湖北省6市县35～75岁居民心血管病危险因素聚集情况分析
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摘要
目的分析湖北省6市县35～75岁城乡居民心血管疾病危险因素及其聚集情况。方法利用2015-2016年国家心血管病高危人群早期筛查与综合干预项目中湖北省项目点资料对6市、县(区)35-75岁63 237名城乡居民的心血管病危险因素聚集情况进行分析。结果湖北省城乡居民吸烟、高血压、糖尿病、血脂异常和超重的暴露率(标化率)分别为16.9%,39.1%,18.0%,46.1%和40.0%。25.2%,29.7%和32.7%的城乡居民分别暴露于1项、2项和≥3项心血管疾病危险因素。男女以及城镇居民与农村居民之间在不同危险因素聚集情况分组间均有差异,不同年龄组间,暴露于1项危险因素聚集的比例随着年龄增长呈下降趋势,而暴露于2项和≥3项危险因素聚集的比例随着年龄增长呈上升趋势。结论湖北省城乡居民主要心血管疾病危险因素及其聚集暴露率较高,有必要采取禁烟、健康饮食和增加体力活动等人群干预措施,以减少心血管疾病的发生风险。
Objective To estimate the clustering status and risk factors of cardiovascular disease among urban and rural residents aged 35 to 74 years from six cities and counties in Hubei Province.Methods Data were collected from the programs of screening and intervention subjects with high-risk cardiovascular diseases.A cross-sectional survey of a nationally representative sample(63 237) was conducted in five cities and counties in Hubei from 2015 to 2016.A logistic regression model was used for the analysis of risk factors of cardiovascular.Results The exposure rates for current smoking,hypertension,diabetes,dyslipidemia and overweight/obesity were 16.9%,39.1%,18.0%,46.1% and 40.0%,respectively.Overall,25.2%,29.7% and 32.7% of participants in the study had one,two and more cardiovascular risk factors,respectively.There were differences between male and female in different risk factors in aggregation groups.The differences between urban and rural residents in different risk factors aggregation groups were significant.The proportion of exposure to one risk factor aggregation decreased with age,while the proportion of exposure to two and more than three risk factors aggregation increased with age.Conclusion The cardiovascular risk factors of adult residents in Hubei show high prevalence and clustering.It is necessary to strength the interventions on high-risk population,such as smoking cessation,healthy diet,increased physical activity,so as to reduce the incidence and improve the progress of the cardiovascular disease.
Objective To estimate the clustering status and risk factors of cardiovascular disease among urban and rural residents aged 35 to 74 years from six cities and counties in Hubei Province.Methods Data were collected from the programs of screening and intervention subjects with high-risk cardiovascular diseases.A cross-sectional survey of a nationally representative sample(63 237) was conducted in five cities and counties in Hubei from 2015 to 2016.A logistic regression model was used for the analysis of risk factors of cardiovascular.Results The exposure rates for current smoking,hypertension,diabetes,dyslipidemia and overweight/obesity were 16.9%,39.1%,18.0%,46.1% and 40.0%,respectively.Overall,25.2%,29.7% and 32.7% of participants in the study had one,two and more cardiovascular risk factors,respectively.There were differences between male and female in different risk factors in aggregation groups.The differences between urban and rural residents in different risk factors aggregation groups were significant.The proportion of exposure to one risk factor aggregation decreased with age,while the proportion of exposure to two and more than three risk factors aggregation increased with age.Conclusion The cardiovascular risk factors of adult residents in Hubei show high prevalence and clustering.It is necessary to strength the interventions on high-risk population,such as smoking cessation,healthy diet,increased physical activity,so as to reduce the incidence and improve the progress of the cardiovascular disease.
引文
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[2] 中华医学会心血管病学分会,中华心血管病杂志编辑委员会.中国心血管病预防指南[J].中华健康管理学杂志,2011,5(5):263-279.
[3] Gao B,Zhang L,Wang H,et al.Clustering of major cardiovascular risk factors and the association with unhealthy lifestyles in the Chinese adult population[J].PLOS One,2013,8(6):e66780.
[4] 李志芳,段培芬,武阳丰,等.山西省东南部地区常见心脑血管病危险因素及诊疗习惯的研究[J].中华疾病控制杂志,2014,18(9):829-832.
[5] 刘力生.中国高血压防治指南2010[J].中国医学前沿杂志(电子版),2011,3(5):42-93.
[6] 中华医学会糖尿病学分会.中国2型糖尿病防治指南(2013年版)[J].中国医学前沿杂志(电子版),2015,30(3):26-89.
[7] 诸骏仁,高润霖,赵水平,等.中国成人血脂异常防治指南(2016年修订版)[J].中国循环杂志,2016,16(10):937-953.
[8] 赵立军,魏朝晖,杨艳,等.绝经女性与同龄组男性血脂异常状况的分析[J].中国当代医药,2010,17(14):128,130.
[9] Mulè G,Cottone S,Mongiovì R,et al.Influence of the metabolic syndrome on aortic stiffness in never treated hypertensive patients[J].Nutrition,Metabolism,and Cardiovascular Diseases,2006,16(1):54-59.
[10] Gu D,Gupta A,Muntner P,et al.Prevalence of cardiovascular disease risk factor clustering among the adult population of China:results from the International Collaborative Study of Cardiovascular Disease in Asia (InterAsia)[J].Circulation,2005,112(5):658-665.
[11] 张雷,崔红月,刘爱萍,等.北京市城乡结合部中老年人心血管疾病危险因素及聚集情况分析[J].中国慢性病预防与控制,2010,18(3):238-240.