白人男性中痛风的发病率和危险因素
R Roubenoff1, M J Klag, L A Mead
1Division of Molecular and Clinical Rheumatology, Johns Hopkins University School of Hygiene and Public Health, Baltimore, Md.
JAMA
|December 4, 1991
概括
肥胖,年轻成人显著体重增加和高血压是发展痛风的关键危险因素. 管理这些因素可能有助于预防痛风发病率并减少与之相关的健康问题.
科学领域:
- 类风湿病学 类风湿病学
- 预防医学 预防医学
- 流行病学 流行病学
背景情况:
- 痛风是一种常见的炎症性关节炎的形式.
- 确定可修改的风险因素对于预防策略至关重要.
研究的目的:
- 识别可能改变的痛风发展的风险因素.
主要方法:
- 一项纵向队列研究,约翰·霍普金斯前身研究,跟踪了1271名医学学生.
- 收集的数据包括医疗检查和问卷.
- 主要结局指标是痛风的发展.
主要成果:
- 在1216名男性中发现了60例痛风病例,在121名女性中没有病例.
- 通过单变量和多变量分析确定的重大风险因素包括35岁时的体重指数,进入35岁之间过度体重增加和高血压的发展.
- 高血压是整体痛风的重要危险因素,但不是原发性痛风.
结论:
- 肥胖,年轻成人期间过度体重增加和高血压是痛风发展的确诊危险因素.
- 预防肥胖和高血压可能会降低痛风发病率和发病率.
- 建议对减肥进行进一步的研究,以预防一次性和二次性痛风.
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