自我评价的身体健康预测心血管和全因死亡率 - - 对临床决策的影响
Angela P Moissl1, Graciela E Delgado1, Marcus E Kleber1,2
1Department of Medicine I, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany.
自我报告的身体健康 (SRPF) 强烈预测了较低的死亡风险. 较高的SRPF与更好的心血管健康有关,并降低了全因和心血管死亡率,即使在冠状动脉疾病患者中也是如此.
科学领域:
- 心脏病学 心脏病学
- 预防医学 预防医学
- 公共卫生 公共卫生
背景情况:
- 自我报告的身体健康 (SRPF) 是对个人感知到的身体能力的主观衡量.
- 评估SRPF可能提供一个简单的工具来估计健康风险和指导预防策略.
研究的目的:
- 调查自我报告的身体健康 (SRPF) 与所有原因和心血管死亡率之间的关联.
- 为了确定SRPF是否是长期随访期的大型队列中死亡率的预测因素.
主要方法:
- 利用了来自路德维希沙芬风险和心血管健康 (LURIC) 研究的3248名参与者的数据.
- 在基准时使用11点利克特级别问卷评估SRPF.
- 采用卡普兰-梅尔生存分析和考克斯回归模型,以多个混因素进行调整.
主要成果:
- 较高的基线SRPF与较低的全因和心血管死亡风险显著相关.
- 在最高的SRPF类别中,个体心血管死亡风险大大降低 (HR 0.14).
- 这些关联在调整了许多临床和人口因素之后仍然存在,包括并发病和冠状动脉疾病 (CAD) 状态.
结论:
- 自我报告的身体健康是整体和心血管死亡率的强有力的预测指标.
- 在例行医疗评估中应考虑SRPF,以确定有风险的个人.
- 促进体育活动,如较高的SRPF所示,对于心血管健康至关重要.
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