整体生活方式框架,以长度评估老年泰国成年人心血管差异和诊断后变化
Shahmir H Ali1, Man Thi Hue Vo2, Wasin Kaewchankha3
1Saw Swee Hock School of Public Health, National University of Singapore, Singapore.
JACC. Asia
|January 9, 2026
概括
生活方式医学对于患有心血管疾病 (CVD) 的老年人群至关重要. 在泰国,不健康的行为,如低体力活动和不良的压力管理,与更高的心血管疾病风险有关,特别是在诊断后.
科学领域:
- 公共卫生 公共卫生
- 老年学是一门学科.
- 心血管医学 心血管医学
背景情况:
- 生活方式医学干预措施对于在老龄化亚洲人口中管理心血管疾病 (CVD) 变得越来越重要.
- 在泰国快速老龄化的人口中,关于全面的生活方式模式和心血管疾病诊断后的行为变化的证据有限.
研究的目的:
- 检查老年泰国成年人生活方式行为中的社会人口学差异.
- 调查个人/累积不健康行为与心血管疾病流行/发病率之间的关联.
- 在多领域的生活方式框架内评估诊断后的行为变化.
主要方法:
- 分析了来自泰国健康,衰老和退休 (HART) 队列 (2015-2022) 的8086名45岁以上的成年人.
- 评估五个生活方式领域:身体活动,酒精/吸烟,睡眠,压力管理和社会参与.
- 用于确定关联和诊断后变化的逻辑/log-Poisson回归和概括估计方程,使用共变量调整和反向概率权重.
主要成果:
- 流行性心血管疾病影响了9.2%的参与者,205人患有心血管疾病事件.
- 较低的休时间体力活动 (LTPA) 和不良的压力管理是常见的,并且与流行心血管疾病有关.
- 观察到的社会人口差异:较低的LTPA和社会脱离在老年,农村,低收入成年人中更高;男性和高收入群体的吸烟/酒精更高.
- 有≥3种不健康的行为增加了患心血管疾病的概率 (OR:1.82). 不良的压力管理 (OR: 1.44) 和以前的吸烟 (RR: 1.99) 预测了心血管疾病.
- 在诊断后,LTPA的改善最少.
结论:
- 对行为风险的整体管理对于心血管疾病 (CVD) 护理至关重要.
- 生活方式医学可以显著提高老年人群中心血管疾病管理策略.
- 需要针对性,以公平为重点的干预措施,以支持康复和促进心脏病诊断后健康的衰老.
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