中年人体质量指数和住院和老年人死亡率
Lijing L Yan1, Martha L Daviglus, Kiang Liu
1Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Ill 60611, USA. lijing@northwestern.edu
JAMA
|January 13, 2006
概括
中年肥胖症显著增加了老年人因心脏病和糖尿病住院和死亡的风险,即使对于没有其他风险因素的人来说也是如此. 保持健康的体重对于长期的心血管健康至关重要.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 肥胖与健康状况不佳有关,但其对心血管结果的独立影响仍在争论中.
- 确定的危险因素包括高血压和胆固醇水平.
研究的目的:
- 检查中年人体质量指数与晚年生病率和死亡率之间的关联.
- 评估有或没有其他主要心血管风险因素的个体之间的这种关系.
主要方法:
- 来自芝加哥心脏协会检测项目的17,643名成年人 (31-64岁) 的前性研究.
- 参与者根据心血管风险 (低,中等,高) 和体重指数 (正常,超重,肥胖) 分类.
- 从65岁开始,对住院和冠心病,心血管疾病和糖尿病的死亡率进行了随访.
主要成果:
- 在所有风险类别中,中年肥胖个体与正常体重个体相比,冠心病死亡和住院的风险更高.
- 这种关联也在心血管疾病中观察到,在糖尿病中尤其强烈.
- 结果被调整为系统血压和胆固醇水平.
结论:
- 中年肥胖是一个独立的风险因素,可能导致老年人心血管和糖尿病相关的不良结果.
- 肥胖患者面临更多的住院和死亡风险,无论基线心血管风险因素如何.
- 在中年保持正常的体重指数对于长期健康至关重要.
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