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[开始戒烟治疗的吸烟人群中的心血管危险因素患病率]

[Cardiovascular risk factor prevalence among a smoking population starting treatment to quit smoking].

作者信息

Arias Varela C N, Bou Monterde R, Ramon Torrell J M

机构信息

Departamento de Medicina Preventiva y Salud Pública, Universitaria de Bellvitge, L'Hospitalet de Llobregat, Barcelona.

出版信息

Rev Esp Salud Publica. 2000 Mar-Apr;74(2):189-98.

Abstract

BACKGROUND

The prevalence of cardiovascular risk factors in the population at large is high, nevertheless, this rate is known to a lesser degree for a smoking population. The purpose of this study is to ascertain the prevalence of cardiovascular risk factors in a cohort of smokers who are starting treatment to quit smoking.

METHODS

This is a descriptive study conducted on a sample of 1887 subjects (1098 males and 789 females) within the 20-80 age range. Each one of these subjects underwent a medical examination, a blood pressure check, total cholesterol, basal gylcemia testing and were measured and weighed.

RESULTS

The most prevalent factor was high blood pressure (25%). The prevalence of one or more risk factors related to cigarette smoking was 36.2% (45.3% among males and 23.7% among females, the difference being statistically significant, (chi 2 = 91.4 p < 0.0001). Independently of the number of factors involved, prevalence was always greater among the males. With the exception of bdy mass among males, the prevalence of the rest of the factors showed a significant increase with age among both males and females. Among the males, there was a percentage increase in index related to cigarette smoking. To the contrary, the presence of hypercholesterolemia decreased along with the increase in the amount of smoking.

CONCLUSIONS

The prevalence of the cardiovascular risk factors among a smoking population starting treatment is major. This fact conditions the need of setting up measures for taking action to modify these factors.

摘要

背景

心血管危险因素在普通人群中的患病率很高,然而,吸烟人群的这一比率鲜为人知。本研究的目的是确定开始戒烟治疗的吸烟者队列中心血管危险因素的患病率。

方法

这是一项描述性研究,对年龄在20至80岁之间的1887名受试者(1098名男性和789名女性)进行了抽样。这些受试者每人都接受了医学检查、血压检查、总胆固醇、基础血糖检测,并进行了身高和体重测量。

结果

最普遍的因素是高血压(25%)。与吸烟相关的一种或多种危险因素的患病率为36.2%(男性为45.3%,女性为23.7%,差异具有统计学意义,卡方=91.4,p<0.0001)。无论涉及的因素数量如何,男性的患病率总是更高。除男性的体重外,其他因素的患病率在男性和女性中均随年龄显著增加。在男性中,与吸烟相关的指数有百分比增加。相反,高胆固醇血症的患病率随着吸烟量的增加而降低。

结论

开始治疗的吸烟人群中心血管危险因素的患病率很高。这一事实决定了需要制定措施来改变这些因素。

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