美国人口中体重调整后腰指数和高血压之间的相关性:基于NHANES 2005-2018年的数据
Anwu Huang1, Bin Lin1, Zhuyin Jia1
1Department of Cardiology, Wenzhou Central Hospital, Wenzhou, Zhejiang, China.
Frontiers in cardiovascular medicine
|November 27, 2024
概括
体重调整后的腰部指数 (WWI) 与美国成年人高血压的患病率密切相关. 较高的第一次世界大战显著增加了高血压风险,特别是在60岁以下的男性中.
科学领域:
- 心血管健康 心血管健康
- 代谢综合征研究 代谢综合征研究
- 公共卫生监督 公共卫生监督
背景情况:
- 高血压仍然是全球主要的健康问题.
- 识别高血压风险的新型人体标志物对于早期检测和预防策略至关重要.
- 体重调整腰部指数 (WWI) 是一个较少探索的指标,可能反映中心肥胖和代谢功能障碍.
研究的目的:
- 为了研究体重调整腰部指数 (WWI) 与高血压在美国大量多样化的成年人群中的患病率之间的关联.
- 确定第一次世界大战是否是高血压的独立预测因素.
- 探索第一次世界大战与高血压关系中的子组变异.
主要方法:
- 利用了2005-2018年国家健康和营养检查调查 (NHANES) 的数据,其中包括37,299名美国成年人.
- 定义的高血压基于自我报告,药物使用和血压测量.
- 使用加权多变量回归分析来评估第一次世界大战和高血压之间的独立关联,控制混因素. 皮尔森相关性评估了第一次世界大战和BMI. 进行了子组和相互作用分析.
主要成果:
- 在第一次世界大战和高血压患病率之间观察到显著的积极关联 (总体为33.9%).
- 与最低四分位数相比,第一次世界大战四分位数最高的人患高血压的几率增加了2.27倍 (OR = 2.27,95% CI 1.97-2.61).
- 这种关联在60岁及以下的男性中尤为明显.
结论:
- 体重调整腰部指数 (WWI) 的升高与美国成年人高血压风险的增加有着强烈的相关性.
- WWI可以作为一个有价值的,易于计算的指数,用于识别高血压风险较高的人.
- 与第一次世界大战相关的风险增加在年轻到中年男性中尤为明显.
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