牛犊和中腕周长变化与心血管疾病患者的预后之间的关联
Kaoru Sato1, Kentaro Kamiya2, Kensuke Ueno3
1Department of Rehabilitation Sciences, Graduate School of Medical Sciences, Kitasato University, Sagamihara, Kanagawa, Japan.
Nutrition, metabolism, and cardiovascular diseases : NMCD
|October 9, 2025
概括
康复后心血管疾病 (CVD) 患者的小腿和中腕周长减少表明预后较差. 监测这些人体测量变化可以帮助预测患者的结果.
科学领域:
- 心脏病学 心脏病学
- 临床营养学 临床营养学
- 公共卫生 公共卫生
背景情况:
- 牛犊周长 (CC) 和中上臂周长 (MUAC) 与心血管疾病 (CVD) 的预后有关.
- 治疗后的CC和MUAC变化的预后价值尚不清楚.
研究的目的:
- 研究CC和MUAC的变化与心血管疾病患者的预后之间的关系.
- 确定康复后这些人体测量指标的下降是否预测不良事件.
主要方法:
- 1111名心血管疾病患者在出院和门诊后康复期间测量了CC和MUAC.
- 计算了CC和MUAC的变化;患者被分为减少或不减少.
- 主要终点是所有原因死亡和重新住院的复合.
主要成果:
- CC的下降与明显更高的复合事件率相关 (HR1.42,p=0.021).
- MUAC的下降也显示出明显更高的复合事件率 (HR 1.61,p<0.001).
结论:
- 在康复治疗后,CC和MUAC的减少与心血管疾病患者的预后不佳有关.
- 定期监测CC和MUAC可能有助于预测患者的结果和指导干预.
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