心血管风险因素的流行病学:非行为风险因素
Valérie Olié1, Amélie Gabet1, Clémence Grave1
1Public Health France (Santé Publique France), 94415 Saint-Maurice cedex, France.
Archives of cardiovascular diseases
|November 8, 2024
概括
肥胖,糖尿病和高血压等心血管疾病的风险因素在法国很普遍,但意识低,管理不善. 加强预防和管理策略至关重要,特别是考虑到女性面临的独特风险.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 心脏病学 心脏病学
背景情况:
- 心血管疾病 (CVD) 是全球主要的死亡原因,在法国排名第二.
- 代谢性疾病 (高血压,高胆固醇血症,糖尿病,肥胖) 是动脉样硬化的主要可改变的风险因素.
- 法国有关这些风险因素的流行病学数据对于公共卫生战略至关重要.
研究的目的:
- 审查法国关于可修改心血管风险因素的最新国家流行病学数据.
- 评估代谢性疾病的流行,意识和趋势.
- 为了突出女性特定的心血管风险.
主要方法:
- 对年龄在18-74岁之间的成年人国家流行病学数据的分析.
- 关于肥胖,糖尿病,高血压和高胆固醇血症的流行率,意识和趋势的审查.
- 对性别特异性心血管风险因素的检查.
主要成果:
- 在2015年,成年人患病率:肥胖 (17.2%),糖尿病 (7.4%),高血压 (30.6%),LDL高胆固醇血症 (23.3%),CKD阶段3-5 (1.5%).
- 意识很低,范围从23% (糖尿病) 到45% (高血压).
- 肥胖和高血压的患病率保持稳定 (2006-2015年),但糖尿病的患病率显著增加. 代谢因素在男性中较高,但女性面临特定的风险 (妇产生理,怀孕障碍).
结论:
- 必须加强对代谢风险因素的预防,意识和管理,以减少法国的心血管疾病负担.
- 需要有针对性的策略,考虑到男性患病率更高,女性患病风险更高.
- 营养在预防这些危险因素方面起着至关重要的作用.
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