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泰国五个地区心血管危险因素比较:亚洲国际心血管病队列研究(InterASIA)数据

Comparison of cardiovascular risk factors in five regions of Thailand: InterASIA data.

作者信息

Chongsuvivatwong Virasakdi, Yipintsoi Tada, Suriyawongpaisal Paibul, Cheepudomwit Sayan, Aekplakorn Wichai, Faramnuayphol Pinij, Tatsanavivat Pyatat, Kosulwat Vongsvat, Thamthitiwat Somsak, Nuntawan Chalermsri

机构信息

Epidemiology Unit, Faculty of Medicine, Prince of Songkla University, Hatyai, Songkhla, Thailand.

出版信息

J Med Assoc Thai. 2010 Jan;93(1):17-26.

Abstract

BACKGROUND

Age- and sex- standardized mortality rate of cardiovascular disease (CVD) was high in Bangkok and central Thailand in the year 2000. This may partially be related to differences in risk factors.

OBJECTIVE

To compare prevalence of CVD risk factors among regions in Thailand in the same period.

MATERIAL AND METHOD

From a survey in 2000 (InterASIA) which involved 5 regions in Thailand, conventional CVD risk factors were compared multivariate-wise among regions and subsequently aligned with CVD deaths obtained within similar regions from the registry.

RESULTS

Bangkok and a central province had a higher prevalence of the following: hypertension, elevated body mass index, large waist circumference, elevated lipid associated with low density lipoprotein cholesterol and diabetes mellitus. The Northeast had a higher prevalence of smoking, low values of high density lipoprotein cholesterol and high triglyceride.

CONCLUSION

Definite regional differences existed of CVD risks and death in Thailand in 2000. Some of the metabolic risk factors may be more important than smoking in the link with CVD death in Thailand

摘要

背景

2000年曼谷及泰国中部地区心血管疾病(CVD)的年龄和性别标准化死亡率较高。这可能部分与危险因素的差异有关。

目的

比较泰国同期各地区心血管疾病危险因素的患病率。

材料与方法

根据2000年一项涉及泰国5个地区的调查(亚洲国际心血管病队列研究),对各地区传统心血管疾病危险因素进行多因素比较,随后将这些因素与登记处类似地区的心血管疾病死亡数据进行比对。

结果

曼谷和一个中部省份在以下方面患病率较高:高血压、体重指数升高、腰围增大、与低密度脂蛋白胆固醇相关的血脂升高以及糖尿病。东北部地区吸烟、高密度脂蛋白胆固醇水平低和甘油三酯高的患病率较高。

结论

2000年泰国心血管疾病风险和死亡存在明显的地区差异。在泰国,某些代谢危险因素在与心血管疾病死亡的关联中可能比吸烟更为重要。

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