2007-2018年美国成年人脂质度和脂质控制趋势
Rahul Aggarwal1,2, Deepak L Bhatt2, Fatima Rodriguez3
1Richard A. and Susan F. Smith Center for Outcomes Research, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts.
JAMA
|August 23, 2022
概括
从2007年至2018年,美国成年人血脂度有所改善,但治疗他类药物的血脂控制率仍然停滞不前. 在性别和种族/种族群体中,控制率的差异仍然存在.
科学领域:
- 心血管健康
- 公共卫生
- 流行病学
背景情况:
- 高脂度是心血管疾病的重要可改变的危险因素.
- 了解人口水平的脂质趋势和控制对于公共卫生举措至关重要.
研究的目的:
- 分析2007年至2018年美国成年人血脂度和控制率的趋势.
- 调查这些趋势是否因性别和种族/民族而异.
主要方法:
- 从国家健康和营养检查调查 (2007-2018) 中对33040名全国代表的美国成年人进行了连续的横截面分析.
- 评估了脂质度和脂质控制 (总胆固醇≤200 mg/ dL),特别是在接受他类药物治疗的成年人中.
主要成果:
- 整体年龄调整后的总胆固醇从197 mg/dL显著改善到189 mg/dL (2007-2018).
- 在他类药物使用者中,脂质控制率没有显著变化 (78.5%至79.5%),只有墨西哥裔美国人才有改善.
- 与白人成年人相比,女性,黑人和其他西班牙裔成年人的血脂控制有显著差异.
结论:
- 美国成年人口的脂质度从2007年至2018年有所改善,大多数种族和族裔群体呈现出进展.
- 在他类药物使用者中,脂质控制率没有显著改善,这凸显出需要针对性的干预措施来解决持续存在的差异.
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