脂质控制和社会决定因素:它们与老年人LDL和非HDL胆固醇目标的关联 - - 一项基于人口的研究
Cristian Orlando Porras Bueno1, Jesús Andrés Beltrán España1, Carolina Murgueitio Guzmán1
1Department of Internal Medicine, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogotá, Colombia.
健康的社会决定因素对老年人影响脂质控制. 解决身体不活动等因素可以改善心血管风险管理.
科学领域:
- 心血管健康 心血管健康
- 公共卫生 公共卫生
- 老年学是一门学科.
背景情况:
- 健康的社会决定因素 (SDH) 对心血管结果至关重要.
- 它们对老年人脂质特征目标实现的影响还未得到充分研究.
- 这项研究的重点是哥伦比亚60岁及以上的成年人.
研究的目的:
- 调查SDH与未能达到脂质标之间的关联.
- 具体研究低密度脂蛋白胆固醇 (LDL-C) 和非高密度脂蛋白胆固醇 (非HDL-C) 的目标.
- 利用哥伦比亚老年人的数据.
主要方法:
- 从SABE哥伦比亚2015年研究中对1270名参与者的横截面分析.
- 使用了后勤回归模型.
- 使用Framingham,ASCVD 2013和SCORE2标准评估LDL-C和非HDL-C目标的实现情况.
主要成果:
- 女性的性别,缺乏卫生系统的隶属,和身体不活动与没有达到LDL-C目标有关.
- 身体不活动也与未达到非HDL-C目标相关.
- 其他SDH因素也显示了相关性.
结论:
- 在老年人中,SDH和低最佳脂质控制之间建立了强有力的联系.
- 可修改的SDH为干预提供了机会.
- 解决这些因素可能会改善老年人心血管风险管理策略.
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