摘要
目的探讨老年人理想心血管健康行为和因素与代谢综合征之间的关系。方法本研究选取2013年2月—2013年12月上海市11家社区卫生服务中心共1450位老年人的体检数据及问卷信息。改良理想心血管评分的标准定义为既往无吸烟史,经常进行体育锻炼,体质量指数(BMI)<25 kg/m^(2),饮食结构理想(“口味清淡”、“不吃零食”、“不吃油炸食物”),在未使用药物治疗情况下满足收缩压(SBP)<120 mmHg同时舒张压(DBP)<80 mmHg,总胆固醇(TC)<5.2 mmol/L,空腹血糖(FBG)<5.6 mmol/L。计数资料组间比较采用卡方检验,计量资料组间比较采用Wilcoxon秩和检验。资料采用卡方检验和多因素Logistic回归分析,分析理想心血管行为和因素各项指标及水平与代谢综合征发生风险之间的关联。结果该研究最终入选1450位,其中患有代谢综合征481位,未患代谢综合征969位。理想心血管行为及因素0~7项者分别占1.17%、5.93%、19.66%、28.48%、27.31%、13.72%、3.38%、0.34%。在校正了年龄、性别后,多因素Logistic回归分析结果显示,与具有超低水平理想心血管行为和因素相比,具有高水平、中等水平、低水平理想心血管行为和因素均能降低患代谢综合征的风险,OR值及95%CI分别为0.015(0.003,0.066)、0.071(0.043,0.115)、0.311(0.196,0.493)。结论老年人高水平理想心血管行为和因素能够降低代谢综合征发生风险。
Objective To investigate the relationship between ideal cardiovascular health behaviors and factors and metabolic syndrome in the elderly.Methods The physical examination data and questionnaire information of 1450 elderly people from 11 community health service centers in Shanghai from February 2013 to December 2013 were selected.The criterion of modified ideal cardiovascular score was defined as:no smoking history,regular physical exercise,body mass index(BMI)<25 kg/m^(2),ideal diet structure(“light taste”,“no snacks”,“no fried food”);without drug treatment,systolic blood pressure(SBP)<120 mmHg,diastolic blood pressure(DBP)<80 mmHg,total cholesterol(TC)<5.2 mmol/L,and fasting blood glucose(FBG)<5.6 mmol/L.Chi-square test was used for the comparison of counting data groups,and Wilcoxon rank sum test was used for the comparison of measurement data groups.Chi-square test and multivariate logistic regression analysis were used to analyze the association between indicators and levels of ideal cardiovascular behavior and factors and the risk of metabolic syndrome.Results Finally,1450 subjects were selected,including 481 ones with metabolic syndrome and 969 ones without metabolic syndrome.The subjects with 0-7 items of ideal cardiovascular behaviors and factors accounted for 1.17%,5.93%,19.66%,28.48%,27.31%,13.72%,3.38%and 0.34%respectively.After adjusting for age and gender,multivariate logistic regression analysis showed that compared with ultra-low level of ideal cardiovascular behaviors and factors,high,medium and low level of ideal cardiovascular behaviors and factors could reduce the risk of metabolic syndrome,and the OR value and 95%CI were 0.015(0.003,0.066),0.071(0.043,0.115),0.311(0.196,0.493),respectively.Conclusion High level of ideal cardiovascular behaviors and factors in the elderly can reduce the risk of metabolic syndrome.
作者
汪琪
鲍云婷
王彦
方宁远
黄黎莹
Wang Qi;Bao Yunting;Wang Yan;Fang Ningyuan;Huang Liying(Department of General Practice,Renji Hospital Affiliated to Medical College of Shanghai Jiaotong University,Shanghai,200001,P.R.China;Institute of Hypertension of Shanghai City,Ruijin Hospital Affiliated to Medical College of Shanghai Jiao-tong University,Shanghai,200025,P.R.China)
出处
《老年医学与保健》
CAS
2022年第6期1310-1315,共6页
Geriatrics & Health Care
关键词
老年
理想心血管行为
代谢综合征
相关性研究
elderly
ideal cardiovascular behavior
metabolic syndrome
correlation study