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高血压中的性别差异及其终身管理
Wan-Jin Yeo1, Rahul Abraham1, Aditya L Surapaneni1
1Division of Precision Medicine, Department of Medicine, NYU Langone Health, New York (W.-J.Y., R.A., A.L.S., C.M.F., M.E.G.).
Hypertension (Dallas, Tex. : 1979)
|September 4, 2024
概括
高血压的患病率随着年龄的增长而增加. 失控的高血压最初影响更多的男性,但在老年人群中转移到女性,影响长期的健康结果.
科学领域:
- 心血管健康 心血管健康
- 流行病学 流行病学
- 老年学是一门学科.
背景情况:
- 高血压的患病率和控制率在性别之间和各个年龄组之间可能存在显著差异.
- 了解这些人口变化对于公共卫生倡议和临床管理至关重要.
研究的目的:
- 调查高血压和不受控制的高血压的患病率的年龄和性别特异性差异.
- 探索不受控制的高血压与整个生命周期的不良健康结果的关联.
主要方法:
- 分析了社区动脉样硬化风险研究的数据,包括33年来15636名参与者.
- 估计高血压和不受控制的高血压患病率的性别差异,使用年龄分层,并发病调整的模型.
主要成果:
- 高血压的患病率从年轻人中的40%上升到老年人中的93%.
- 失控的高血压最初在年轻男性中更为普遍,但在老年女性中变得更为普遍.
- 相关疾病和药物使用等因素并不能完全解释这些性别差异.
结论:
- 在高血压和不受控制的高血压患病率方面存在显著的性别差异,主要因年龄而异.
- 失控高血压的这些与年龄和性别相关的差异对终身健康和疾病风险有重大影响.
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