Os menciono en este post un estudio canadiense muy interesante que subraya el hecho de que hay mayor riesgo de ictus en los menores de 60 años por tener una vida excesivamente sedentaria (ordenador, viendo TV, leyendo), es decir, pasando más tiempo libre sentado y realizando poca actividad física. Este riesgo se multiplicó por más de cuatro entre las personas sedentarias menores de 60 años, pero no entre los individuos de más edad. ¡Curioso verdad!
No se observaron elevaciones de riesgo similares entre los individuos de 60 a 79 años, ni entre los mayores de 80 años. Y entre las personas menores de 60 años, una actividad física elevada parecía eliminar el riesgo adicional impuesto por el exceso de tiempo de ocio sedentario.
Se trata de un estudio basado en datos autodeclarados (Encuesta de Salud de la Comunidad Canadiense de 2000 a 2012) de más de 143.000 individuos sanos sin antecedentes de cáncer, enfermedad cardíaca o accidente cerebrovascular, donde se excluyeron del análisis los menores de 40 años, y publicado en la prestigiosa revista científica Stroke.
Se considero persona con un «exceso de tiempo de ocio sedentario» a aquel que superaba las 8 horas de ocio sedentario al día. Los participantes fueron estratificados por el tiempo de ocio sedentario autodeclarado al día: menos de 4 horas, de 4 a menos de 6 horas, de 6 a menos de 8 horas u 8 o más horas. Tras una media de seguimiento de 9,4 años, se produjeron 2.965 accidentes cerebrovasculares (el 88,2% isquémico), con una media de tiempo desde la respuesta a la encuesta de 5,6 años. El riesgo de accidente cerebrovascular fue elevado en los participantes con 8 o más horas de tiempo de ocio sedentario al día en comparación con los que tenían menos de 4 horas al día: ¡¡¡se multiplicó por 4,5!!!
Así pues, se vuelve a poner de relieve los amplios beneficios de la actividad física, demostrándose que las personas entre 40-60 años muy sedentarias (>8 h) tienen mayor riesgo de desarrollar un ictus isquémico. Cuanto más ejercicio, menos tiempo de sedentarismo, y mejora de salud, con reducción significativa del riesgo de ictus en este grupo de edad, que representa (en teoría) una población joven y activa.
Debemos seguir «prescribiendo actividad física» a nuestros pacientes, porque los que practican ejercicio suelen estar más sanos, tienen menos riesgo de padecer diabetes, hipertensión y menos riesgo de tener el colesterol alto, es decir, factores de riesgo relacionados con un ictus, así como otras complicaciones cardiovasculares (infarto de miocardio y la enfermedad vascular periférica).
REFERENCIA
Association Between Excess Leisure Sedentary Time and Risk of Stroke in Young Individuals
- Joundi RA, Patten SB, Williams JVA, Smith EE.
- Stroke 2021. Originally published 19 Aug 2021 https://doi.org/10.1161/STROKEAHA.121.034985
- https://www.ahajournals.org/doi/pdf/10.1161/STROKEAHA.121.034985
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