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身材矮小真的是冠心病和中风死亡率的危险因素吗?一项综述。

Is short height really a risk factor for coronary heart disease and stroke mortality? A review.

作者信息

Samaras Thomas T, Elrick Harold, Storms Lowell H

机构信息

Reventropy Associates, California, San Diego, USA.

出版信息

Med Sci Monit. 2004 Apr;10(4):RA63-76.

PMID:15039658
Abstract

A number of studies have reported an inverse relationship between height and cardiovascular disease (CVD). Most of these studies have involved a relatively small number of deceased people and may have been confounded by socioeconomic and other factors. In contrast, many studies have found short populations in traditional and western societies have very low CVD compared to taller Western populations. The purpose of this study was to evaluate the impact of short height on coronary heart disease (CHD) and stroke incidence or mortality based on a variety of inter-ethnic and intraethnic groups involving much larger deceased populations compared to previous studies. The results of this study indicate that shorter people have substantially lower rates of CHD mortality and moderately lower levels of stroke mortality. For example, shorter southern Europeans had about half the CHD mortality rate of northern Europeans. In addition, shorter ethnic groups vs taller groups in California had substantially lower mortality rates. Native American, Japanese, Indian, and Pakistani studies also showed shorter people had lower CHD and stroke incidence or mortality compared to taller people within each group. The rate of increase in (CHD mortality with increasing height was similar for shorter females vs taller males and for shorter males vs taller males.

摘要

多项研究报告了身高与心血管疾病(CVD)之间的负相关关系。这些研究大多涉及相对少量的已故人群,可能受到社会经济和其他因素的混淆。相比之下,许多研究发现,与较高的西方人群相比,传统社会和西方社会中的矮个子人群患心血管疾病的比例非常低。本研究的目的是基于比以往研究涉及的已故人群数量多得多的各种族间和族内群体,评估矮身高对冠心病(CHD)和中风发病率或死亡率的影响。本研究结果表明,较矮的人冠心病死亡率显著较低,中风死亡率略低。例如,较矮的南欧人的冠心病死亡率约为北欧人的一半。此外,加利福尼亚州较矮种族与较高种族相比,死亡率显著较低。美国原住民、日本人、印度人和巴基斯坦人的研究也表明,每组中较矮的人比高个子的人患冠心病和中风的发病率或死亡率更低。较矮女性与较高男性以及较矮男性与较高男性相比,冠心病死亡率随身高增加的速率相似。

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