江苏省35~75岁人群缺血性心血管病10年发病风险评估

Assessment of 10-year risk for ischemic cardiovascular diseaseamong adults aged 35-75 years in Jiangsu province

目的评估江苏省35~75岁人群缺血性心血管病(ICVD)10年发病风险。方法2015—2019年,在江苏省8个项目点开展心血管病高危人群早期筛查与综合干预项目,共115435名35~75岁常住居民纳入本研究。通过面对面问卷调查、体格测量和生化指标检测,获取研究对象的ICVD危险因素暴露情况,采用"国人ICVD 10年发病风险评估表"对其发病风险进行评估。结果江苏省35~75岁人群中具有≥2种心血管病危险因素的比例为66.2%,ICVD 10年发病风险评分为6.94分,平均危险度为6.33%。人群中ICVD 10年发病危险为高危、中危和低危者分别占15.7%、29.8%和54.5%,且在男性、高年龄、农村地区、农民、文化程度较低、家庭年收入较低人群中高危比例更高。结论江苏省35~75岁人群ICVD 10年发病风险较高,应对重点人群实施有针对性的干预措施。

Objective To estimate 10-year risk of ischemic cardiovascular disease(ICVD)among residents aged 35-75 years in Jiangsu province.Methods The cardiovascular disease high-risk screening and comprehensive intervention program was conducted from 2015 to 2019 in Jiangsu province,which enrolled 115435 community-dwelling adults aged 35-75 years from8 sites.Face-to-face questionnaire survey,anthropometric measurement and laboratory detection were carried out to investigate exposures to ICVD risk factors.The China10-year risk for ICVD Score Table was used to assess the risk of developing ICVD.Results Overall 66.2%of the adult subjects aged 35-75 years had at least 2 risk factors for cardiovascular disease,resulting the average score and 10-year risk for ICVD of 6.94 and 6.33%,respectively.The proportion of the participants with high,moderate,and low estimated 10-year risk of ICVD incidence were 15.7%,29.8%,and 54.5%,respectively.Male,elderly,rural residents together with farmers,those with lower education or income had higher proportions of high ICVD risk.Conclusion Residents aged 35-75 years in Jiangsu province have a relatively high 10-year risk of ICVD.Targeted comprehensive interventions should be conducted in key populations.