MS)确定阿托品和东pol碱含量。测试了通过食用这些产品超过阿托品和东莨菪碱总和的急性参考剂量(ARfD;0.016μg/kg体重/天)的概率。总的来说,跨年龄段-儿童,年轻和年长的青少年,和成年人,ARfD组超过21.4%,17.5%,11.7%和11.7%的样品,最大暴露达到19-,13-,ARfD组的9倍和9倍,分别。然而,玉米粥可能是最有利的饮食选择(17.9%的阳性样本,7.7%导致儿童过度接触,达到ARfD组的最大1.4倍)。根据报告的发现,不能排除托烷生物碱对健康的不良影响。曝光的边际,建立在粮农组织/世卫组织确立的临床显著急性效应剂量基础上,年龄类别的范围为1194至2381(平均值)和28至56(第95百分位数)。这些估计当然应该引起食品当局和营养学家的注意,特别是在有禁忌症和玉米产品高消费者的高度敏感人群中,如乳糜泻患者。
    Following the implementation of the European regulation limiting the presence of tropane alkaloids in certain foods, a survey was conducted in Serbia on 103 maize products (grits, polenta and semolina) to determine atropine and scopolamine content using liquid chromatography with tandem-mass spectrometry analysis (LC-MS/MS). The probability of exceeding the Acute Reference Dose (ARfD; 0.016 μg/kg bw/day) of the sum of atropine and scopolamine by consuming these products was tested. Overall, across age categories - children, younger and older adolescents, and adults, the group ARfD was exceeded by 21.4%, 17.5%, 11.7% and 11.7% of the samples, with maximum exposure reaching as much as 19-, 13-, 9- and 9-fold the group ARfD, respectively. Nevertheless, polenta could be the most favorable dietary option (17.9% of positive samples, 7.7% resulting in excessive exposure in children, reaching a maximum of 1.4-fold the group ARfD). According to the reported findings, adverse health effects of tropane alkaloids cannot be ruled out. The Margin of Exposure, founded on a clinically significant acute effects dose established by FAO/WHO, ranged from 1194 to 2381 (mean) and from 28 to 56 (95th percentile) across age categories. These estimates should certainly draw the attention of food authorities and nutritionist, particularly in the case of highly sensitive populations with contraindications and high consumers of corn products, such as coeliac patients.
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  • 文章类型: Journal Article
    未经证实:体脂百分比与动脉僵硬度呈正相关,但不同体脂百分比的个体在有氧运动后动脉僵硬度的急性变化仍不清楚.这项研究旨在确定急性有氧运动对不同体脂百分比个体动脉僵硬度的影响。
    UNASSIGNED:同时参加开滦州研究的第七次调查和第五次国民体质监测的个人都参加了我们的研究。所有参与者都接受了臂-踝脉搏波速度的测量,血压,和心率之前和之后的两阶段负荷测试周期测功。此外,建立广义线性模型,分析不同体脂百分比个体运动前后臂踝脉搏波传导速度变化的组间差异。
    未经评估:参与者(N=940,36.8±7.7岁,所有男性)分为:第一季度10.0-19.3%,第二季度19.3-23.3%,第三季度23.3-27.1%和第四季度27.1-37.7%的体脂百分比四分位数。总的来说,锻炼后,臂踝脉搏波传导速度显著降低(之前,1,375.1±209.1;之后,1,341.5±208.0cm/s;p<0.01)。在调整混杂因素后,广义线性模型显示Q1、Q2和Q3组的β值和95%置信区间(CI)为-38.1(95%CI:-57.3,-19.0),-8.5(95%CI:-25.8,3.7),-3.7(95%CI:-20.5,13.0),分别,与Q4相比。对于体脂百分比增加一个标准偏差(5.8%),β=14.5(95%CI:7.3,21.6)。在敏感性分析中获得了类似的结果。
    UNASSIGNED:急性有氧运动对具有不同体脂百分比的成年人的动脉僵硬度具有积极作用。与身体脂肪百分比高的个体相比,运动后,体脂百分比低的人的动脉硬度显着降低。
    UNASSIGNED: Body fat percentage were positively correlated with arterial stiffness, but the acute change in arterial stiffness after aerobic exercise in individuals with different body fat percentages remains unclear. This study was aimed to determine the effect of acute aerobic exercise on arterial stiffness in individuals with different body fat percentages.
    UNASSIGNED: Individuals who both participated in the seventh survey of the Kailuan study and the fifth iteration of National Physical Fitness Monitoring were enrolled in our study. All participants underwent measurement of brachial-ankle pulse wave velocity, blood pressure, and heart rate before and after a two-stage load test on cycle ergometry. Additionally, the generalized linear model was established to analyse between-group differences of the change in brachial-ankle pulse wave velocity before and after exercise for individuals with different body fat percentages.
