高血压和体检之间的两阶段探索性关联:基于社区的生物库研究
Chih-Sheng Chen1,2,3,4, Dai-Yin Chen5, Ta-Chen Chen4,5,6,7
1Division of Chinese Medicine, Asia University Hospital, Taichung, Taiwan.
Frontiers in cardiovascular medicine
|November 12, 2025
概括
高血压是全球主要的健康问题. 这项研究发现,高脂血症和糖尿病等临床因素显著预测高血压,这表明早期检测工具的潜力.
科学领域:
- 心血管疾病流行病学
- 公共卫生研究 公共卫生研究
- 生物医学信息学 生物医学信息学
背景情况:
- 高血压是一个关键的全球公共卫生挑战,特别是在发展中国家,对死亡率和残疾有很大影响.
- 预计全球成人高血压人口的增加需要积极的公共卫生战略.
- 台湾生物库为调查生活方式和心血管疾病趋势提供了有价值的健康数据.
研究的目的:
- 通过使用台湾生物库数据,探索临床检查结果与高血压相关疾病之间的关联.
- 分析不同年龄的人口统计数据中血压变化和稳定性之间的相关性.
- 通过分层分析研究环境因素,健康行为和高血压之间的关系.
主要方法:
- 利用了台湾生物银行自2012年以来收集的部分数据.
- 专注于区分不同年龄组血压变化和稳定性之间的相关性.
- 采用分层分析来探索环境暴露,健康行为和高血压之间的联系.
主要成果:
- 超脂血症 (OR,4.0504) 和糖尿病 (OR,2.1871) 被确定为与高血压相关的重大并发症.
- 临床生物化学标志物包括年龄,心率,甘油三,高脂胆固醇,高脂血症和糖尿病是显著的预测因素 (AUROC,0.8769).
- 这些发现凸显了高血压临床检查的预测能力.
结论:
- 该研究建议开发一种基于已识别的临床分类器的高血压风险评估工具.
- 建议通过更广泛的生物库资源对这些发现的概括性进行进一步的研究.
- 结果可以为临床决策提供信息,改善数字健康教育,并减轻高血压的公共卫生负担.
相关概念视频
Hypertension III: Clinical Manifestations and Diagnostic Studies
452
Hypertension is asymptomatic and also referred to as the "silent killer" until it progresses to a severe stage or causes target organ disease. Patients may experience symptoms stemming from the strain on blood vessels and tissues in various organs or the heart's increased workload.Physical exams might show no abnormalities other than high blood pressure. Signs of vascular damage, when present, correspond to the organs supplied by the affected vessels, leading to target organ damage. For...
452
Hypertension I: Introduction
721
Hypertension is a widespread, long-term medical condition where blood pressure in the arteries remains elevated. It is characterized by systolic blood pressure readings of 130 mm Hg or above or diastolic blood pressure (DBP) readings of 80 mm Hg or higher. Unmanaged hypertension poses significant health risks, making the distinction between primary (or essential) hypertension and secondary hypertension crucial, as their management and implications vary.Primary HypertensionPrimary hypertension,...
721
Assessment of blood pressure in brachial artery(two-step method)
1.4K
Measuring blood pressure is a fundamental skill in healthcare that aids in diagnosing and monitoring hypertension and other cardiovascular conditions. An aneroid sphygmomanometer, commonly used in clinical settings, offers a manual and precise method for blood pressure measurement. The technique for using this instrument involves specific steps that must be carefully executed to ensure accuracy. The following detailed description outlines a two-step technique for assessing blood pressure using...
1.4K
Special considerations while measuring blood pressure
1.1K
When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
Monitoring Both Arms:
Monitoring BP in both arms during the initial assessment is advisable, as the systolic value may differ by five to ten mm Hg between arms. For subsequent BP assessments, use the arm with the higher reading.
1.1K
Hypertension II: Pathophysiology
765
Hypertension is a chronic condition in which the blood's force against artery walls is excessively high, posing risks such as heart disease. The condition's underlying mechanisms involve complex interactions among the cardiovascular, kidney, and autonomic nervous systems.Renin-Angiotensin-Aldosterone System (RAAS): This system significantly influences blood pressure regulation. When blood pressure decreases, the kidneys secrete renin. This enzyme transforms angiotensinogen, a plasma protein,...
765
Hypertension and Regulation of Blood Pressure
3.6K
Hypertension, the most common cardiovascular disease, is diagnosed through repeated measurements of elevated blood pressure. Its risks, including damage to the kidney, heart, and brain, are directly proportional to blood pressure levels. Starting from 115/75 mm Hg, the risk of cardiovascular disease doubles with each increment of 20/10 mm Hg. The diagnosis relies on blood pressure measurements, not on patient symptoms, as hypertension is often asymptomatic until end-organ damage is imminent or...
3.6K


