在老年人群中,肥胖指标与高血压-糖尿病并发症之间的关系:一项回顾性队列研究
Haojie Li1, Zhan Shi2, Xuejiao Chen1
1College of Public Health, Zhengzhou University, Zhengzhou, Henan, China.
BMC geriatrics
|November 30, 2023
概括
像BMI,腰围和腰与身高的比率这样的肥胖指标与老年人中高血压和糖尿病并发症 (HDC) 风险增加有关. 管理这些肥胖措施可能有助于预防HDC.
科学领域:
- 老年学是指老年学的学科.
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 在全球范围内,肥胖,高血压和糖尿病的患病率正在上升.
- 高血压和糖尿病是严重的并发症,往往同时发生.
- 肥胖和高血压 - 糖尿病并发症 (HDC) 与胰岛素耐药性密切相关.
研究的目的:
- 调查肥胖指标与老年人患HDC的风险之间的关联.
- 为了确定一般脂肪 (BMI) 和中心肥胖 (WC,WtHR) 是否独立或联合预测高血压风险.
主要方法:
- 追溯性队列研究,对74,955名60岁以上的个人进行了追溯性队列研究.
- 从2011-2019年间的年度健康检查中收集的数据.
- 考克斯的比例危险和竞争风险生存回归模型用于分析关系.
主要成果:
- 增加的身体质量指数 (BMI),腰围 (WC) 和腰与身高比 (WtHR) 与更高的HDC风险有关.
- 超重个体 (BMI 24-27.9 kg/m2和≥28 kg/m2) 显示HDC的HR显著增加.
- 由WC和WtHR表示的中心肥胖,也显著增加了HDC风险.
结论:
- 增加的BMI,WC和WtHR是老年人患HDC的危险因素.
- 在预测HDC时,一般身体脂肪和中心肥胖之间存在添加相互作用.
- 控制BMI,WC和WtHR是预防老年人群HDC的潜在策略.
相关概念视频
01:24Obesity
507
The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
507
01:15Diabetes: Symptoms, Diagnosis, and Complications
554
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
554
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
01:28Factors affecting Blood pressure
3.2K
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:
3.2K
01:19Psychoneuroimmunology: Diabetes and Cancer
29
Chronic stress has been linked to both the onset and progression of serious health conditions, including Type 2 diabetes and cancer. Type 2 diabetes, a widespread chronic illness, is closely associated with obesity and insulin resistance, both of which often worsen under stress. Studies indicate that men experiencing high levels of chronic stress face a 45% higher risk of developing diabetes compared to those with minimal stress. Stress triggers physiological responses that elevate blood...
29
01:36Carbohydrate Metabolism
11.2K
Carbohydrates are polymers composed of molecules containing atoms of carbon, hydrogen and oxygen. One gram of carbohydrate can provide four kilo-calories of energy, which makes it the most efficient instant energy source.
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
Starch accounts for approximately 60% of the carbohydrates consumed by humans. Since amylase enzymes cannot function in the stomach's acidic environment, starch can only be digested in the mouth and small intestine. Simple sugars are found naturally in milk and fruits in...
11.2K