Trong m\u1ed9t nghi\u00ean c\u1ee9u d\u1ecbch t\u1ec3 c\u1eaft ngang \u0111o\u00e0n h\u1ec7 g\u1ed3m 2.043 c\u01b0 d\u00e2n tu\u1ed5i t\u1eeb 40 \u0111\u1ebfn 99 c\u1ee7a v\u00f9ng Corinthia, Hy L\u1ea1p, Dr. Sotirios Tsalamandris v\u00e0 c\u1ed9ng s\u1ef1 t\u1ea1i National & Kapodistrian University of Athens, Greece \u0111\u00e3 \u0111\u00e1nh gi\u00e1 \u1ea3nh h\u01b0\u1edfng c\u1ee7a l\u1ed1i s\u1ed1ng \u00edt ho\u1ea1t \u0111\u1ed9ng v\u00e0 ch\u1ebf \u0111\u1ed9 \u0103n s\u00e1ng \u1ea3nh h\u01b0\u1edfng th\u1ebf n\u00e0o \u0111\u1ebfn s\u1ee9c kh\u1ecfe, k\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o t\u1ea1i H\u1ed9i nghi th\u01b0\u1eddng ni\u00ean c\u1ee7a American College of Cardiology ng\u00e0y 17\/3\/2019.<\/p>\n
C\u00e1c c\u01b0 d\u00e2n tham gia v\u00e0o nghi\u00ean c\u1ee9u n\u1ea7y \u0111\u01b0\u1ee3c si\u00eau \u00e2m \u0111o \u0111\u1ed9 d\u00e0y th\u00e0nh \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh ( Intima-Media Thickness, IMT, \u0111\u1ed9 d\u00e0y n\u1ed9i m\u1ea1c m\u1ea1ch m\u00e1u ) v\u00e0 v\u1eadn t\u1ed1c s\u00f3ng m\u1ea1ch (Pulse wave velocity, PWV ) nh\u01b0 l\u00e0 c\u00e1c gi\u00e1 tr\u1ecb \u0111\u1ea1i di\u1ec7n c\u1ee7a x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch.<\/p>\n
” V\u1eadn t\u1ed1c s\u00f3ng m\u1ea1ch l\u00e0 v\u1eadn t\u1ed1c lan truy\u1ec1n c\u1ee7a s\u00f3ng \u00e1p l\u1ef1c d\u1ecdc theo th\u00e0nh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 v\u00e0 c\u00e1c \u0111\u1ed9ng m\u1ea1ch l\u1edbn trong su\u1ed1t chu chuy\u1ec3n tim. V\u1eadn t\u1ed1c s\u00f3ng m\u1ea1ch l\u00e0 ti\u00eau chu\u1ea9n v\u00e0ng \u0111\u00e1nh gi\u00e1 s\u1ef1 x\u01a1 c\u1ee9ng m\u1ea1ch. X\u01a1 c\u1ee9ng \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 \u0111\u01b0\u1ee3c t\u00ednh to\u00e1n b\u1eb1ng v\u1eadn t\u1ed1c s\u00f3ng lan truy\u1ec1n t\u1eeb \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh chung \u0111\u1ebfn \u0111\u1ed9ng m\u1ea1ch \u0111\u00f9i chung. Khi th\u1ea5t tr\u00e1i t\u1ed1ng m\u00e1u v\u00e0o \u0111\u1ed9ng m\u1ea1ch ch\u1ee7, s\u1ef1 rung \u0111\u1ed9ng c\u1ee7a d\u00f2ng m\u00e1u t\u1ea1o ra 1 s\u00f3ng lan truy\u1ec1n d\u1ecdc theo th\u00e0nh c\u00e1c \u0111\u1ed9ng m\u1ea1ch. S\u00f3ng lan truy\u1ec1n b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi 2 y\u1ebfu t\u1ed1: 1) s\u1ef1 d\u1ecbch chuy\u1ec3n c\u1ee7a d\u00f2ng m\u00e1u d\u1ecdc theo tr\u1ee5c \u0111\u1ed9ng m\u1ea1ch v\u1edbi qu\u00e1n t\u00ednh l\u00e0 y\u1ebfu t\u1ed1 quan tr\u1ecdng nh\u1ea5t \u1edf