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人类测量指数与高血压之间的关联:在不同人群中确定美国成年人最佳切断点
Xueliang Zhang1, Yan Nie2, Dan Li1
1Department of Pharmacy, The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
腰围 (WC) 和其他身体测量与高血压有关. WC是高血压的强有力的预测因素,特别是在年轻人中,显示与血压升高有显著的关联.
科学领域:
- 心血管健康 心血管健康
- 公共卫生 公共卫生
- 人类测量学 人类测量学.
背景情况:
- 高血压是全球主要的健康问题.
- 人类测量指数通常用于评估身体成分和相关的健康风险.
- 确定可靠的高血压预测指标对于预防策略至关重要.
研究的目的:
- 为了比较五个高血压人类指数的预测能力.
- 量化与每个指数相关的高血压发病率,缩血压 (SBP) 和腹缩血压 (DBP) 的数值变化.
- 确定不同年龄组的最佳预测指标.
主要方法:
- 使用了2007-2018年的NHANES数据集.
- 采用后勤回归来分析人体指数和高血压之间的关联.
- 应用接收器操作特征 (ROC) 分析以评估预测能力.
主要成果:
- 腰围 (WC),体重指数 (BMI),腰与身高比 (WHtR) 和身体圆度指数 (BRI) 的增加与更高的高血压和血压发生率有显著联系.
- 年轻人 (AUC=0.749) 和中年人群 (AUC=0.603) 的预测能力最强.
- 身体形状指数 (ABSI) 与其他指数相比,与血压的关联较弱.
结论:
- WC,BMI,WHtR和BRI是高血压和相关血压变化的重要预测因素.
- 这些指数的预测值随年龄而异,在年轻人中最强.
- WC被确定为年轻人群中高血压的特别有效预测因子.
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Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Pre-Procedural Guidelines for Assessing Blood Pressure
Factors affecting Blood pressure
Physiological Factors:
Assessment of blood pressure in brachial artery(one-step method)
Prepare for the Procedure:
Assessment of blood pressure in brachial artery(two-step method)