贫血和血红蛋白分布的患病率基于大规模职业健康检查数据
Moemi Yamamoto1, Mari Ito2, Yutaka Matsuyama3
1Department of Biostatistics, School of Public Health, Graduate School of Medicine, The University of Tokyo, Japan.
Internal medicine (Tokyo, Japan)
|October 27, 2024
概括
贫血患病率因年龄和性别而异,年轻女性和老年男性需要特别的查考虑. 这项研究强调了在日本基于大规模职业健康数据更新贫血查标准的必要性.
科学领域:
- 职业健康 职业健康 职业健康
- 血液学 血液学 血液学
- 公共卫生 公共卫生
背景情况:
- 日本的贫血查标准要求使用大规模数据进行检查.
- 了解不同人口统计数据中的贫血患病率对于公共卫生倡议至关重要.
研究的目的:
- 通过使用职业健康检查数据,根据性别和年龄确定贫血的患病率.
- 分析老年人群中的血红蛋白分布.
- 评估日本目前的贫血查标准.
主要方法:
- 分析了来自416366名年龄在20-89岁的人员 (2015-2022) 的大规模职业健康检查数据.
- 根据性别和年龄计算贫血患病率.
- 评估血红蛋白水平和分布,特别是在老年人中.
主要成果:
- 贫血患病率在男性中为3.2%,在女性中为19.7%.
- 贫血在男性中随着年龄的增长呈现单调增长,在女性中呈现双模分布 (40岁和70岁的峰值).
- 在20-40岁的女性中,17.9%患有贫血,60%是新诊断的;老年男性 (>65) 的平均Hb-2SD为12.0g/dL.
结论:
- 贫血查应考虑年轻女性,无论先前的诊断.
- 血红蛋白<12 g/dL的老年男性需要注意潜在的贫血症状和进展.
- 目前的日本贫血查标准可能需要根据观察到的血红蛋白分布进行修订.
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