高血压的老年人营养缺乏模式和全因和心血管死亡率:潜伏类分析
YuJiao Sun1, HuanRui Zhang1, GuoXian Qi1
1Department of Geriatric, The First Hospital of China Medical University, 155 Nanjing North Street, Heping Ward, Shenyang, 110001, NO, China.
BMC public health
|June 9, 2024
概括
营养素缺乏模式显著增加患有高血压的老年人死亡风险. 识别这些模式对于理解和减轻这一群体的健康风险至关重要.
科学领域:
- 老年学是指老年学的学科.
- 营养科学 营养科学
- 心血管健康 心血管健康
背景情况:
- 之前的研究重点是个别营养素对死亡率的影响.
- 忽略了营养素之间的相互作用及其对死亡率的综合影响.
- 这项研究涉及高血压的老年人营养缺乏模式.
研究的目的:
- 为了确定高血压的老年人营养缺乏模式.
- 分析这些模式与死亡风险之间的关联.
- 为高血压管理和营养支持的公共卫生战略提供信息.
主要方法:
- 利用了来自国家健康和营养检查调查 (NHANES) 的数据.
- 应用隐性类分析 (LCA) 用于识别营养不良的个人资料.
- 用Kaplan-Meier和Cox回归来进行死亡风险分析.
主要成果:
- 在6924名参与者中确定了四种不同的营养缺乏模式.
- "营养缺乏"模式显示,所有原因死亡率 (HR 1.42) 和心血管死亡率 (HR 1.61) 的风险最高.
- 与"充足营养"组相比,其他确定的模式也显示死亡风险增加.
结论:
- 营养素缺乏模式与高血压老年人全因和心血管死亡率的增加显著相关.
- 这些模式代表了一种重要的,可修改的死亡风险因素.
- 研究结果强调,需要对老年人高血压进行全面的营养评估来管理高血压.
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