    UNASSIGNED: The participants (N = 940, 36.8 ± 7.7years old, all male) were divided into: Q1 10.0-19.3%, Q2 19.3-23.3%, Q3 23.3-27.1% and Q4 27.1-37.7% by body fat percentage quartile. Overall, after exercise, brachial-ankle pulse wave velocity decreased significantly (before, 1,375.1 ± 209.1; after, 1,341.5 ± 208.0cm/s; p < 0.01). After adjusting for confounding factors, the generalized linear model showed that the β values and 95% confidence interval (CI) of Q1, Q2 and Q3 groups were -38.1 (95% CI: -57.3, -19.0), -8.5 (95% CI: -25.8, 3.7),-3.7 (95% CI: -20.5, 13.0), respectively, when compared with Q4. For an increase in body fat percentage by one standard deviation (5.8%), β = 14.5 (95% CI: 7.3, 21.6). Similar results were obtained in sensitivity analyses.
    UNASSIGNED: Acute aerobic exercise had a positive effect on the arterial stiffness of adults with different body fat percentages. Compared with individuals with high body fat percentages, the arterial stiffness of people with low body fat percentages had significant reduction after exercise.
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  • 文章类型: Journal Article
    静态拉伸的效果受规定和施加的拉伸载荷的影响。根据拉伸持续时间和强度计算规定的载荷,而施加的载荷是根据施加在目标肌肉上的静态拉伸力来评估的。以前的研究没有同时研究过规定的和施加的静态拉伸载荷对肌腱单元刚度的影响。因此,本研究的目的是通过使用不同的静态拉伸强度和持续时间来检查规定的和施加的静态拉伸载荷对绳肌肌腱单元刚度变化的急性影响。23名参与者在高强度下进行了静态拉伸(50秒,3套),中等(60秒,3套),和低(75秒,3套),以随机顺序。参数是运动范围,被动扭矩,和肌肉肌腱单元刚度。这些参数是在拉伸前测量的,在集合之间,并在拉伸后立即使用测力计机器。根据静态拉伸过程中的被动扭矩计算静态拉伸载荷。拉伸50秒(p<0.01,d=-0.73)和180秒(p<0.01,d=-1.10)后,高强度和中等强度的肌腱单元刚度分别降低。但是低强度拉伸225秒没有变化(p=0.48,d=-0.18)。在中等强度(r=-0.64,p<0.01)和低强度(r=-0.54,p<0.01)下,静态拉伸载荷与肌肉肌腱单元刚度的相对变化之间存在显着相关性。但不是在高强度(r=-0.16,p=0.18)。即使统一了规定的静态拉伸负荷,高强度静态拉伸也可有效降低肌腱单元的刚度。在低强度和中等强度静态拉伸中,施加的静态拉伸载荷是降低肌肉肌腱单元刚度的重要因素,但不是高强度拉伸。
    The effects of static stretching are influenced by prescribed and applied loads of stretching. The prescribed load is calculated from the stretching duration and intensity, whereas the applied load is assessed from the force of static stretching exerted on the targeted muscle. No previous study has investigated the prescribed and applied loads of static stretching on the muscle-tendon unit stiffness simultaneously. Therefore, the purpose of the present study was to examine the acute effects of the prescribed and applied load of static stretching on the change in the muscle-tendon unit stiffness of the hamstrings by using different intensities and durations of static stretching. Twenty-three participants underwent static stretching at the intensity of high (50 seconds, 3 sets), moderate (60 seconds, 3 sets), and low (75 seconds, 3 sets), in random order. The parameters were the range of motion, passive torque, and muscle-tendon unit stiffness. These parameters were measured before stretching, between sets, and immediately after stretching by using a dynamometer machine. The static stretching load was calculated from the passive torque during static stretching. The muscle-tendon unit stiffness decreased in high- and moderate-intensity after 50 (p < 0.01, d = -0.73) and 180 seconds (p < 0.01, d = -1.10) of stretching respectively, but there was no change in low-intensity stretching for 225 seconds (p = 0.48, d = -0.18). There were significant correlations between the static stretching load and relative change in the muscle-tendon unit stiffness in moderate- (r = -0.64, p < 0.01) and low-intensity (r = -0.54, p < 0.01), but not in high-intensity (r = -0.16, p = 0.18). High-intensity static stretching was effective for a decrease in the muscle-tendon unit stiffness even when the prescribed load of static stretching was unified. The applied load of static stretching was an important factor in decreasing the muscle-tendon unit stiffness in low- and moderate-intensity static stretching, but not in high-intensity stretching.
