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美国成年男性中不同肥胖模式与高血压的关联:一个横截面研究
Lu Chen1, Jun Zhang1, Nan Zhou2
1Department of Cardiology, The Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou Municipal Hospital, Gusu School, Nanjing Medical University, Suzhou, 215000, China.
Scientific reports
|June 29, 2023
概括
肥胖显著增加男性高血压的风险. 复合肥胖症具有最高的风险,其次是腹部肥胖症. 腰围是高血压风险查的一个关键指标.
科学领域:
- 心血管健康 心血管健康
- 代谢障碍 代谢障碍 代谢障碍
- 公共卫生 公共卫生
背景情况:
- 肥胖是高血压的主要危险因素.
- 了解特定的肥胖模式对高血压的影响对于有针对性的干预措施至关重要.
研究的目的:
- 调查不同肥胖模式与美国大量男性人口中高血压风险之间的关联.
- 探索腰围在预测高血压风险中的作用.
主要方法:
- 使用NHANES数据 (2007-2018) 对13859名美国男性进行的横截面研究.
- 根据BMI和WC,将肥胖分为超重/一般,腹部和复合肥胖症.
- 使用多变量逻辑回归,子组分析,受限立方线 (RCS) 和ROC分析.
主要成果:
- 与正常体重相比,复合肥胖症的高血压风险最高 (OR: 3.28),其次是腹部肥胖 (OR: 1.97) 和超重/一般肥胖 (OR: 1.41).
- 在非线性模式下,腰围与高血压风险 (OR: 1.43) 有显著的正相关性.
- 亚组分析证实了这些关联在各种临床条件中的稳定性.
结论:
- 不同的肥胖模式显著影响男性高血压风险.
- 增加腰围与高血压风险的增加密切相关.
- 预防肥胖,特别是腹部和复合肥胖,对于男性心血管健康至关重要.
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