#lipid #gdl
Management of Dyslipidemia for Cardiovascular Disease Risk Reduction: Synopsis of the 2020 Updated U.S. Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guideline 2020
• 治療目標是預後(心血管疾病、健康、住院、死亡),而不是血脂濃度。
• 血脂(膽固醇、LDL-C、HDL-C、TG):每 10 年檢驗一次,不需要禁食。
• 初級預防:中度劑量的 statins,不要用 PCSK9 抑制劑。高危險群者能加上地中海飲食。
• 次級預防:中度劑量的 statins,高危險群(AMI 之後、ACS 一年內、復發性 AMI/ACS/中風、糖尿病、抽煙、PAOD、PCI、CABG)病人可以用高強度 statins、加上 ezetimibe/PCSK9 抑制劑、禁食 TG > 150 mg/dL(非禁食 TG > 200 mg/dL)者能加上 VASCEPA(Icosapent Ethyl)、地中海飲食。
• 沒有幫助:CAC、CRP、ABI、apolipoproteins。
• 不要用 niacin、fibrates。
Lipitor (atorvastatin 10-20 mg/tablet), Crestor (rosuvastatin 10 mg/tablet).
1. Continue to Treat to Target Dose Not LDL-C Level
2. Use of Additional Tests to Refine Risk Prediction: Evidence Is Still Insufficient
coronary artery calcium (CAC), high-sensitivity C-reactive protein, ankle–brachial index, and apolipoprotein
3. Primary Prevention: Moderate-Dose Statin Therapy Is Still Emphasized; No to Proprotein Convertase Subtilisin/Kexin Type 9 (PCSK9) Inhibitors
No RCT directly compared high-dose with moderate-dose statin therapy in primary prevention.
4. Secondary Prevention: Moderate Statin Doses Initially, Then Stepped Intensification in Higher-Risk Patients
For higher-risk patients (recent MI or acute coronary syndrome (in the past 12 months); recurrent acute coronary syndrome, MI, or stroke; or established CVD with additional major risk factors (such as current tobacco use, diabetes, peripheral artery disease, or previous coronary artery bypass graft surgery or percutaneous coronary intervention), evidence supports the addition of ezetimibe or PCSK9 inhibitors to moderate- or high-dose statin therapy.
5. Laboratory Testing: No Routine Fasting or Monitoring Is Needed; Less Is More
We recommend measuring lipid levels no more than every 10 years. Note that previously measured lipid levels may be used reliably in serial CVD risk assessments. We do not recommend rechecking lipid levels each time CVD risk is assessed, because lipid levels remain stable within each patient over time and contribute little to predicted risk relative to other factors.
6. Physical Activity: Increased Aerobic Exercise for All and Cardiac Rehabilitation After a Recent CVD Event
7. Nutrition, Supplements, Niacin, and Fibrates: Suggest a Mediterranean Diet for High-Risk Patients, Limit Icosapent Ethyl to Secondary Prevention, Avoid Supplements and Niacin, and Avoid Adding Fibrates to Statin Therapy
https://www.acpjournals.org/doi/full/10.7326/M20-4648
「moderate physical activity」的推薦目錄:
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moderate physical activity 在 語言治療小釩老師 /教具繪本的使用方法/ Facebook 的最佳解答
帶孩子去爬山吧!⛰
這些研究的結論都說有氧運動有助於孩子大腦質量發展!📈提高他們的注意力、執行能力、神經反應、學習力、判斷力!
小釩老師今天不工作、目前爬40分鐘了!feeling good ! 🌻
Altenburg TM, Chinapaw MJ, and Singh AS. 2015. Effects of one versus two bouts of moderate intensity physical activity on selective attention during a school morning in Dutch primary schoolchildren: A randomized controlled trial. J Sci Med Sport. pii: S1440-2440(15)00236-4.
Ardoy DN, Fernández-Rodríguez JM, Jiménez-Pavón D, Castillo R, Ruiz JR, and Ortega FB. 2014. A physical education trial improves adolescents' cognitive performance and academic achievement: the EDUFIT study. Scand J Med Sci Sports. 24(1):e52-61
Chaddock-Heyman L, Hillman CH, Cohen NJ, and Kramer AF. 2014. III. The importance of physical activity and aerobic fitness for cognitive control and memory in children. Monogr Soc Res Child Dev. 79(4):25-50.
Colcombe, S. & Kramer, A.F. 2003. Fitness effects on the cognitive function of older adults: A meta-analytic study. Psychological Science, 14, 125-130.
