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肥胖和体重变化在八年期间与喘发病率的关系
Reshed Abohalaka1, Selin Ercan2, Pinja Ilmarinen3,4
1Krefting Research Centre, Department of Internal Medicine and Clinical Nutrition, Sahlgrenska Academy, Institute of Medicine, University of Gothenburg, Medicinaregatan 1F, Box 424, 405 30, Gothenburg, Sweden. reshed.abohalaka@gu.se.
肥胖和体重增加增加了喘风险,特别是在中年妇女中. 控制体重对于喘预防和护理策略至关重要.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 呼吸系统医学 呼吸系统医学
背景情况:
- 横截面研究表明,肥胖和喘患病率增加之间存在联系.
- 需要纵向数据来澄清体重变化与喘发病率之间的关系.
研究的目的:
- 为了研究肥胖,体重变化和8年喘发病率之间的关联,在一个基于人口的成年队列中.
- 为了确定新发喘的特定体重相关风险因素.
主要方法:
- 一项以人口为基础的队列研究 (西瑞典喘研究),2008年有18087名参与者,8年后有12449名参与者.
- 参与者填写了评估身体质量指数 (BMI) 和医生诊断的喘的问卷.
- 喘发病率计算为每1000人/年,肥胖被定义为BMI≥30 kg/m2,超重被定义为25 ≤BMI<30 kg/m2.
主要成果:
- 在基线没有喘的参与者中,喘发病率为每1000人年1.8.
- 在中年成人 (40-60岁) 观察到更高的喘发病率,这些人获得了≥4个BMI单位或肥胖且体重稳定.
- 随着体重增加 (≥0.5 BMI单位),喘风险的剂量依赖性显著增加.
- 在基线时的肥胖,无论体重变化,与稳定的正常体重相比,与更高的喘风险有关.
- 体重增加和肥胖症对喘发病的风险显著增加,特别是在女性中.
结论:
- 体重管理对于预防和护理喘至关重要.
- 医疗保健提供者应该整合体重管理策略,特别是对于超重或肥胖的中年女性.
- 了解体重变化对喘发病率的影响,可以为公共卫生干预提供信息.
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