[An investigation on risk factors of cerebral arteriosclerosis]
Insights
Clinostatic systolic blood pressure (CSBP) and triglyceride (TG) are key risk factors for cerebral arteriosclerosis (CAS) in elderly cadres. Traditional Chinese Medicine syndromes also contribute to CAS development.
Area of Science:
- Gerontology
- Cardiovascular Epidemiology
- Traditional Chinese Medicine (TCM)
Context:
- Cerebral arteriosclerosis (CAS) poses a significant health challenge, particularly in aging populations.
- Understanding specific risk factors within unique demographic groups, like elderly cadres, is crucial for targeted prevention.
- Fujian Province's elderly cadre population represents a distinct group for epidemiological investigation.
Purpose:
- To identify and analyze the risk factors associated with cerebral arteriosclerosis (CAS) in elderly cadres.
- To investigate the association between various clinical and TCM-based factors and the prevalence of CAS in this specific population.
- To determine the most significant predictors of CAS within the studied cohort.
Summary:
- A case-control study utilizing a conditional logistic regression model was conducted on elderly cadres in Fujian Province.
- Key risk factors identified include elevated clinostatic systolic blood pressure (CSBP), high triglyceride (TG) levels, diabetes mellitus, and glycosylated hemoglobin.
- Traditional Chinese Medicine (TCM) syndromes, specifically Kidney-Deficiency Syndrome and Yin-Deficiency with Yang-Excess Syndrome, were found to be independent risk factors for CAS.
Impact:
- Identifies CSBP as the primary risk factor for CAS in elderly cadres, highlighting the importance of blood pressure management.
- Reveals TCM syndromes as significant, independent risk factors, suggesting integrated approaches for CAS prevention and treatment.
- Provides valuable data for developing targeted health interventions and preventative strategies for CAS in similar aging populations.
Objective:
To investigate the risk factors of cerebral arteriosclerosis (CAS) in the special population--the old cadre in organizations affiliated directly under Fujian Province.
Methods:
The investigation was carried out according to the case control method of epidemiology and conditional logistic regression model was used.
Results:
Multivariate analysis showed that CAS was closely related with the clinostatic systolic blood pressure (CSBP, OR: 2.13), triglyceride (TG, OR: 2.08), diabetes mellitus (OR: 1.31), glycosylated hemoglobin (OR: 1.16), recall of portrait characteristic (OR: 0.89), Kidney-Deficiency Syndrome (OR: 1.54) and Yin-Deficiency with Yang-Excess Syndrome (OR: 1.59). And there was a quantity-effect relationship between CSBP, TG and CAS.
Conclusion:
CSBP is the most important risk factor of CAS in the special population of the old cadre, and the TCM Syndromes of Kidney-Deficiency and Yin-Deficiency with Yang-Excess are also independent risk factors of CAS.
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