老年人的心脏代谢风险因子集群使用布什尔老年人健康计划的潜在类别分析
Sima Afrashteh1, Zahrasadat Jalalian2, Nima Daneshi3
1Department of Biostatistics and Epidemiology, Faculty of Health and Nutrition, Bushehr University of Medical Sciences, Bushehr, Iran.
Scientific reports
|October 29, 2024
概括
这项研究在伊朗老年人中确定了四种不同的代谢综合征 (MetS) 模式,揭示了肥胖和多药等关键风险因素. 了解这些集群可以改善对代谢综合征和心血管疾病预防的有针对性的干预措施.
科学领域:
- 老年学与公共卫生
- 心血管疾病流行病学
- 代谢综合征研究 代谢综合征研究
背景情况:
- 代谢综合征 (MetS) 是一组包括肥胖,胰岛素抵抗,高血压和脂质不良症在内的疾病,显著提高了II型糖尿病和心血管疾病的风险.
- 确定MetS组件和烟草消费的特定模式和决定因素对于有效的公共卫生战略至关重要,特别是在老龄化人口中.
研究的目的:
- 确定代谢综合征组件和烟草消费模式的不同集群的流行率和确定关键决定因素.
- 调查伊朗老年人社会人口统计学,行为变量和已识别的代谢综合征类之间的关联.
主要方法:
- 基于人口的队列研究涉及2424名60岁及以上的伊朗成年人.
- 隐性类分析 (LCA) 用于识别代谢综合征和烟草使用的不同模式.
- 使用多项逻辑回归来检查与每个已识别的代谢综合征类别相关的因素.
主要成果:
- 该研究确定了四个潜在类别:"低风险" (35.3%),"药物控制糖尿病的MetS" (11.1%),"高风险的MetS和相关药物使用" (27.1%),和"中心肥胖和治疗高血压" (26.4%).
- 更高的身体质量指数 (BMI) 与"高风险"和"中心肥胖和治疗高血压"等级有显著的关联.
- 多药性,高甘油三糖指数和自我健康状况不佳与特定的高风险代谢综合征类强烈相关.
结论:
- 在伊朗的老年人中发现了四种不同的心脏代谢风险因素概况,突出了代谢综合征成分的显著变化.
- 将老年人划分为这些已识别的心脏代谢类别,为加强对代谢综合征的监测和管理提供了一个有希望的方法.
- 这种量身定制的策略有可能减少与代谢综合征相关的严重健康结果,在这个脆弱的人群中.
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