糖尿病患者的风险因素控制和发生心血管疾病:性别特异关系
Xuan Wang1, Hao Ma1, Xiang Li1
1Department of Epidemiology, School of Public Health and Tropical Medicine, Tulane University, New Orleans, Louisiana, USA.
Diabetes, obesity & metabolism
|January 17, 2024
概括
严格控制心血管疾病风险因素显著降低了糖尿病患者的风险,女性观察到的益处更大. 控制多种风险因素可以消除与糖尿病相关的CVD风险.
科学领域:
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 患有糖尿病的女性比男性面临更高的心血管疾病 (CVD) 风险.
- 风险因素控制对糖尿病患者心血管疾病风险的影响,考虑到性别差异,仍然不清楚.
研究的目的:
- 研究糖尿病患者风险因素控制程度与心血管疾病风险之间的关联,分析潜在的性别差异.
主要方法:
- 利用英国生物库的数据,包括17,260名糖尿病患者和86,300名对照人群,根据年龄,性别和评估中心进行了匹配.
- 评估的危险因素:糖化血红蛋白 (<53 mmol/mol),血压 (<140/90 mmHg),LDL胆固醇 (<100 mg/dl),非吸烟者,以及没有微蛋白尿.
主要成果:
- 随访时间中位数为13.3年,确定了3338起心血管疾病病例.
- 严格的风险因素控制与较低的心血管疾病风险有关,在女性中观察到的相关性更强.
- 与糖尿病相关的CVD风险在两性中都被消除了>3个受控的风险因素;临床生物标志物在女性中更为关键,而社会经济因素在男性中同样重要.
结论:
- 强调承认和解决性别差异在管理糖尿病患者心血管疾病风险因素的关键需要.
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