c\u00e1c \u0111\u1ed9ng m\u1ea1ch l\u1edbn; v\u00e0 2) s\u1ef1 d\u1ecbch chuy\u1ec3n theo chi\u1ec1u ngang xuy\u00ean th\u00e0nh \u0111\u1ed9ng m\u1ea1ch \u2013 s\u1ef1 c\u1ee9ng m\u1ea1ch. Qu\u00e1n t\u00ednh theo chi\u1ec1u d\u1ecdc m\u1ea1ch m\u00e1u c\u00e0ng l\u1edbn, s\u00f3ng m\u1ea1ch lan truy\u1ec1n c\u00e0ng ch\u1eadm. Kh\u00e1ng tr\u1edf th\u00e0nh m\u1ea1ch c\u00e0ng l\u1edbn, t\u1ee9c m\u1ea1ch m\u00e1u c\u00e0ng c\u1ee9ng, th\u1eddi gian s\u00f3ng lan truy\u1ec1n theo chi\u1ec1u ngang c\u00e0ng \u00edt v\u00e0 do \u0111\u00f3 v\u1eadn t\u1ed1c s\u00f3ng m\u1ea1ch c\u00e0ng nhanh ” Ngu\u1ed3n\u00a0http:\/\/timmachhoc.vn\/boi-duong-sau-dai-hoc\/1318-lao-hoa-dong-mach-vai-tro-cua-huyet-ap-dong-mach-trung-tam-va-cac-thong-so-lien-quan-trong-thuc-hanh-lam-sang.html<\/a><\/p>\n S\u1ef1 v\u1eadn \u0111\u1ed9ng th\u1ebf ch\u1ea5t \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 b\u1eb1ng B\u1ea3ng c\u00e2u h\u1ecfi ho\u1ea1t \u0111\u1ed9ng th\u1ec3 ch\u1ea5t qu\u1ed1c t\u1ebf t\u1ef1 b\u00e1o c\u00e1o (International Physical Activity Questionnaire , IPAQ) nh\u1eb1m xem x\u00e9t m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng th\u1ec3 ch\u1ea5t v\u00e0 th\u00f3i quen \u0103n u\u1ed1ng c\u1ee7a ng\u01b0\u1eddi tham gia<\/p>\n Trong n\u1ed9i dung ph\u00e2n t\u00edch \u0111\u1ea7u ti\u00ean, nh\u00f3m NC \u0111\u00e1nh gi\u00e1 s\u1ed1 gi\u1edd trung b\u00ecnh m\u1ed7i tu\u1ea7n d\u00e0nh cho vi\u1ec7c xem TV, video ho\u1eb7c DVD, \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i nh\u01b0 sau: m\u1ee9c \u0111\u1ed9 th\u1ea5p (\u22647 gi\u1edd \/ tu\u1ea7n), v\u1eeba ph\u1ea3i (7\u02c3 \u0111\u1ebfn \u226421 gi\u1edd \/ tu\u1ea7n) v\u00e0 m\u1ee9c \u0111\u1ed9 cao (\u02c321 gi\u1edd \/ tu\u1ea7n).<\/p>\n Gi\u1edd xem TV c\u00f3 li\u00ean quan thu\u1eadn v\u1edbi IMT (p = 0,03) v\u00e0 x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh (p = 0,02). Nh\u1eefng ng\u01b0\u1eddi xem TV m\u1ee9c cao c\u00f3 kh\u1ea3 n\u0103ng b\u1ecb m\u1ea3ng x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh cao h\u01a1n 80%, c\u00f3 kh\u1ea3 n\u0103ng b\u1ecb huy\u1ebft \u00e1p cao h\u01a1n 68% v\u00e0 \u0111\u00e1i \u0111\u01b0\u1eddng cao h\u01a1n 50%.