在接受治疗的高血压患者中,失控血压的危险因素:基于人口的CONSTANCES研究
Michelle Cherfane1,2,3, Alexandre Vallée4,5, Sofiane Kab6
1Population Health Division, Gilbert and Rose-Marie Chagoury School of Medicine, Lebanese American University, Byblos, Lebanon.
International journal of epidemiology
|February 27, 2024
概括
失控的血压 (BP) 影响了超过一半的治疗高血压的成年人,男性的患病率更高. 体重,饮食,活动和酒精摄入量等可修改因素显著影响血压控制,因性别和高血压阶段而异.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 在接受治疗的高血压患者中评估与不受控制的血压 (BP) 相关的因素.
- 调查高血压管理和控制中的性别差异.
研究的目的:
- 识别失控高血压的社会经济和行为风险因素.
- 分析这些因素在男性和女性之间有什么不同.
主要方法:
- 法国CONSTANCES队列研究的嵌套横截面分析.
- 包括11760名年龄在18-69岁的成年人,他们被诊断患有高血压,正在接受药物治疗.
- 无控制血压的定义是静缩血压≥140 mmHg和/或静缩血压≥90 mmHg;性别特定的逻辑回归分析.
主要成果:
- 失控血压的患病率为51.4%,男性的患病率更高 (aOR为1.80).
- 较低的年龄,较低的教育程度和心血管病史与不受控制的血压有关.
- 在男性中,超重,肥胖,体力活动低,不遵守DASH饮食和大量饮酒是显著的危险因素.
结论:
- 社会经济和行为因素是失控高血压的关键风险因素,具有显著的性别和特定阶段的差异.
- 可修改的生活方式因素,包括体重管理,饮食,体育活动和酒精消费,对于有效控制高血压至关重要.
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