暴露与不同类型的高血压之间的关系:系统性审查和剂量反应元分析
Peilin Yang1, Tianyi Ji1, Zhendong Yang1
1Heilongjiang University of Chinese Medicine, Haerbin, China.
Frontiers in public health
|December 26, 2025
概括
环境和职业暴露显著增加高血压风险,具有明确的剂量反应关系. 公共卫生干预措施应针对高危人群的血水平低于0.107μg/dl.
科学领域:
- 环境健康 环境健康
- 心血管流行病学心血管流行病学
- 毒理学 毒理学 毒理学
背景情况:
- 研究了暴露 (环境和职业) 与高血压亚型之间的联系.
- 强调需要量化数据来为公共卫生战略提供信息.
研究的目的:
- 系统地审查和元分析暴露与高血压风险之间的关联.
- 进行剂量反应分析以确定暴露值.
主要方法:
- 系统地搜索中文/英语数据库进行观测研究.
- 由两个独立研究人员进行的数据提取和偏差评估.
- 随机效应元分析,元回归,子组分析和剂量反应分析.
主要成果:
- 有181,500名参与者的24项研究表明,暴露与高血压有关 (OR=1.27).
- 对血 (OR=1.32),基本高血压 (OR=1.31) 和抗性高血压 (OR=1.36) 观察到更强的关联.
- 在血含量≥0.107μg/dl时,高血压风险显著增加.
结论:
- 暴露是高血压的重要风险因素,表明剂量反应效应.
- 建议将血评估纳入高血压风险评估中.
- 建议高危人群的血作用水平<0.107μg/dl,以减轻引起的高血压负担.
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