<\/p>\n Trong n\u1ed9i dung ph\u00e2n t\u00edch th\u1ee9 hai, nh\u1eefng ng\u01b0\u1eddi tham gia \u0111\u01b0\u1ee3c ph\u00e2n nh\u00f3m theo l\u01b0\u1ee3ng calo thu n\u1ea1p t\u1eeb b\u1eefa s\u00e1ng trong t\u1ed5ng s\u1ed1 n\u0103ng l\u01b0\u1ee3ng \u0103n v\u00e0o c\u1ee7a c\u1ea3 ng\u00e0y : 1. ng\u01b0\u1eddi ti\u00eau th\u1ee5 b\u1eefa s\u00e1ng n\u0103ng l\u01b0\u1ee3ng cao ( high-energy breakfast consumers, HeBC;> 20% ), 2. ng\u01b0\u1eddi ti\u00eau th\u1ee5 b\u1eefa s\u00e1ng n\u0103ng l\u01b0\u1ee3ng th\u1ea5p (low-energy breakfast consumers, LeBC; 5% 20%) v\u00e0 3. ng\u01b0\u1eddi kh\u00f4ng \u0103n s\u00e1ng ( skipping breakfast, SBf; <5 ph\u1ea7n tr\u0103m).<\/p>\n \u0110\u1ed9 c\u1ee9ng \u0111\u1ed9ng m\u1ea1ch cao h\u01a1n \u1edf nh\u00f3m SBf so v\u1edbi nh\u00f3m LeBC v\u00e0 HeBC ( Mean PWV 9,35 m\/ gi\u00e2y so v\u1edbi 9,09 v\u00e0 8,76 m \/ gi\u00e2y, ; p = 0,02). T\u01b0\u01a1ng t\u1ef1, IMT trung b\u00ecnh cao h\u01a1n \u0111\u00e1ng k\u1ec3 \u1edf nh\u1eefng ng\u01b0\u1eddi tham gia b\u1ecf b\u1eefa s\u00e1ng (1,04 mm so v\u1edbi 0,99 v\u00e0 0,92 mm; p = 0,01). Sau ph\u00e2n t\u00edch h\u1ed3i quy, SBf c\u00f3 li\u00ean quan thu\u1eadn v\u1edbi IMT v\u00e0 PWV trung b\u00ecnh t\u0103ng.<\/p>\n Nh\u01b0 v\u1eady, c\u00f3 th\u1ec3 n\u00f3i l\u1ed1i s\u1ed1ng \u0103n kh\u00f4ng ng\u1ed3i r\u1ed3i nhi\u1ec1u qu\u00e1 v\u00e0 \u0103n u\u1ed1ng kh\u00f4ng \u0111i\u1ec1u \u0111\u1ed9 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a h\u1ec7 th\u1ed1ng tim m\u1ea1ch m\u00e0 h\u1eadu qu\u1ea3 l\u00e0 b\u1ec7nh m\u1ea1ch v\u00e0nh hay \u0111\u1ed9t qu\u1ef5<\/p>\n Tuy nhi\u00ean, \u00fd ki\u1ebfn chuy\u00ean gia cho r\u1eb1ng nghi\u00ean c\u1ee9u n\u00e0y c\u00f3 nhi\u1ec1u y\u1ebfu t\u1ed1 nhi\u1ec5u \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn k\u1ebft lu\u1eadn, NC \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n t\u1ea1i \u0110\u1ecba trung h\u00e3i l\u00e0 n\u01a1i c\u00f3 ch\u1ebf \u0111\u1ed9 \u0103n h\u1eb1ng ng\u00e0y t\u1ed1t nh\u1ea5t cho s\u1ee9c kh\u1ecfe tim m\u1ea1ch ( b\u1eefa \u0103n s\u00e1ng c\u00f3 nhi\u1ec1u s\u1eefa, yogurt, chesse, ng\u0169 c\u1ed1c, tr\u00e1i c\u00e2y ) so v\u1edbi c\u00e1c \u0111\u1ecba ph\u01b0\u01a1ng kh\u00e1c v\u00e0 s\u1ed1 gi\u1edd xem tivi c\u00f3 th\u1ec3 b\u1ecb t\u00ednh v\u00e0o nh\u1eefng gi\u1edd v\u1eeba xem v\u1eeba t\u1eadp th\u1ec3 d\u1ee5c nh\u01b0 tr\u00ean m\u00e1y ch\u1ea1y b\u1ed9 hay khi d\u1ecdn d\u1eb9p nh\u00e0 c\u1eeda…<\/p>\n G\u00ec th\u00ec g\u00ec, \u0103n s\u00e1ng t\u1ed1t, si\u00eang l\u00e0m vi\u1ec7c, t\u1eadp th\u1ec3 d\u1ee5c v\u00e0 l\u01b0\u1edbt ph\u00edm v\u1eeba \u0111\u1ee7 l\u00e0 good, h\u00ec h\u00ec !
\nVi\u1ec7t nam m\u00ecnh \u00edt nghi\u00ean c\u1ee9u m\u1ea5y chuy\u1ec7n \u1ea9m th\u1ef1c hay nam n\u1eef nh\u1ec9 ?
\nTr\u1eddi h\u00f4m nay n\u00f3ng…\/.<\/p>\n