深入研究心血管健康悖论:迈向个性化预防的旅程
Bamba Gaye1,2, Nabila Bouatia Naji2, Mario Sims3
1Alliance for Medical Research in Africa (AMedRA), Department of Medical Physiology, Cheikh Anta Diop University, Dakar, Senegal.
Public health reviews
|August 15, 2024
概括
心血管健康悖论,最佳生活方式得分并不总是预防心脏病,需要一种新的方法. 使用新型生物标志物和遗传因素进行个性化预防可以改善心血管疾病的结果.
科学领域:
- 心血管健康 心血管健康
- 预防性心脏病学 预防性心脏病学
- 个性化医疗是个性化的医疗.
背景情况:
- 生命的简单7 (LS7) 评分促进心血管健康 (CVH),但一些具有最佳LS7的个体会患心血管疾病 (CVD),而其他具有较差CVH的个体则不会 - - 这是"CVH悖论".
- 目前的风险因素评估往往不足以预测个别结果.
研究的目的:
- 探索解释CVH悖论的途径.
- 为个性化预防提出精细的CVH评估策略.
主要方法:
- 检查了包括错误分类偏差在自我报告的生活方式因素 (吸烟,体力活动,饮食) 的方法学方面.
- 考虑了终身累积暴露于风险因素的影响.
- 建议将新元素纳入精细的CVH评估:亚临床血管疾病标志物,代谢生物标志物,新兴风险因素,多基因风险评分 (PRS),表观遗传学和暴露组.
主要成果:
- 解决CVH悖论需要一个多方面的方法.
- 减少错误分类偏差和考虑累积风险暴露至关重要.
- 整合新的个性化预防元素可以完善CVH评估.
结论:
- 对CVH评估和心血管疾病预防采取整体,个性化的方法对于减少心血管疾病的结果和改善人口健康至关重要.
- 有效的实施需要研究人员,医疗保健提供者,决策者和社区之间的合作.
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