骨关节炎膝盖和可修改的心血管风险因素:两者兼而有之
Abrar Ahmed Wagan1, Paras Surahyo2, Abdul Qadir Bhutto3
1Abrar Ahmed Wagan, MBBS, FCPS, FCPS, FACR Associate Professor of Rheumatology Indus Medical College, Tando Mohammad Khan.
Pakistan journal of medical sciences
|November 8, 2023
概括
膝关节关节炎患者经常具有可修改的心血管风险因素,如肥胖和高血压. 解决这些因素至关重要,以减少未来的心脏事件和残疾在这个人群.
科学领域:
- 心脏病学 心脏病学
- 类风湿病学 类风湿病学
- 公共卫生 公共卫生
背景情况:
- 膝关节关节炎 (OA) 是一种普遍的疾病,与显著的发病率有关.
- 心血管疾病 (CVD) 的危险因素在一般人群中很常见.
- 膝关节OA和心血管风险因素之间的相互作用需要进一步调查.
研究的目的:
- 确定诊断为膝关节骨关节炎的患者可修改心血管风险因素的频率.
- 评估个体风险因素的患病率,如肥胖,高血压,糖尿病和脂质失调.
主要方法:
- 对246名膝关节骨质炎患者 (凯尔格伦-劳伦斯II级及以上) 进行了横截面研究.
- 收集的数据包括人口统计细节,血压,体重指数和身体检查.
- 每位参与者都计算了禁食血糖,血清脂质分析和弗雷明汉10年风险评分.
主要成果:
- 观察到可修改的心血管风险因素的高患病率,78%的患者至少有一种风险因素.
- 肥胖 (45.5%),高血压 (40.2%) 和中高的弗雷明汉风险评分 (40%) 是最常见的因素.
- 糖尿病,吸烟,弗雷明汉风险评分和凯尔格伦-劳伦斯等级与性别 (p<0.05) 之间发现了显著的关联.
结论:
- 膝关节关节炎患者表现出可修改的心血管风险因素的高患病率.
- 这些综合风险因素对未来的心脏事件和残疾的健康构成重大风险.
- 在膝盖骨关节炎患者中,对心血管风险因素的查和管理对于全面的患者护理至关重要.
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