在社区人口中预测新发病的预测因素
Caroline S Fox1, Martin G Larson, Eric P Leip
1National Heart, Lung, and Blood Institute's Framingham Heart Study, Framingham, Mass 01702, USA. caroline@fram.nhlbi.nih.gov
JAMA
|February 19, 2004
概括
心血管疾病风险因素如年龄,糖尿病和高血压预测新发病. 监测低膜过率 (GFR) 的个体对于早期检测和管理至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 心脏病学 心脏病学
- 流行病学 流行病学
背景情况:
- 脏疾病显著增加心血管疾病和末期脏疾病的风险.
- 了解病风险因素至关重要,但仍未得到充分研究.
研究的目的:
- 在一般人群中确定新发病的关键预测因子.
- 调查心血管疾病风险因素与病发病率之间的关联.
主要方法:
- 一项纵向队列研究,涉及2585名参与者,最初没有病.
- 用饮食在病 (MDRD) 中的修改方程评估的病,用特定百分位以下的膜过率 (GFR) 定义它.
- 逐步后勤回归分析了基线和长期平均风险因素,用于预测新发病.
主要成果:
- 在长达18.5年的随访期间,9.4%的参与者患有脏疾病.
- 预测因素包括基线年龄,较低的GFR,较高的体重指数,糖尿病和吸烟.
- 预测病的长期因素包括高血压,较低高密度脂蛋白胆固醇和糖尿病.
- 轻微降低的GFR (<90毫升/分钟/1.73米2),显示患病的几率增加了3倍.
结论:
- 已确定的心血管疾病风险因素与新发病的发展有显著的关联.
- 轻度降低GFR的个体需要密切监测潜在的病进展.
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