热带中国成年人高血压-糖尿病并发症
Jinting Zou1, Junliang Tao2, Juan Jiang3
1Hainan Medical University, School of Public Health, Haikou, China.
Journal of global health
|March 6, 2026
概括
高血压 - 糖尿病并发症 (HDC) 影响中国热带地区7.0%的成年人,男性和老年人患病率更高. 关键的相关因素包括年龄,脂肪过多和脂质不良,这表明需要改善慢性疾病管理.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 心血管疾病研究研究
背景情况:
- 高血压 - 糖尿病并发症 (HDC) 显著增加心血管和微血管并发症的风险.
- 在中国热带地区,特别是海南省,基于人口的HDC数据有限.
- 了解高血压疾病的患病率和相关因素对于有针对性的公共卫生干预至关重要.
研究的目的:
- 为了估计中国海南省成年人群中HDC的患病率.
- 确定与HDC相关的社会人口统计学,代谢和生活方式因素.
- 在这个特定的人群中,为管理慢性疾病的策略提供信息.
主要方法:
- 一个基于人口的横截面研究,使用两阶段不成比例的集群采样设计.
- 包括来自中国海南省的32,857名成年人.
- 应用调查权重和多变量逻辑回归来分析数据并确定相关因素.
主要成果:
- HDC的加权患病率为7.0%,男性 (8.0%) 比女性 (6.0%) 高,并且随着年龄的增长而增加.
- 年龄较大 (40岁以上),男性性别,李族裔,超重,肥胖和脂质障碍症与患HDC的几率较高有关.
- 体重不足与高血压有相反的关联,而只有66.8%和36.9%的被诊断患者分别报告了血压和葡萄糖控制措施.
结论:
- 高血压在中国热带地区普遍存在,与男性性别,年龄较大,脂肪过多和脂质不良有关.
- 糖尿病控制措施的低采用凸显了慢性疾病管理中的差距.
- 需要加强海南省HDC的综合查和管理.
相关概念视频
01:30Hypertension III: Clinical Manifestations and Diagnostic Studies
689
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...
689
01:29Hypertension II: Pathophysiology
1.3K
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,...
1.3K
01:28Hypertension I: Introduction
1.1K
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,...
1.1K
01:15Diabetes: Symptoms, Diagnosis, and Complications
2.6K
For most patients, experiencing several weeks of polyuria, polydipsia, fatigue, and significant weight loss may indicate the presence of diabetes. Furthermore, adults displaying the phenotypic appearance of type 2 diabetes (particularly those who are obese and not initially insulin-requiring), may have islet cell autoantibodies, suggesting autoimmune-mediated β cell destruction and a diagnosis of latent autoimmune diabetes of adults (LADA). The categorization of glucose homeostasis is...
2.6K
01:28Hypertension IV: Drug Therapy and Lifestyle Modifications
797
Multiple classes of antihypertensive medications are employed in treating hypertension. The most commonly recommended first-line treatments include:Thiazide Diuretics, such as chlorthalidone, increase sodium and water excretion from the body, reducing blood volume and blood pressure.Angiotensin-converting enzyme inhibitors, like lisinopril, block the conversion of angiotensin I to II, a potent vasoconstrictor lowering blood pressure.Angiotensin II Receptor Blockers (ARBs) prevent angiotensin II...
797
01:18Hypertension and Regulation of Blood Pressure
4.6K
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...
4.6K