威斯康星州土著美国人群体质量指数,糖尿病和动脉样硬化的大脑血管风险因素:一个横截面观察研究
Carol C Mitchell1, Stephanie M Wilbrand2, Timothy Hess1
1Department of Medicine University of Wisconsin School of Medicine and Public Health Madison WI.
Journal of the American Heart Association
|March 4, 2026
概括
由于高血压,糖尿病和肥胖,美洲原住民面临更高的中风风险. 这项研究强调了威斯康星州美洲原住民人口中中风风险因素的显著差异,为针对性干预提供了信息.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心血管疾病研究研究
背景情况:
- 美国原住民 (NA) 的人口表现出中风发病率增加和高血压和糖尿病等危险因素的不成比例的流行.
- 了解这些差异对于制定有针对性的公共卫生干预措施至关重要.
研究的目的:
- 描述威斯康星州美洲原住民中风风险因素.
- 将这些因素与来自威斯康星州健康调查 (SHOW) 的年龄和性别匹配的威斯康星州普通人口样本进行比较.
主要方法:
- 收集有关人口统计,血压,病史 (高血压,糖尿病,CAD,TIA/中风),吸烟状况和实验室值 (脂质,HbA1c,葡萄糖) 的数据.
- 对Oneida NA参与者进行了全面的带超声检查,以评估动脉样硬化斑块和血液动力学.
- 为进行比较分析,将NA参与者与威斯康星州一般人口样本进行匹配.
主要成果:
- 与一般人群相比,NA组显示出显著更高的静脉和腹血压,BMI和糖尿病率 (P<0.05).
- 在脂质样本,HbA1c和平均葡萄糖水平 (P<0.05) 中观察到有统计学意义的差异.
- 动脉样硬化斑块存在于Oneida NA参与者的动脉的81.5%.
结论:
- 在被研究的NA人口和威斯康星州普通人口之间存在中风风险因素的显著差异.
- 这些发现强调了肥胖,糖尿病,高血压和动脉样硬化之间的强烈联系.
- 基于社区的干预措施有机会修改已识别的中风风险因素.
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