影响儿童峰值氧气消耗预测的社会经济因素
Maanasi S Mistry1, Kimberlee Gauvreau2, Mark E Alexander1
1Department of Cardiology, Boston Children's Hospital, Boston, MA.
The Journal of pediatrics
|September 20, 2023
概括
社会经济地位显著影响儿科心血管健康,显示低收入儿童预测的峰值氧气消耗较低. 健康的社会决定因素对于解释儿童的健身数据至关重要.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 运动生理学 运动生理学
- 健康差异 在健康上的差异
背景情况:
- 通过预测的峰值氧气消耗 (pVO2) 来衡量心血管健康,是儿童的关键健康指标.
- 标准的人口因素通常用于解释pVO2,但社会经济地位 (SES) 的影响被理解得更少.
研究的目的:
- 调查社会经济地位 (SES) 对儿科患者预测的峰值氧气消耗 (pVO2) 有比标准人口学变量更大的影响.
- 为了确定SES是否在解释pVO2数据时是一个显著的混因素.
主要方法:
- 追溯分析来自19岁以下健康患者的最大心肺运动测试 (CPET) 数据.
- 数据包括身体质量指数百分位数 (BMI%) 和调整后的总收入 (AGI),作为SES的替代品.
- 预测pVO2 (pppVO2) 的平均百分比在两组之间进行了比较,并使用线性回归分析.
主要成果:
- 与白人儿童相比,在黑人和拉丁裔儿童中观察到较低的ppVO2.
- 在AGI和ppVO2之间发现了显著的反相关性,这表明体能降低与收入下降.
- 对BMI%的调整并没有消除ppVO2的种族差异,但对AGI的调整确实如此,这表明SES是这些差异的主要驱动因素.
结论:
- 较低的社会经济地位与儿童心血管健康状况下降有很强的相关性.
- 健康的社会决定因素,特别是收入,显著影响pVO2,在解释儿科健康数据时必须考虑这些因素.
- 承认社会不平等对于准确评估和关于儿科心血管健康的临床决策至关重要.
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