摘要
目的:分析一般人群中肱动脉血流介导的血管舒张功能(FMD)的影响因素及其贡献度。方法:于2015年8—9月在广西融安县泗顶镇、融水县安陲乡两地招募研究对象795名,对其进行问卷调查、体格检查及血样采集。按性别分层,分别运用单因素、多因素线性回归及优势分析对男性、女性FMD的影响因素及贡献度进行分析。结果:男性FMD影响因素为肱动脉基础直径增加、中低体力活动、心率减慢、年龄增长、体重指数(Ibm)降低,其优势权重依次为69.50%、15.72%、6.61%、5.69%、2.48%;女性FMD影响因素为肱动脉基础直径增加、绝经状态、Ibm降低、高中及以上教育程度,其优势权重依次为66.75%、24.96%、6.61%、1.68%。结论:FMD的影响因素及其贡献度存在性别差异,提示应根据性别及影响因素贡献度制定更有针对性的心血管健康促进措施。
Objective:To analyze the factors influencing brachial artery flow-mediated dilatation(FMD)and the contribution of them in general population.Methods:From August to September 2015,795 subjects were recruited in Siding town,Rongan county and Anchui town,Rongshui county,Guangxi.Questionnaires,physical examinations and blood samples were collected.Univariate,multivariate linear regression and dominance analysis were used to analyze the factors influencing FMD and their contribution by sex.Results:Increased brachial artery diameter and age,decreased heart rate and body mass index(Ibm),and low to moderate physical activity were factors for male FMD,and the dominant weight were 69.50%,15.72%,6.61%,5.69% and 2.48%,respectively.Increased basic diameter of brachial artery,menopause,decreased Ibm and high education level were factors for female FMD,and the dominant weight were 66.75%,24.96%,6.61% and 1.68%,respectively.Conclusion:There are differences in the factors influencing FMD and their contribution between male and female,suggesting that the individualized measures should be considered in promoting vascular health based on sex and the contribution of the influencing factors.
作者
毛宝玉
易艳珊
农青娇
蒙柳仁
潘雪
钟秋安
Mao Baoyu;Yi Yanshan;Nong Qingjiao;Meng Liureng;Pan Xue;Zhong Qiuan(School of Public Health,Guangxi Medical University,Nanning 530021,China;Statistical Information Center for Health and Family Planning of Guangxi Zhuang Autonomous Region,Nanning 530021,China;Youjiang Medical University For Nationalities,Baise 533000,China)
出处
《广西医科大学学报》
CAS
2018年第5期729-733,共5页
Journal of Guangxi Medical University
基金
广西自然科学基金资助项目(No.2014GXNSFAA118167
No.2016GXNSFAA380050)
国家自然科学基金资助项目(No.81360422)
关键词
血管舒张功能
影响因素
贡献度
一般人群
心血管疾病
flow mediated dilation
influencing factors
contribution
general population
cardiovascular disease