Influence of lifestyle modification on arterial stiffness and wave reflections

被引:160
作者
Tanaka, H [1 ]
Safar, ME
机构
[1] Univ Texas, Dept Kinesiol & Hlth Educ, Austin, TX 78712 USA
[2] Hop Hotel Dieu, Ctr Diagnost, F-75181 Paris, France
关键词
nonpharmacological; arterial compliance; exercise; sodium restriction;
D O I
10.1016/j.amjhyper.2004.07.008
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Arterial stiffness and wave reflections exert a number of adverse effects on cardiovascular function and disease risk and are associated with a greater rate of mortality in patients with end-stage renal failure and essential hypertension. Accordingly, the prevention and treatment of arterial stiffness are of paramount importance. Because arterial stiffening is being recognized as a critical precursor of cardiovascular disease (CVD), it is essential to understand the role of lifestyle modifications on preventing and reversing arterial stiffening. Available evidence indicates that lifestyle modifications, in particular aerobic exercise and sodium restriction, appear to be clinically efficacious therapeutic interventions for preventing and treating arterial stiffening. Thus, sufficient evidence is available to recommend lifestyle modifications as part of a first-line therapeutic approach for arterial stiffening. However, more information is needed for a full understanding and optimal use of lifestyle modifications in the management of arterial stiffening. (C) 2005 American Journal of Hypertension, Ltd.
引用
收藏
页码:137 / 144
页数:8
相关论文
共 71 条
[11]   Fibronectin expression and aortic wall elastic modulus in spontaneously hypertensive rats [J].
Bézie, Y ;
Lamazière, JMD ;
Laurent, S ;
Challande, P ;
Cunha, RS ;
Bonnet, J ;
Lacolley, P .
ARTERIOSCLEROSIS THROMBOSIS AND VASCULAR BIOLOGY, 1998, 18 (07) :1027-1034
[12]   SYMPATHETIC ACTIVATION DECREASES MEDIUM-SIZED ARTERIAL COMPLIANCE IN HUMANS [J].
BOUTOUYRIE, P ;
LACOLLEY, P ;
GIRERD, X ;
BECK, L ;
SAFAR, M ;
LAURENT, S .
AMERICAN JOURNAL OF PHYSIOLOGY-HEART AND CIRCULATORY PHYSIOLOGY, 1994, 267 (04) :H1368-H1376
[13]   ACUTE CHANGES IN FOREARM HEMODYNAMICS PRODUCED BY CIGARETTE-SMOKING IN HEALTHY NORMOTENSIVE NONSMOKERS ARE NOT INFLUENCED BY PROPRANOLOL OR PINDOLOL [J].
BRUNEL, P ;
GIRERD, X ;
LAURENT, S ;
PANNIER, B .
EUROPEAN JOURNAL OF CLINICAL PHARMACOLOGY, 1992, 42 (02) :143-146
[14]   Comparison of aortic elasticity determined by cardiovascular magnetic resonance imaging in obese versus lean adults [J].
Danias, PG ;
Tritos, NA ;
Stuber, M ;
Botnar, RM ;
Kissinger, KV ;
Manning, WJ .
AMERICAN JOURNAL OF CARDIOLOGY, 2003, 91 (02) :195-199
[15]  
DRAAIJER P, 1993, J HYPERTENS, V11, P1199
[16]   Intersalt revisited: Further analyses of 24 hour sodium excretion and blood pressure within and across populations [J].
Elliott, P ;
Stamler, J ;
Nichols, R ;
Dyer, AR ;
Stamler, R ;
Kesteloot, H ;
Marmot, M .
BMJ-BRITISH MEDICAL JOURNAL, 1996, 312 (7041) :1249-1253
[17]   Ascorbic acid does not affect large elastic artery compliance or central blood pressure in young and older men [J].
Eskurza, I ;
Monahan, KD ;
Robinson, JA ;
Seals, DR .
AMERICAN JOURNAL OF PHYSIOLOGY-HEART AND CIRCULATORY PHYSIOLOGY, 2004, 286 (04) :H1528-H1534
[18]   Effects of cigarette smoking on carotid and radial artery distensibility [J].
Failla, M ;
Grappiolo, A ;
Carugo, S ;
Calchera, I ;
Giannattasio, C ;
Mancia, G .
JOURNAL OF HYPERTENSION, 1997, 15 (12) :1659-1664
[19]   Aerobic exercise training does not modify large-artery compliance in isolated systolic hypertension [J].
Ferrier, KE ;
Waddell, TK ;
Gatzka, CD ;
Cameron, JD ;
Dart, AM ;
Kingwell, BA .
HYPERTENSION, 2001, 38 (02) :222-226
[20]   Dietary sodium restriction rapidly improves large elastic artery compliance in older adults with systolic hypertension [J].
Gates, PE ;
Tanaka, H ;
Hiatt, WR ;
Seals, DR .
HYPERTENSION, 2004, 44 (01) :35-41