与年龄相关的血压梯度与血压控制和全球人口结果有关
Janis M Nolde1,2, Thomas Beaney3, Revathy Carnagarin1
1Dobney Hypertension Centre, Medical School, Royal Perth Hospital/Medical Research Foundation, University of Western Australia (J.M.N., R.C., M.P.S.).
Hypertension (Dallas, Tex. : 1979)
|August 7, 2024
概括
在全球范围内,尤其是非洲和欧洲,随着年龄的增长,血压的升高与更糟糕的健康状况和更短的预期寿命有关. 公共卫生战略必须在区域范围内针对这些BP梯度.
科学领域:
- 心血管流行病学心血管流行病学
- 公共卫生 公共卫生
- 老年学是一门学科.
背景情况:
- 血压 (BP) 和年龄之间的关系已经确立,有新兴证据表明,更的年龄-BP斜坡与不利的健康风险有关.
- 与年龄相关的BP梯度中的地理,社会经济和性别差异及其对公共卫生的影响需要进一步调查.
研究的目的:
- 用5月测量月数据分析与年龄相关的血压 (BP) 梯度的全球变化.
- 研究这些BP梯度与不同地区,社会经济层和性别的公共卫生结果之间的关联.
主要方法:
- 利用了来自5月测量月活动的横截面,全球血压 (BP) 查数据.
- 计算了平均缩血压和与年龄相关的血压斜率,按地区,社会经济地位和性别分层.
- 员工调整了线性回归模型,以评估BP斜率与国家健康指标的关联.
主要成果:
- 观察到与年龄相关的静脉压血压梯度存在显著的地理,社会经济和性别差异.
- 与年龄相关的BP梯度在非洲和欧洲人群中发现最高;女性在年轻时表现出更明显的梯度.
- 较的人口年龄-血压倾斜与较差的血压控制相关,增加了残疾调整寿命年数和较高的死亡率,每十年增加1mmHg与预期寿命减少3.3年有关.
结论:
- 与年龄相关的血压 (BP) 梯度呈现出相当大的全球变化,并与BP相关风险和不良健康结果的差异有关.
- 针对不利的BP梯度的区域特定的公共卫生战略对于改善人口健康结果至关重要.
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