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    文章类型: Journal Article
    这项研究的目的是在进行高强度LE自行车运动后立即评估下肢(LE)的急性动脉血流速度。28位年龄为20.9±1.7岁的健康男性(n=14)和女性(n=14)参加了这项研究。所有受试者都进行了一次高强度循环(HRR的70%)45分钟。受试者的LE血流速度,心率(HR),收缩压(SBP),在休息时测量氧饱和度(SpO2),立即post-,后15分钟。,和后30分钟。干预。将具有Bonferroni调整的重复测量ANOVA用于每个测量以比较每个时间点的响应。静息血流速度(37.5±11.3cm/s)和HR(64.9±11.8bpm)测量值与循环后立即测量值(44.8±13.7cm/s;118.3±17.2bpm)相比有显着差异(p<0.05),后15分钟。(50.1±15.0cm/s;80.1±12.0bpm)和30分钟后。(52.7±18.1cm/s;73.9±11.9bpm)。与15分钟后相比,立即(118.2±17.0mmHg)的SBP测量值存在显着差异(p<0.05)。(108.1±13.6mmHg)。静息SpO2(98.2±1.3%)测量值与立即后(96.5±1.1%)和15分钟后测量值相比显著不同(p<0.05)。(96.9±1.2%)。这项研究表明LE血流速度增加,在一次高强度LE循环长达30分钟后,HR升高。-邮政。此外,收缩压升高,而SpO2在运动到15分钟后下降。-活动后。
    The purpose of this study was to assess the acute arterial blood flow velocity of the lower extremity (LE) immediately after a bout of high-intensity LE cycling exercise. Twenty-eight healthy males (n = 14) and females (n = 14) aged 20.9 ± 1.7 years participated in this study. All subjects performed a single bout of high-intensity cycling (70% of HRR) for 45 min. The subjects\' LE blood flow velocity, heart rate (HR), systolic blood pressure (SBP), and oxygen saturation (SpO2) were measured at rest, immediately post-, post-15 min., and post- 30 min. intervention. A repeated-measures ANOVA with a Bonferroni adjustment was used for each measure to compare the responses at each time point. Resting blood flow velocity (37.5 ± 11.3 cm/s) and HR (64.9 ± 11.8 bpm) measures were significantly different (p < 0.05) compared to measures of immediately post cycling (44.8 ± 13.7 cm/s; 118.3 ± 17.2 bpm), post-15 min. (50.1 ± 15.0 cm/s; 80.1 ± 12.0 bpm) and post-30 min. (52.7 ± 18.1 cm/s; 73.9 ± 11.9 bpm). SBP measures were significantly different (p < 0.05) at immediately post (118.2 ±17.0 mmHg) compared to post-15 min. (108.1 ± 13.6 mmHg). Resting SpO2 (98.2 ± 1.3 %) measures were significantly different (p < 0.05) compared to measures immediately post (96.5 ± 1.1 %) and post-15 min. (96.9 ± 1.2 %). This study indicates that LE blood flow velocity was increased, and HR was elevated following a single bout of high-intensity LE cycling up to 30 min.-post. Additionally, SBP was elevated, while SpO2 dropped following a bout of exercise to 15 min.-post activity.
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  • 文章类型: Journal Article
    短期细颗粒物(PM2.5)暴露对血压(BP)的流行病学证据,心率(HR)和相关炎症生物标志物不一致.我们旨在探讨PM2.5对血压的急性影响,HR和相关炎症生物标志物的调解作用。在2019年5月至2019年6月期间,共招募32名健康大学生在武汉市两个不同PM2.5浓度的地点进行4小时暴露。PM2.5浓度的各个水平,每小时测量每个参与者的BP和HR。每次访问后从每个参与者中抽取血液,我们测量了炎症标志物的水平,包括血清高敏C反应蛋白和血浆纤维蛋白原。线性混合效应模型旨在探索PM2.5暴露对BP的急性影响,HR,和相关的炎症生物标志物。此外,我们评估了相关的炎症生物标志物作为PM2.5与心血管健康指标关联的介质.结果表明,PM2.5浓度增加10μg/m3与HR增加0.84(95%CI:0.54,1.15)次心跳/分钟(bpm)和3.52%(95%CI:1.60%,5.48%)纤维蛋白原增加。滞后效应模型表明,在PM2.5暴露滞后3h时观察到对HR的最强影响[1.96bpm(95%CI:1.19,2.75)],但对于纤维蛋白原,延迟暴露减弱了关联。纤维蛋白原水平升高可能占PM2.5引起的HR升高的39.07%(P=0.44)。当涉及短期PM2.5暴露和BP时,观察到零关联。短期暴露于PM2.5与HR升高和纤维蛋白原水平升高有关。但是我们的发现不足以表明暴露于PM2.5可能会通过炎症途径引起不良的心血管影响。
    Epidemiological evidence of short-term fine particulate matter (PM2.5) exposure on blood pressure (BP), heart rate (HR) and related inflammation biomarkers has been inconsistent. We aimed to explore the acute effect of PM2.5 on BP, HR and the mediation effect of related inflammation biomarkers. A total of 32 healthy college students were recruited to perform 4 h of exposure at two sites with different PM2.5 concentrations in Wuhan between May 2019 and June 2019. The individual levels of PM2.5 concentration, BP and HR were measured hourly for each