患有高胆固醇血症的美国成年人中总胆固醇控制的趋势,1988-2018年
Xueke Yang1, Li Liu2, Lijing Xi1
1College of Public Health, Zhengzhou University, Zhengzhou, Henan, China.
概括
在患有高胆固醇血症的美国成年人中,胆固醇控制显著改善. 血清总胆固醇 (TC) 低于200 mg/dL的速度在1988年至2018年间显著增加.
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:
- 高胆固醇血量管理对于预防动脉样硬化心血管疾病至关重要.
- 有效的胆固醇控制策略对于公共健康至关重要.
- 监测胆固醇水平的趋势为公共卫生干预提供了信息.
研究的目的:
- 分析血清总胆固醇 (TC) 控制在美国成年人高胆固醇血症的趋势.
- 评估TC水平低于240 mg/dL和200 mg/dL的水平.
- 根据胆固醇控制趋势,为公共卫生措施提供建议.
主要方法:
- 利用了1988年至2018年 (12个周期) 的国家健康和营养检查调查 (NHANES) 数据.
- 计算的加权,具有代表性的高胆固醇血症患者的比率与控制的TC.
- 描述了TC控制的年龄调整率的趋势.
主要成果:
- 年龄调整后的TC<240mg/dL的比率从7.67% (1988-1991) 增加到58.52% (2013-2014),然后稳定下来.
- 经年龄调整的TC < 200 mg/dL 的比率从 2.49% (1988-1991) 增加到 44.58% (2017-2018).
- 在研究期间观察到胆固醇控制的显著改善.
结论:
- 在美国,低于200mg/dL的胆固醇控制显示了从1988年到2018年的持续增长趋势.
- 在最初增加后,TC控制低于240 mg/dL的水平近年来已经稳定.
- 这些趋势突显了高胆固醇血症管理方面的进展,并为未来的公共卫生战略提供了信息.
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