各年齢層の成人の高血圧:現在の結果と地域社会でのコントロール
Donald M Lloyd-Jones1, Jane C Evans, Daniel Levy
1Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Ill 60611, USA. dlj@northwestern.edu
JAMA
|July 28, 2005
まとめ
高血圧のコントロール率は,高齢者,特に80歳以上の女性では低い. 心血管疾患のリスクは,この年齢層における高血圧の段階とともに著しく増加し,改善された管理戦略が必要になります.
科学分野:
- 心臓病学 心臓病学
- ゲリアトリック・メディシン (老年医学)
- 公衆衛生は公衆衛生である.
背景:
- 80歳以上の個体における高血圧の治療と制御率に関するデータは限られている.
- 高齢者における高血圧に関連するリスクを理解することは,効果的な公衆衛生介入に不可欠です.
研究 の 目的:
- 高齢者の異なる血圧段階の流行を評価する.
- 様々な年齢層における高血圧の治療と制御率を決定する.
- 高齢者の高血圧に関連する心血管疾患 (CVD) リスクを評価するために.
主な方法:
- 1990年代からのFramingham Heart Studyのデータを活用したコミュニティベースのコホート研究.
- 参加者は3つの年齢グループに分けられた:<60,60-79歳,80歳以上.
- CVDのリスクを推定するために,コックス比例危険性回帰を用いました.
主要な成果:
- 高血圧の罹患率と治療は年齢とともに増加したが,高齢の女性ではコントロール率が著しく低下した.
- 80歳以上の男性では,コントロール率は38%,女性の場合は23%でした.
- 絶対的なCVDリスクは,80歳以上で血圧が上昇した段階で大幅に増加しました.
結論:
- 地域社会における血圧管理率は,特に高血圧の高齢女性では,国家指針に満たない.
- 短期的なCVDリスクは,最も高齢の高血圧患者のリスク軽減戦略の強化の必要性を強調しています.
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