老年人心脏代谢参数的变化以及全因和因特定死亡率:来自2个前性队列的证据
Jian-Yun Lu1, Rui Zhou2, Jie-Qiang Huang1
1Guangzhou Baiyun Center for Disease Control and Prevention, Guangzhou, China.
血压和葡萄糖等心脏代谢标记物的变化增加与老年人死亡风险更高有关. 管理这种变化可能有助于延长预期寿命.
科学领域:
- 老年学是一门学科.
- 心血管健康 心血管健康
- 代谢健康 代谢健康
背景情况:
- 心脏代谢风险因素在老年人群中至关重要.
- 这些参数的变化,超出平均水平,可能会影响健康结果.
研究的目的:
- 调查多个心脏代谢参数的变化与中国老年人死亡风险之间的关联.
- 评估参数可变性对死亡率的个人和联合影响.
主要方法:
- 51,551名中国老年参与者 (≥60岁) 进行多次测量SBP,VAI,FBG和LDL-C.
- 使用包括独立于平均值 (VIM) 的可变性在内的指标评估可变性.
- 参与者按高可变性参数的数量进行分类;进行了考克斯回归和外部验证.
主要成果:
- 在SBP,VAI,FBG和LDL-C的更高变化与所有原因,心血管和其他原因死亡率的增加相关.
- 与没有高可变性参数相比,VIM显示所有原因死亡率的危险比为1.30,1.86和2.02,分别为1,2和3-4个参数.
- 关联在所有死亡原因中都是一致的,并得到了外部验证.
结论:
- 心脏代谢参数变异性升高是中国老年人死亡的重要危险因素.
- 针对减少变异性的目标可能是改善老龄化人口预期寿命的策略.
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