自我报告的中风和痴呆风险因素的可靠性和有效性
Reinier W P Tack1,2,3,4, Jasper R Senff1,2,3,4, Tamara N Kimball1,2,3,4,5
1McCance Center for Brain Health Massachusetts General Hospital Boston MA USA.
Journal of the American Heart Association
|March 21, 2025
概括
自我报告的高血压和糖尿病等健康风险可以可靠地预测中风和痴呆的死亡率. 虽然准确性各不相同,但这些自我评估与客观测量对风险评估一样有效.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 老年学是一门学科.
背景情况:
- 在全球范围内,中风和痴呆症是导致死亡的主要原因.
- 有效的预防依赖于管理可修改的风险因素.
- 准确的风险因素评估通常需要临床测量.
研究的目的:
- 评估自我报告的风险因素作为测量值的代理值的可靠性.
- 确定自我报告的风险因素是否预测中风和痴呆的死亡率.
- 为了比较自我报告与测量的风险因素的预测能力.
主要方法:
- 利用了来自1999-2018年国家健康和营养检查调查 (NHANES) 的横截面数据.
- 将NHANES数据与国家死亡指数记录联系起来,以获得死亡结果.
- 使用F1分数评估可靠性和使用Cox比例危险模型预测关联.
主要成果:
- 自我报告的超重和糖尿病的可靠性最高 (F1分数分别为0.81和0.71).
- 自我报告的高血压和糖尿病与增加的中风相关死亡率有关,类似于测量因素.
- 自我报告和测量过重与与痴呆相关的死亡率降低有关.
结论:
- 自我报告的中风和痴呆风险因素的可靠性和有效性在不同的疾病中有所不同.
- 尽管存在差异,但自我报告的风险因素的预测性表现与死亡风险评估的客观指标相比较.
- 自我报告的数据为流行病学研究中的风险因素评估提供了可行的替代方案.
相关概念视频
Assessment of the Cardiovascular System I: Subjective Data
254
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
254
Reliability and Validity
12.6K
Reliability and validity are two important considerations that must be made with any type of data collection. Reliability refers to the ability to consistently produce a given result. In the context of psychological research, this would mean that any instruments or tools used to collect data do so in consistent, reproducible ways.
12.6K
Dementia
81
Dementia is a collective term for cognitive disorders primarily affecting memory, thinking, and reasoning. It is not a specific disease but a syndrome, with Alzheimer's disease being the most common cause, accounting for approximately 60-80% of cases. Other types include vascular dementia, Lewy body dementia, and frontotemporal dementia. Dementia affects millions worldwide, particularly older adults, though it is not a normal part of aging.
The progression of dementia is generally gradual....
The progression of dementia is generally gradual....
81


