独自生活增加了中国老年人高血压的风险:一个基于人口的纵向研究
Xiang Wang1, Xiangyang Yuan1, Bin Xia2
1Department of Cardiology, Jiujiang No. 1 People's Hospital, Jiujiang, Jiangxi, China.
Innovation in aging
|July 28, 2023
概括
独自生活会增加老年人高血压的风险. 这包括那些持续独自生活或在失去配偶后过渡到单身生活的人,强调了社会支持的重要性.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 横截面研究表明,孤独生活和高血压之间存在联系.
- 对老年人这种关联的长度证据有限.
研究的目的:
- 调查老年人独自生活,生活安排的变化和高血压风险之间的相关性.
- 提供对生活方式对高血压的影响的纵向证据.
主要方法:
- 利用基于人口的纵向设计,对来自中国纵向健康寿命调查的8782名老年人 (≥65岁) 进行了纵向设计.
- 采用了考克斯的比例危险模型来分析与单独生活相关的高血压风险以及随访波 (2008-2011/2012) 上的生活安排的变化.
- 高血压的定义是静缩血压≥140 mmHg,静缩血压≥90 mmHg,或医生诊断的高血压.
主要成果:
- 与与家人生活相比,独自生活与高血压风险比率 (HR) 增加了19% (1.19;95% CI:1.06-1.33).
- 持续独自生活增加了高血压风险 (HR 1.24;95% CI:1.06-1.45) 与继续与家人生活相比.
- 与持续同居的已婚个人相比,过渡到单身生活的寡妇/离婚人士的高血压风险更高 (HR 1.21;95% CI: 1.00-1.47).
结论:
- 单独生活,无论是最初还是持续,都与老年人患高血压的风险更高有关.
- 过渡到单身生活,特别是对于寡妇或离婚的人来说,也会增加高血压的风险.
- 社会支持和生活条件是预防老年人高血压的关键因素.
相关概念视频
01:30Hypertension III: Clinical Manifestations and Diagnostic Studies
27
Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
27
01:28Hypertension I: Introduction
17
Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...
17
01:28Factors affecting Blood pressure
3.3K
Several physiological and lifestyle factors influence blood pressure (BP). Understanding these factors is crucial as they are significant in patient education and blood pressure management.
Physiological Factors:
Physiological Factors:
3.3K
01:29Hypertension II: Pathophysiology
16
Hypertension is a chronic condition in which the blood's force against artery walls is excessively high, posing risks such as heart disease. The condition's underlying mechanisms involve complex interactions among the cardiovascular, kidney, and autonomic nervous systems.Renin-Angiotensin-Aldosterone System (RAAS): This system significantly influences blood pressure regulation. When blood pressure decreases, the kidneys secrete renin. This enzyme transforms angiotensinogen, a plasma protein,...
16
01:18Hypertension and Regulation of Blood Pressure
2.1K
Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
2.1K
01:28Hypertension IV: Drug Therapy and Lifestyle Modifications
16
Multiple classes of antihypertensive medications are employed in treating hypertension. The most commonly recommended first-line treatments include:Thiazide Diuretics, such as chlorthalidone, increase sodium and water excretion from the body, reducing blood volume and blood pressure.Angiotensin-converting enzyme inhibitors, like lisinopril, block the conversion of angiotensin I to II, a potent vasoconstrictor lowering blood pressure.Angiotensin II Receptor Blockers (ARBs) prevent angiotensin II...
16