心血管疾病患者手握强度与死亡风险之间的关联:来自NHANES 2011-2014年的队列研究
Zhengjie Qin1, Youhua Guo1, Weilin Yang2
1Rehabilitation Department, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Dade Road No.111, Guangzhou, Guangdong, 510120, China.
Journal of the Formosan Medical Association = Taiwan yi zhi
|December 17, 2024
概括
低握力 (HGS) 显著增加心血管疾病 (CVD) 患者的死亡风险. 相反,高HGS可能会降低死亡风险,这表明HGS是心血管疾病患者的有价值预测因素.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 老年学是一门学科.
背景情况:
- 心血管疾病 (CVD) 和手握强度低 (HGS) 是已确定的死亡风险因素.
- 心血管疾病和HGS对死亡率的综合影响需要进一步研究.
研究的目的:
- 研究心血管疾病患者手握强度和死亡率之间的关系.
- 为了确定手握强度是否可以作为心血管疾病患者死亡率的预测指标.
主要方法:
- 来自国家健康和营养检查调查 (2011-2014) 数据的分析.
- 使用加权的Cox比例危险模型和限制立方线 (RCS) 进行关联分析.
- 包括子组,灵敏度和预测性绩效分析.
主要成果:
- 在8,262名成年人中,有851人患有心血管疾病. 心血管疾病患者的低HGS与高HGS的非心血管疾病患者相比,与所有原因和心血管疾病死亡率的最高风险有关.
- 患有低HGS的心血管疾病患者对所有原因 (HR=3.60) 和心血管疾病死亡率 (HR=4.01) 的风险显著增加.
- 增加手握强度可以提高现有死亡率模型的预测性能 (P < 0.001).
结论:
- 手握强度低与心血管疾病患者全因和心血管疾病死亡风险增加有关.
- 高握力似乎可以减轻心血管疾病患者的死亡风险.
- 手握强度显示出作为一种有价值的预后工具的潜力,用于评估心血管疾病患者的死亡风险.
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