participant. Blood was drawn from each participant after each visit and we measured the levels of inflammation markers, including serum high-sensitivity C-reactive protein and plasma fibrinogen. Linear mixed-effect models were to explore the acute effect of PM2.5 exposure on BP, HR, and related inflammation biomarkers. In addition, we evaluated related inflammation biomarkers as the mediator in the association of PM2.5 and cardiovascular health indicators. The results showed that a 10 μg/m3 increment in PM2.5 concentration was associated with an increase of 0.84 (95% CI: 0.54, 1.15) beats/min (bpm) in HR and a 3.52% (95% CI: 1.60%, 5.48%) increase in fibrinogen. The lag effect model showed that the strongest effect on HR was observed at lag 3 h of PM2.5 exposure [1.96 bpm (95% CI: 1.19, 2.75)], but for fibrinogen, delayed exposure attenuated the association. Increased fibrinogen levels may account for 39.07% (P = 0.44) of the elevated HR by PM2.5. Null association was observed when it comes to short-term PM2.5 exposure and BP. Short-term exposure to PM2.5 was associated with elevated HR and increased fibrinogen levels. But our finding was not enough to suggest that exposure to PM2.5 might induce adverse cardiovascular effects by the pathway of inflammation.
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  • 文章类型: Journal Article
    环境温度的日常变化与急性心肌梗死(AMI)发作有关,但是关于极端温度对暴露后数小时内AMI风险的影响的证据很少。这项研究调查了极端温度与AMI发生之间的小时水平关联。获得了澳大利亚昆士兰州2013-2015年冬季和夏季AMI患者和温度的全州数据。我们采用固定的时间分层病例交叉分析来量化暴露后24小时内与温度相关的AMI风险。按年龄分组分析,性别和疾病史也进行了研究.我们观察到感冒对男性的非常急性的影响(发生在暴露后9-10小时),女性(暴露后19-22小时),和老年人(暴露后4-20小时)。男性在9小时内感冒与AMI风险升高相关(OR=2.1,95%CI:1.2-3.6),19小时内的女性(OR=2.5,95%CI:1.0-6.0),和4h内的老年人(OR:2.0,95%CI:1.0-4.0)。然而,男性在15小时后(OR:3.9;95%CI:1.1-13.9)和成人在23小时后(OR:4.1,95%CI:1.1-15.4)发生与热相关的AMI风险升高.从未患有AMI的人,患有糖尿病或高脂血症的老年人特别容易感冒。那些特别容易受热的人是从未经历过AMI或患有高血压或高脂血症的男性,以及曾经患有AMI的女性。应考虑温度对每日亚时间尺度的AMI风险的影响,以预防心脏事件。
    Day-to-day change in ambient temperature is associated with acute myocardial infarction (AMI) attacks, but evidence is scarce about the effects of extreme temperatures on the risk of AMI within hours of exposure. This study investigated the hour-level associations between extreme temperatures and AMI occurrence. State-wide data on AMI patients and temperature during winter and summer of 2013-2015 were obtained for Queensland state of Australia. We employed a fixed time-stratified case-crossover analysis to quantify the risk of AMI associated with temperature within 24 h after exposure. Subgroups analyses by age, gender and disease history were also conducted. We observed a very acute effect of cold on men (occurred 9-10 h after exposure), women (19-22 h after exposure), and the elderly (4-20 h after exposure). Cold was associated with elevated AMI risk for men within 9 h (OR = 2.1, 95 % CI: 1.2-3.6), women within 19 h (OR = 2.5, 95 % CI: 1.0-6.0), and the elderly within 4 h (OR: 2.0, 95 % CI: 1.0-4.0). However, elevated risk of AMI associated with heat occurred 15 h later for men (OR: 3.9; 95 % CI: 1.1-13.9) and 23 h later for adults (OR: 4.1, 95 % CI: 1.1-15.4). People never suffered AMI and the elderly with diabetes or hyperlipidaemia were particularly vulnerable to cold. Those that were particularly vulnerable to heat were men never experienced AMI or having hypertension or having hyperlipidaemia as well as women ever suffered AMI. Effects of temperature on AMI risk at sub-daily timescales should be considered to prevent cardiac events.
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