不同生活行为方式对心踝血管指数的影响

Effect of different lifestyle behaviors on cardio-ankle vascular index

目的探讨心踝血管指数(CAVI)与生活行为方式的关系,为心脑血管病的早期预防提供理论依据。方法调查收集2017年3月~5月间于广州市某社区卫生服务中心进行健康体检的研究对象397例,内容包括患者的性别、年龄、身高、体重、血压、腰围(WC)、臀围(HC)、心率等基本情况资料及吸烟、饮酒、体育锻炼、睡眠状况等生活方式资料,并检测CAVI值。运用SPSS 13.0统计软件对CAVI正常组(CAVI<9 m/s)和CAVI升高组(CAVI≥9 m/s)间进行一般情况比较,并对CAVI增高的影响因素进行单因素和多因素Logistic回归分析。结果 CAVI正常组与CAVI增高组比较,年龄、体质指数(BMI)、WC、腰臀比(WHR)、收缩压(SBP)、是否高血压、体育锻炼、饮酒、吸烟间的差异有统计学意义(P<0.05);多因素Logistic回归分析显示年龄、WC和饮酒是CAVI增高的独立危险因素(P<0.05);体育锻炼与CAVI增高呈显著负相关(β=-0.617,P<0.05)。结论年龄增长、腰围增大、饮酒是CAVI增高的独立危险因素,体育锻炼可预防CAVI的增加,积极控制体重,避免饮酒,加强锻炼将有助于防止动脉血管硬化性疾病的发生。

Objective To investigate the relationship between cardio-ankle vascular index(CAVI)and lifestyle behavior and to provide a theoretical basis for the early prevention of cardiovascular and cerebrovascular diseases.Methods 397 subjects were enrolled in health examination from a community health service center in Guangzhou from March to May 2017.Information including gender,age,height,weight,blood pressure,waist circumference(WC),hip circumference(HC),heart rate,and other basic information,as well as smoking,drinking,physical exercise,sleep,other lifestyle and CAVI value were collected.SPSS13.0 statistical software was used to compare the general situation of CAVI normal group(CAVI<9 m/s)and CAVI elevation group(CAVI≥9 m/s).Univariate and multivariate logistic regression analysis was used to analyze the influencing factors of elevated CAVI.Results There were significant differences with respect to age,BMI,WC,WHR,SBP,hypertension,physical exercise,drinking and smoking between CAVI normal group and CAVI increasing group(P<0.05).Result of multivariate logistic regression analysis showed that age,WC and alcohol consumption were independent risk factors of CAVI increase(P<0.05).Physical exercise was significantly negatively correlated with the increase of CAVI(β=-0.617,P<0.05).Conclusion Increasing age and increasing waist circumference,alcohol consumption are independent risk factors for CAVI increase.Physical exercise can prevent the increase of CAVI,actively control weight,avoid alcohol consumption,and strengthen exercise will help to prevent arteriosclerotic diseasess.