心血管疾患のリスクを分けるために,生命のシンプルな7と生命の不可欠な8の比較差別:追加された複雑さは価値あるものですか?
George Howard1, Mary Cushman2, Jessica Blair1
1Department of Biostatistics (G.H., J.B., N.R.W., Y.Y., S.E.J.), School of Public Health, University of Alabama at Birmingham.
Circulation
|October 13, 2023
まとめ
ライフ・シングル7 (LS7) とライフ・エッセンシャル8 (LE8) は,心臓血管疾患のリスクを効果的に予測します. LS7メトリックは,臨床および公共の用途での単純さのために好ましいかもしれません.
科学分野:
- 心臓病科
- 公衆衛生
- 予防 医療
背景:
- Life's Simple 7 (LS7) は7つの要因に基づいた心臓血管の健康指標です.
- ライフ・エッセンシャル8 (LE8) は,睡眠と修正された要素を含む更新された指標です.
- LE8はより多くのデータが必要ですが,より信頼性の高い心血管健康指数です.
研究 の 目的:
- 発症した心血管疾患 (CVD) の予測精度をLS7とLE8と比較する.
- 黒人と白人の集団でLS7とLE8の有用性を評価する.
主な方法:
- ベースラインCVDのない11, 609人の参加者のLS7とLE8のスコアを計算した.
- カプラン・メイヤーと比例した危険性分析により,10年間のCVDリスクが評価されました.
- 差別はc統計を用いて定量化されました.
主要な成果:
- LS7とLE8は10年CVDリスクの予測の正確さも同様でした.
- 最も低いスコアパーセンチルの参加者は,最も高いスコアパーセンチルの参加者と比較して4倍ものリスクがありました.
- LS7 (0. 691) とLE8 (0. 695) のc統計は有意な差異はなかった (P=0. 12).
結論:
- LS7とLE8は両方ともインシデントCVDに関連しており,比較可能な予測差別を持っています.
- そのシンプルさから,LS7は公衆と臨床医によって広く使用されるためにより実用的です.
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