老年高血压门诊患者的身体质量指数和肉症和死亡风险;南布队列研究
Taku Inoue1,2, Mitsuteru Matsuoka3, Masahiro Tamashiro4
1Department of Preventive Medicine and Public Health, School of Medicine, Fukuoka University, Fukuoka, Japan. imtak-ryk@umin.ac.jp.
概括
在老年高血压患者中,低体重指数 (BMI) 和低握力 (HG) 与较高的死亡风险有关. 减肥可能会使结果变得更糟,需要为这个人群制定新的生活方式策略.
科学领域:
- 老年学是一门学科.
- 心脏病学 心脏病学
- 营养科学 营养科学
背景情况:
- 保持理想的体重和肌肉力量对于高血压患者的日常生活活动 (ADL) 和预期寿命至关重要.
- 减肥对老年高血压患者死亡风险的影响仍然是争论的主题.
研究的目的:
- 为了研究身体质量指数 (BMI) 和手握强度 (HG) 在高血压的老年患者的预后意义.
- 评估BMI,HG和全因死亡率之间的关联,以评估减肥策略的有效性.
主要方法:
- 分析了563名老年高血压患者的队列.
- 患者根据BMI和HG水平的组合进行了分层.
- 使用COX回归分析来确定死亡风险.
主要成果:
- 体重指数<22kg/m2的患者表现出更高的死亡风险.
- 低握力 (HG) 独立地与3.7倍的死亡风险增加有关.
- 低HG和BMI<22 kg/m2的组合显示出最高的死亡风险 (调整后的危险比:4.55).
结论:
- 减肥可能会增加老年高血压患者的死亡风险.
- 低BMI和低HG是该人口死亡率的重要预测因素.
- 需要新的生活方式修改策略来提高ADL,生活质量和老年高血压患者的预后.
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