在一个大型多级多组分干预试验中,农村美洲原住民成年人的心脏代谢风险
Leslie C Redmond1, Michelle Estradé2, Margarita S Treuth3
1Dietetics & Nutrition Department, University of Alaska Anchorage, Anchorage, AK, United States of America.
PLOS global public health
|July 6, 2023
概括
农村地区的美国原住民成年人显示肥胖和心血管风险因素的高率,但很少有人报告正式诊断. 这凸显了慢性疾病的识别和管理方面的潜在差距.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 美国原住民健康 美国原住民健康
背景情况:
- 肥胖,高血压和糖尿病等慢性疾病不成比例地影响着美洲原住民人口.
- 了解农村美洲原住民社区中这些疾病的患病率和相关风险因素对于有针对性的干预至关重要.
研究的目的:
- 评估美国中西部和西南部农村社区的美洲原住民成年人中肥胖,高危人体构成和高血压的患病率.
- 检查自我报告的慢性病家族病史和测量健康指标之间的关系.
主要方法:
- 从美国原住民肥胖预防和评估干预有效性的研究2 (OPREVENT2) 的基线数据的横截面分析.
- 包括601名来自农村保留社区的美国原住民成年人 (18至75岁).
- 数据收集包括自我报告问卷和身体质量指数 (BMI),腰比,百分比体脂肪和血压的客观测量.
主要成果:
- 大约60%的参与者BMI超过30kg/m2,表明肥胖.
- 大约80%的人表现出高风险的腰部和部比率和百分比的身体脂肪.
- 近64%的患者进行了高风险血压测量.
- 很大一部分人报告家族有慢性病史,但很少有人自我报告诊断.
结论:
- 该研究中的农村美洲原住民成年人表现出肥胖和心血管疾病风险因素的高负担.
- 在客观测量的健康风险和自我报告的疾病诊断之间存在显著的不一致.
- 需要进一步的研究来探索医疗保健获取在这种差异中的作用,并改善这些社区的慢性疾病管理.
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