Curb J D, Aluli N E, Kautz J A, Petrovitch H, Knutsen S F, Knutsen R, O'Conner H K, O'Conner W E
Department of Medicine, John A. Burns School of Medicine, Honolulu, HI 96817.
Am J Public Health. 1991 Feb;81(2):164-7. doi: 10.2105/ajph.81.2.164.
We report a cardiovascular risk factor survey of "native" Hawaiians 20-59 years old (70 percent, or 257), living on the Hawaiian Homestead lands on the island of Molokai, Hawaii. More than 60 percent of both sexes were overweight. Among males, 42 percent were smokers. The percent of the population with systolic blood pressure greater than 140 mm Hg or a diastolic pressure greater than 90 mm Hg or taking hypertensive medications was 14 percent of those ages 20-39 and 36 percent of those ages 40-59. The percent with serum cholesterol greater than or equal to 6.2 mmol/L ranged from 8 percent of those 20-29 years old to 46 percent in those 50-59 years old. Two percent of those ages 20-29 had a history of diabetes, or 2 + or greater glycosuria by dipstick, as did 23 percent of those ages 50-59. The majority of the known diabetics exhibited glycosuria and elevated glycohemoglobin levels, indicating poor control. Hypertension, although usually known to the participant, was frequently uncontrolled. From these data, it appears that among this group of Hawaiians major risk factors for cardiovascular disease were frequent, while at the same time the levels of awareness and/or control for most of these factors were low.
我们报告了一项针对居住在夏威夷莫洛凯岛夏威夷家园土地上、年龄在20至59岁之间的“原住民”夏威夷人的心血管危险因素调查。该调查涵盖了257人，占该年龄段总人数的70%。超过60%的男性和女性超重。男性中，42%为吸烟者。收缩压大于140毫米汞柱或舒张压大于90毫米汞柱或正在服用降压药物的人群比例，在20至39岁年龄段为14%，在40至59岁年龄段为36%。血清胆固醇大于或等于6.2毫摩尔/升的人群比例，在20至29岁年龄段为8%，在50至59岁年龄段为46%。20至29岁年龄段中有2%的人有糖尿病史，或尿糖试纸检测结果为2+或更高，50至59岁年龄段中有23%的人也是如此。大多数已知糖尿病患者表现出尿糖和糖化血红蛋白水平升高，表明控制不佳。高血压虽然通常患者自己知晓，但经常未得到控制。从这些数据来看，在这群夏威夷人中，心血管疾病的主要危险因素很常见，而与此同时，对大多数这些危险因素的知晓和/或控制水平却很低。
