社会孤立与外周内皮质功能障碍有关
Jaskanwal Deep S Sara1, Negin Mahmoudi Hamidabad1, Nazanin Rajai1
1Department of Cardiovascular Medicine, Mayo College of Medicine, Mayo Clinic, Rochester, MN.
Mayo Clinic proceedings
|October 18, 2025
概括
社会孤立与外周内皮质功能障碍 (PED) 有关,这是早期动脉样硬化的标志物. 这种关联在女性中特别强烈,表明潜在的心血管风险途径.
科学领域:
- 心血管健康 心血管健康
- 健康的社会决定因素
- 血管生物学 血管生物学
背景情况:
- 社会隔离是一个新兴的公共卫生问题.
- 周围内皮功能障碍 (PED) 是动脉样硬化的早期指标.
- 了解社会因素与血管健康之间的联系至关重要.
研究的目的:
- 调查社会孤立与PED之间的关联.
- 确定社会隔离是否是内皮功能障碍的独立风险因素.
- 为了探索这种协会中潜在的性别差异.
主要方法:
- 在312名患者的横截面队列研究中,使用反应性高血压-外周动脉度计评估PED.
- 用社会网络指数 (SNI) 来衡量社会孤立.
- 对心血管风险因素进行调整的二进制后勤回归分析.
主要成果:
- 周围内皮功能障碍 (PED) 在29.5%的患者中存在.
- 在社交网络指数 (SNI) 和PED (OR 0.73,P=.006) 之间发现了显著的反向关联.
- 与较少孤立的妇女相比,严重孤立的妇女的反应性高血症指数 (RHI) 值明显较低.
结论:
- 社会隔离与周围内皮功能障碍 (PED) 独立相关.
- 这表明社会隔离与心血管风险增加之间存在潜在的机制联系.
- 这种联系在女性中显得尤为明显.
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