重视腰围:高血压的危险因素,需要更深入的了解
Yue Su1, Jin-Yu Sun1, Zhen-Yang Su1
1Department of Cardiology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China.
Current cardiology reviews
|March 28, 2024
概括
腰围,与体重指数不同,通过评估腹部脂肪更好地预测高血压风险. 这强调了需要在高血压风险评估中包括腰部测量.
科学领域:
- 心血管疾病流行病学
- 代谢健康研究 代谢健康研究
- 人类测量和公共卫生
背景情况:
- 高血压的患病率正在上升,造成严重的健康和经济负担.
- 肥胖是一个关键的高血压风险因素,但身体质量指数 (BMI) 无法充分评估与肥胖有关的心血管风险,因为它无法区分脂肪分布.
- 由腰围表示的腹部肥胖,越来越被认为是心血管疾病和死亡率的关键独立风险因素.
研究的目的:
- 审查腹部肥胖症中腰围的测量方法和诊断值.
- 检查中心肥胖率的趋势.
- 突出腰围在评估高血压风险方面优于其他人类指数的优势,并综合近期关于肥胖与高血压联系的证据.
主要方法:
- 对腰围的测量技术和诊断标准的文献综述.
- 对中央肥胖流行率的流行病学数据的分析.
- 从横截面和纵向研究中得出的结合结果,研究腰围,肥胖和高血压之间的关联.
主要成果:
- 比起单独的BMI,腰围是腹部肥胖和相关心血管风险的更准确指标.
- 高腰围独立地与各种BMI水平的高血压风险增加有关.
- 当前的临床指导方针在高血压风险评估中不充分纳入腰围测量.
结论:
- 与BMI相比,腰围为高血压提供了更好的风险分层,特别是在识别中部肥胖症患者时.
- 定期测量和考虑腰围对于全面的高血压风险评估和管理至关重要.
- 需要进一步的研究和指导方针更新,以充分将腰围纳入预防心血管疾病的临床实践.
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