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欧洲女性心血管疾病的流行病学。

Epidemiology of cardiovascular diseases in women in Europe.

机构信息

Department of Clinical and Experimental Medicine, Federico II University, Naples, Italy.

出版信息

Nutr Metab Cardiovasc Dis. 2010 Jul;20(6):379-85. doi: 10.1016/j.numecd.2010.02.004. Epub 2010 May 31.

Abstract

Cardiovascular diseases, defined as diseases of the heart and circulatory system are the main cause of mortality, morbidity and hospitalisation in women all over Europe. Evaluation of descriptive epidemiology of cardiovascular disease and its risk factors in the European women cannot ignore the extraordinary changes in the economic and political profile of the continent that occurred in the past 20 years. A keynote is requested by the knowledge that the Eastern female populations currently appear to be the less protected from cardiovascular disease (CVD; both coronary heart disease (CHD) and stroke) and its risk factors and require major efforts in public health for both primary prevention and risk factors and events treatment. Another important piece of information is that the traditional geographical differences in CHD indicating an advantage of Southern European women in comparison with other European ones is less evident than in the past, owing to the levelling off regarding the differences in risk factors associated lifestyles. The figures for prevalence of epidemic risk factors, such as smoking, physical inactivity, overweight and obesity, high blood pressure and cholesterol levels indicate an urgent need to implement public health interest as well as investments on the whole spectrum of CVD manifestations in terms of risk factors and events.

摘要

心血管疾病,定义为心脏和循环系统的疾病,是全欧洲女性死亡、发病和住院的主要原因。评估欧洲女性心血管疾病及其危险因素的描述性流行病学,不能忽视欧洲大陆过去 20 年经济和政治格局的巨大变化。一个关键问题是,目前东欧女性人群似乎较少受到心血管疾病(包括冠心病和中风)及其危险因素的保护,因此需要在公共卫生方面做出重大努力,以进行一级预防和危险因素及事件的治疗。另一个重要信息是,传统上在冠心病方面存在的地理差异表明,与其他欧洲女性相比,南欧女性具有优势,但这种优势已不如过去明显,因为与生活方式相关的危险因素的差异已经趋于平稳。有关吸烟、缺乏体力活动、超重和肥胖、高血压和胆固醇水平等流行危险因素的患病率数据表明,迫切需要实施公共卫生措施,并对心血管疾病各种表现形式的危险因素和事件进行全面投资。

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