[中国居民高血压持续时间与慢性病之间的关联]
1Division of Chronic Disease and Risk Factor Surveillance, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing100050, China.
Zhonghua liu xing bing xue za zhi = Zhonghua liuxingbingxue zazhi
|January 19, 2025
概括
较长的高血压持续时间显著增加了中国成年人的慢性病风险. 早期高血压诊断和持续的血压管理是预防病进展的关键.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 心血管医学 心血管医学
- 流行病学 流行病学
背景情况:
- 高血压是慢性病 (CKD) 的一个主要危险因素.
- 高血压持续时间对中国人口中CKD风险的影响需要进一步调查.
研究的目的:
- 评估高血压持续时间和患CKD的风险之间的关联.
- 评估这种关联是否独立于血压水平.
主要方法:
- 在2018年中国慢性病和风险因素监测中利用了140,662名参与者 (18-74岁) 的数据.
- 基于自我报告的诊断年龄和调查年龄计算的高血压持续时间.
- 定义CKD使用膜过率和尿中白蛋白与肌素的比率;采用多变量逻辑回归分析.
主要成果:
- 与高血压持续时间相比,CKD的调整几率比率增加了1.16 (0.1-4.9年),1.33 (5.0-9.9年),1.33 (10.0-14.9年) 和1.43 (≥15.0年) 与正常血压患者相比.
- 在45岁之前被诊断患有高血压的个体中,这种关联更为强烈.
- 在高血压的前4.9年内,CKD风险急剧增加,然后趋于平稳.
结论:
- 高血压持续时间是中国CKD的独立风险因素.
- 早期检测和持续的血压控制对于预防高血压相关的CKD至关重要.
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