中年成年人的性别特异性血压值
Katie Williams1,2, Benjamin Grobman1,2, Fredrick Larbi Kwapong1
1Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA (K.W., B.G., F.L.K., H.C., R.-A.N.T.-O., L.H.N., M.Z., S.P.J.).
Hypertension (Dallas, Tex. : 1979)
|January 14, 2026
概括
这项研究没有发现中年成年人心血管疾病 (CVD) 风险或血压 (BP) 分布的性别差异. 这些发现不支持需要性别特定的高血压值.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 现有研究表明,女性在较低血压 (BP) 值时,心血管疾病 (CVD) 风险更高,这促使人们就性别特异性高血压指南进行讨论.
- 然而,这些观察结果的临床意义需要在不同人群中进行进一步的研究.
研究的目的:
- 为了调查血压 (BP) 分布,心血管疾病 (CVD) 风险和风险因素负担的潜在性别差异.
- 评估当前的高血压值是否适合男性和女性成年人.
主要方法:
- 使用了社区动脉样硬化风险研究 (ARIC) 的数据,访问1 (1987-1989).
- 比较血压分布,10年心血管疾病风险得分,绝对风险和性别之间的心血管疾病相对风险.
- 在没有先前心血管疾病的参与者中,按高血压治疗状态分层分析.
主要成果:
- 该研究包括13,418名参与者 (56%是女性),其中25%接受高血压治疗.
- 在男性和女性成年人之间没有观察到血压分布,心脏病风险因素,心脏病绝对风险或心脏病相对风险的一致差异.
- 男人呈现出更高的平均10年心血管疾病风险得分,无论治疗状态如何.
结论:
- 这些发现不支持在中年人群中实施性别特异性高血压值.
- 可能需要进一步的研究,以探索不同年龄组和不同种族中心血管疾病风险的潜在性别差异.
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