波兰心血管风险因素的趋势:综合性心血管风险预防计划的结果
Grzegorz Kubielas1,2, Christopher S Lee3, Marta Wleklik1
1Department of Nursing, Faculty of Nursing and Midwifery, Wroclaw Medical University, 51-618, Wroclaw, Poland.
BMC public health
|August 29, 2025
概括
波兰的心血管疾病风险因素呈现出不同的趋势. 虽然吸烟和胆固醇水平有所改善,但身体不活动和肥胖仍然很高,因此需要加强预防策略.
科学领域:
- 公共卫生
- 流行病学
- 心脏病学
背景情况:
- 心血管疾病是全球和波兰的主要死亡原因.
- 评估心血管风险因素对于公共卫生举措至关重要.
研究的目的:
- 评估波兰人口中主要心血管风险因素的流行率和时间趋势.
- 确定风险因素分布和随时间变化的性别特异性.
主要方法:
- 分析了705,399名年龄在35-55岁之间的个人数据 (2012-2021年).
- 包括危险因素:吸烟,高血压,血脂不良 (总胆固醇,LDL-C),体力活动低,超重,肥胖和血糖升高.
- 对每个风险因素和整体心血管风险的性别特异性流行和时间趋势的评估 (SCORE).
主要成果:
- 在男性和女性中吸烟率显著下降.
- 高血压在男性中更为普遍;随着时间的推移显示出明显的曲线趋势.
- 总胆固醇和LDL- C水平显著下降.
- 低体力活动的高发病率 (> 75%);男性超重和肥胖更常见.
- 随着时间的推移,平均葡萄糖水平略有增加;平均SCORE值显著下降.
结论:
- 在波兰减少吸烟,胆固醇和整体心血管风险 (SCORE) 的进展.
- 持续面临的挑战包括高水平的体育不活动,超重/肥胖以及葡萄糖水平的上升.
- 针对代谢和生活方式风险因素的加强预防策略对于进一步降低心血管疾病风险至关重要.
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