中国糖尿病前期和心血管疾病之间的年龄特异关系:一项全国横截面研究
Shuo Xie1,2, Li-Ping Yu2, Fei Chen2
1Department of Endocrinology, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100730, China.
World journal of diabetes
|March 11, 2024
概括
糖尿病前期增加了心血管疾病 (CVD) 的风险,中国成年人的风险因素因年龄而异. 针对不同年龄组的个性化预防策略对于有效管理心血管疾病风险至关重要.
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:
- 心血管疾病 (CVD) 是一个重大的全球健康挑战,其发病率正在上升.
- 在不同成年年龄组中,糖尿病前期对心血管疾病风险的具体贡献仍未得到充分理解.
- 了解特定年龄的风险对于针对中国成年糖尿病前期患者的有针对性的干预措施至关重要.
研究的目的:
- 为了研究糖尿病前期的临床特征.
- 为了确定中国成年人心血管疾病 (CVD) 的特定年龄风险因素.
- 为预糖尿病提供量身定制的查和治疗策略.
主要方法:
- 这是一项涉及46,239名参与者的横截面研究 (2007年6月至2008年5月).
- 患有糖尿病前期的参与者被分为年轻和年长的年龄组.
- 利用中国动脉样硬化心血管疾病风险预测模型和随机森林与夏普利添加剂扩展用于特征重要性分析.
主要成果:
- 6,948人患有糖尿病前期,老年人群 (2.85%) 和年轻人群 (0.29%) 的心血管疾病患病率较高.
- 10年心血管疾病风险在年长的糖尿病前期成年人中 (29.59%) 与年轻人 (11.11%) 相比较高.
- 在年轻的成年人中,家族病史是一个更强的心血管疾病预测因素;在老年人中,居民身份更为重要.
结论:
- 在糖尿病前期患有心血管疾病的易感性取决于年龄.
- 不同的风险因素概况需要针对特定年龄的心血管疾病预防和管理方法.
- 针对性策略对于在不同成年年龄段的糖尿病前期患者中解决心血管疾病风险至关重要.
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