健康理想基线值--保健养生中若干问题的探讨
首发时间:2019-12-30
摘要:建立合理的生活方式和身体运动方式、采取有效的的保健和干预措施对人们提高生活质量和健康水平攸关重要。人体的一些检测指标对于人们健康水平的评估具有重要意义。目前医学界和有关研究机构所共识的一些人体指标包括:体重指数(BMI),其正常参考值为18.5-23.9; 腹部脂肪蓄积上限,女性腰围小于80cm, 男性腰围小于85 cm; 内脏脂肪面积(腹部界面)正常值上限小于100cm2; 颈动脉内中膜厚度(IMT),其正常值小于0.9 mm; 脉搏波传导速度(PWV), 踝臂PWV大于14m/s提示全身动脉僵硬度升高;血压, 高血压诊断标准为大于135/85 mmHg(家庭血压值), 或大于140/90 mmHg(门诊血压值);血脂检测指标,包括:(1) 总胆固醇(TC), 正常参考值2.90-5.68 mmol/L, 从3.36 mmol/L开始增至5.18-6.19 mmol/L时,其缺血性心血管病的发病危险较TC.5<3.63 mmol/L者增高50%左右;(2)甘油三酯(TC),正常参考值: 0.57-1.71 mmol/L, (3) 低密度脂蛋白(LDL-C), 正常参考值: 0.00-3.36 mmol/L, 理想水平<2.60 mmol/L, (4) 高密度脂蛋白(HDL-C), 正常参考值: 1.09-1.92 mmol/L。多种慢性疾病与缺乏运动有着相关性,身体活动量的确定与掌控十分重要。6分钟步行实验(6MWT)用于判定心衰病人的心肺功能状况恢复,有报道指出健康女性6MWT的位数值约为500米,健康男性6MWT的中位数值约为580米。(220-年龄)次/每分钟是从事运动的极限(俗称危险)心率(MHB)。运动要达到脂肪燃烧心率要高于60%MHB, 运动要达到提高心肺心率要达到70%-85%MHB。人体检测的一些(正常)参考值是针对一般群体的统计数据建立的。对于个体来说,即便身体检测的数值在参考值范围内并不一定代表着身体状况正常或不存在隐患。为此本文提出了“健康理想基线值”的定义,提出了保持身体检测值在“健康理想基线值”附近小幅波动是保持健康的重要措施的观点。结合一些身体检测值的实例对“健康理想基线值”的应用进行了诠释。提出了一些可供参考的建议。期望人们能够利用它对自己的身体状态与变化趋势有更好的认识与掌控。
关键词: 医学实验 健康体检 慢性病相关性 健康理想基线值 养生保健
For information in English, please click here
Ideal Baseline Value of Health-Discussion on Several Issues in Health
Abstract:Establishing a reasonable lifestyle and physical exercise, taking effective health care and interventions are important for the general public to improve their quality of life and health.Some detection indicators of the human body are of great significance for the assessment of people's health. Some of the body indicators currently agreed by the medical community and relevant research institutions include: Body Mass Index (BMI), Weight (kg)/height meter (m2).), Its normal reference value is: 18.5-23.9; Upper limit of abdominal fat accumulation: waist circumference of female is less than 80 cm, waist circumference of male is less than 85 cm;Visceral fat area (abdominal interface) is less than 100 cm2 ; Carotid Intima-media Thickness (IMT), whose normal value is less than 0.9 mm; Pulse Wave Velocity (PWV) is An index for evaluating vascular arterial elasticity. Ankle arm PWV greater than 14 m/s indicates an increase in systemic arterial stiffness; The diagnostic criteria for hypertension is greater than 135/85 mmHg (family blood pressure) or greater than 140/90 mmHg (outpatient blood pressure); Blood lipid test: (1) Normal reference value of total cholesterol (TC): 2.90-5.68 mmol/L, increased from 3.63mmol/L to 5.18-6.19 mmol/L, the risk of ischemic cardiovascular disease is higher than that of TC<3.63 mmol / L increased by 50%; (2) Normal reference value of triglyceride (TG): 0.57-1.71 mmol/L, (3) Low density lipoprotein (LDL-C) normal reference value: 0.00-3.36 mmol/L, ideal level: <2.60 mmol/L, (3) The normal reference value of high-density lipoprotein (HDL-C) is: 1.09-1.92 mmol /L. Many chronic diseases are related to lack of exercise. The determination and control of physical activity is very important. For cardiopulmonary function status-6 minutes walking test (6MWT), there are reports that the median value for healthy women is about 500 meters and the median value for healthy men is about 580 meters. Mild heart failure 6MWT is greater than 450 meters. Extreme heart rate of exercise (MHB): (220-Age) times/minute, exercise must reach fat burning heart rate above 60% MHB; Exercise to improve the cardiopulmonary heart rate must reach 70%-85 % MHB. Some of the human detection (normal) reference values are created for general population statistics. For individuals, within the normal range does not necessarily mean that the physical condition is normal or there is no hidden danger. To this end, this article proposes the definition of “healthy ideal baseline value" and proposes to keep the body detection value at "health ideal baseline value”. A small fluctuation near the “healthy ideal baseline value" is an important measure to maintain health. The application of “health ideal baseline value” is explained with some examples of physical detection values. Some suggestions are put forward for reference. Expect people to use them to their physical state and trends haave better understanding and control.
Keywords: Medical experiments Healthy body tests Relavance of chronical diseases Ideal baseline valus of health Health care
基金:
引用
No.****
动态公开评议
共计0人参与
勘误表
健康理想基线值--保健养生中若干问题的探讨
评论
全部评论0/1000