体重指数,子周长和高血压:一个前性队列研究
Tao-Jun Ren1,2, Kun Zhang1,2, Wen-Juan Li3
1Clinical School of Cardiovascular Disease, Tianjin Medical University, Tianjin, China.
Frontiers in cardiovascular medicine
|October 18, 2023
概括
高BMI和子周长会增加高血压的风险. 将这些措施结合起来,比单独进行预测更能提高预测准确度,从而提供更好的高血压风险评估.
科学领域:
- 心血管健康 心血管健康
- 代谢综合征研究 代谢综合征研究
- 高血压病因学 高血压病因学
背景情况:
- 高血压是全球主要的健康问题.
- 体重指数 (BMI) 表示的肥胖是高血压的已知的危险因素.
- 子周长正在成为中心肥胖和相关健康风险的潜在指标.
研究的目的:
- 调查身体质量指数 (BMI) 和子周长与高血压风险的联合关联.
- 为了比较BMI和子周长的预测能力,单独和组合用于高血压.
主要方法:
- 利用了Kailuan研究 (2014) 的数据,其中包括正常压力参与者.
- 根据BMI (肥胖/非肥胖) 和子周长 (高/低) 将参与者分为四组.
- 为了追踪高血压发病率,对参与者进行了中位数3.86年的跟踪.
主要成果:
- 与低风险组相比,高BMI和/或高子周长的组显示高血压风险显著增加.
- 高血压的危险比为1.066 (第二组),1.322 (第三组) 和1.422 (第四组).
- 对BMI和子周长的综合评估表明,与单个措施相比,高血压风险预测优越.
结论:
- 体重指数高,子周长高的人面临患高血压的风险要大得多.
- 虽然BMI是一个更强的个人预测指标,但结合子周长显著提高了高血压风险预测的准确性.
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