高血压与生殖和更年期因素之间的关联:一个综合妇女健康计划 (IWHP) 研究
Laureen Yi-Ting Wang1,2, Win P P Thu1, Yiong Huak Chan3
1Department of Obstetrics and Gynaecology, National University Hospital, National University of Singapore, Singapore, Singapore.
PloS one
|March 25, 2024
概括
月经和生殖因素,如异常周期和子宫前,与中年亚洲女性的高血压有关. 减少内脏脂肪和改善身体表现可能有助于预防高血压.
科学领域:
- 心血管健康 心血管健康
- 妇女健康 妇女健康
- 流行病学 流行病学
背景情况:
- 心血管风险因素在性别之间有所不同,女性在生殖和更年期时面临独特的风险.
- 高血压风险可能受到女性特定因素的影响,包括月经,生殖和怀孕并发症.
研究的目的:
- 调查女性特异性因素与中年亚洲女性高血压患病率之间的关联.
- 在这个人口群体中确定高血压风险评估和预防的关键指标.
主要方法:
- 对1146名年龄在45-69岁之间的健康亚洲女性进行了横截面研究.
- 通过社会人口统计,病史,生活方式和生殖/更年期史的问卷收集的数据.
- 通过血压值,医生诊断或药物使用来定义高血压;用于分析的多变量逻辑回归.
主要成果:
- 55.2%的参与者患有高血压.
- 高血压的独立风险因素包括25岁月经周期长度异常 (OR:2.35),孕前 (OR:2.46),内脏脂肪增加 (OR:4.21) 和体力表现下降 (OR:2.83).
- 妊娠糖尿病 (12.6%) 和妊娠高血压 (9.4%) 是普遍存在的.
结论:
- 月经和生殖史是亚洲女性高血压风险的关键指标.
- 通过运动减少内脏脂肪和提高身体表现是预防高血压的潜在策略.
- 将这些因素纳入心血管疾病风险评估可以改善妇女的预防工作.
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