秘鲁心血管风险趋势:基于人口的10年分析 (2015-2024)
Carlos Diaz-Arocutipa1, Natalia Nombera-Aznaran2, Vicente Benites-Zapata3
1Unidad de Revisiones Sistemáticas y Meta-análisis (URSIGET), Vicerrectorado de Investigación, Universidad San Ignacio de Loyola, Lima, Peru; Ministerio de Salud, Lima, Peru.
Current problems in cardiology
|August 22, 2025
概括
秘鲁的心血管风险在2015年至2024年期间略有下降,特别是在女性和年轻人中. 然而,这一趋势可能缺乏临床意义,强调了针对心血管疾病的预防策略的需要.
科学领域:
- 公共卫生
- 流行病学
- 心血管疾病研究
背景情况:
- 关于拉丁美洲国家心血管风险趋势的数据有限.
- 心血管疾病仍然是全球和地区的重大公共卫生问题.
研究的目的:
- 评估2015年至2024年的秘鲁估计十年心血管风险的变化.
- 根据性别,年龄,居住地和地区评估心血管风险趋势的差异.
主要方法:
- 对全国代表性的秘鲁人口和健康调查数据 (2015-2024年) 的横截面分析.
- 包括具有完整风险因素数据的40至74岁成年人.
- 使用2019年世界卫生组织安第斯拉丁美洲非实验室预测图的10年心血管风险估计.
- 使用结点回归模型评估趋势.
主要成果:
- 估计的10年心血管风险从5%降至4. 4% (AAPC - 2. 3%).
- 高心血管风险 (≥高) 的患病率从10. 3%降至8. 5% (AAPC - 3. 2%).
- 在女性,年轻人和城市/农村人口中观察到风险降低,但在男性或老年人中没有. 在降低风险方面发现了区域差异.
结论:
- 在研究期间,秘鲁观察到估计心血管风险的适度下降.
- 观察到的风险降低可能具有有限的临床影响,强调需要加强以公平为重点的心血管疾病预防工作.
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