体重不足患者心脏代谢疾病的患病率:全国性的横截面研究
Meng Chen1, Shuxiao Shi1, Sujing Wang1
1Department of Epidemiology and Biostatistics, School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai200025, People's Republic of China.
The British journal of nutrition
|November 11, 2024
概括
美国近一半体重不足的成年人患有心脏代谢性疾病 (CMD). 显著的12.3%有两个或更多的CMD,突出了关键的公共卫生挑战.
科学领域:
- 公共卫生 公共卫生
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
背景情况:
- 心脏代谢性疾病 (CMD) 构成了严重的健康负担.
- 在CMD流行研究中,体重不足的个体往往被忽视.
- 了解体重不足人群中CMD患病率对于有针对性的干预至关重要.
研究的目的:
- 估计美国低体重成年人中各种心脏代谢疾病 (CMD) 的全国患病率.
- 在这个人群中评估零或至少两种CMD的流行率.
- 为了确定不同的人口分组之间CMD流行率的潜在差异.
主要方法:
- 利用了国家健康和营养检查调查 (1999-2020) 的数据.
- 按年龄标准化估计的失脂症,高血压,糖尿病,慢性病和心血管疾病 (CVD) 的患病率.
- 采用多变量波桑回归来比较CMD流行率跨子组,调整共变量.
主要成果:
- 在855名体重不足的成年人中,23.4%患有脂质不良症,15.6%患有高血压,2.5%患有糖尿病,7.9%患有慢性病,6.1%患有心血管疾病.
- 50.6%的人没有CMD,而12.3%的人至少有两个CMD.
- 与非西班牙裔白人成年人相比,非西班牙裔黑人成年人患糖尿病的患病率明显高.
结论:
- 大约一半的体重不足的美国成年人至少有一种CMD.
- 值得注意的是,12.3%的体重不足的成年人患有两个或两个以上的CMD,这表明疾病负担很大.
- 在体重不足的成年人中预防和管理CMD是一个关键的,但往往被忽视的公共卫生问题.
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