Cotman, C.W. & Berchtold, N.C. 2002. Exercise: a behavioral intervention to enhance brain health and plasticity. Trends in Neurosciences, 25 (6), 295-301.
Davis CL, Tomporowski PD, Boyle CA, Waller JL, Miller PH, Naglieri JA, Gregoski M. 2007. Effects of aerobic exercise on overweight children's cognitive functioning: a randomized controlled trial. Res Q Exerc Sport. 78(5):510-9.
Davis CL, Tomporowski PD, McDowell JE, Austin BP, Miller PH, Yanasak NE, Allison JD, Naglieri JA. 2011.Exercise improves executive function and achievement and alters brain activation in overweight children: A randomized, controlled trial. Health Psychol. 30(1):91-8
Dietrich, A. & Sparling, P.B. 2004. Endurance exercise selectively impairs prefrontal-dependent cognition. Brain and Cognition, 55 (3), 516-524.
Drollette ES, Scudder MR, Raine LB, Moore RD, Saliba BJ, Pontifex MB, Hillman CH. 2014. Acute exercise facilitates brain function and cognition in children who need it most: an ERP study of individual differences in inhibitory control capacity. Dev Cogn Neuroscience 7:53-64.
Fedewa AL and Ahn S. 2011. The effects of physical activity and physical fitness on children's achievement and cognitive outcomes: a meta-analysis. Res Q Exerc Sport. 82(3):521-35.
Guiney H and Machado L. 2012. Benefits of regular aerobic exercise for executive functioning in healthy populations. Psychonomic Bulletin & Review. DOI 10.3758/s13423-012-0345-4.
Howie EK, Schatz J, and Pate RR. 2015. Acute Effects of Classroom Exercise Breaks on Executive Function and Math Performance: A Dose-Response Study. Res Q Exerc Sport. 86(3):217-24.
Kamijo K, Takeda Y, Takai Y, Haramura M. 2015. Greater aerobic fitness is associated with more efficient inhibition of task-irrelevant information in preadolescent children. Biol Psychol. 110:68-74.
Kamijo K, Pontifex MB, O’Leary KC, Scudder MR, Wu C-T, Castelli DM, and Hillman CH. 2011. The effects of an afterschool physical activity program on working memory in preadolescent children. Dev Sci. 14(5): 1046–1058.
Keely TJH and Fox KR. 2009. The impact of physical activity and fitness on academic achievement and cognitive performance in children. Int Rev Sports Exercise Physiology 2(2): 198-214.
Hillman CH, Pontifex MB, Castelli DM, Khan NA, Raine LB, Scudder MR, Drollette ES, Moore RD, Wu CT, Kamijo K. 2014. Effects of the FITKids Randomized Controlled Trial on Executive Control and Brain Function. Pediatrics pii: peds.2013-3219. [Epub ahead of print]
Hillman CH, Buck SM, Themanson JR, Pontifex MB, Castelli DM. 2009a. Aerobic fitness and cognitive development: Event-related brain potential and task performance indices of executive control in preadolescent children. Dev Psychol. 45(1):114-29.
Hillman CH, Pontifex MB, Raine LB, Castelli DM, Hall EE, Kramer AF. 2009b. The effect of acute treadmill walking on cognitive control and academic achievement in preadolescent children. Neuroscience. 159(3):1044-54.
Hillman CH, Castelli DM, and Buck SM. 2005. Aerobic fitness and neurocognitive function in healthy preadolescent children. Medicine and science in sports and exercise 37(11): 1967-1974.
Kramer AF, Colcombe SJ, McAuley E, Scalf PE, and Erickson KI. 2005. Fitness, aging and neurocognitive function. Neurobiol Aging. 2005 Dec;26 Suppl 1:124-7.
moderate physical activity 在 民視新聞 Facebook 的最佳解答
📽Government touts 5 easy home workouts
👉Nearly 50% of Taiwanese don't get the recommended dose of exercise each week, officials say. According to the World Health Organization, adults should get at least 150 minutes of moderate physical activity each week. Health officials say that getting those 150 minutes can improve your health, boost your mood, and even extend your lifespan.
根據統計,將近50%的台灣人每週沒有達到建議的運動量。WHO建議,18歲至64歲成人及65歲以上老年人每週需進行150分鐘以上中等強度身體運動,可以改善健康狀況、心情,甚至延長壽命。
#government #adults #health #physical #workouts
moderate physical activity 在 many of us are confused about what 'moderate' actually means 的推薦與評價
Moderate exercise is often recommended to reduce your risk of diabetes and other health problems but how much exercise do you need to do? ... <看更多>