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医疗保健专业人员队列中的心血管危险因素:15 年的演变。

Cardiovascular risk factors in a cohort of healthcare professionals: 15 years of evolution.

机构信息

Universidade Federal de Goiás, Goiânia, GO, Brasil.

出版信息

Arq Bras Cardiol. 2010 Sep;95(3):332-8. doi: 10.1590/s0066-782x2010005000084. Epub 2010 Jul 9.

Abstract

BACKGROUND

According to the World Health Organization (WHO), cardiovascular diseases (CVD) account for 16.7 million deaths per year. Evidence shows that CVD result from the interaction of multiple risk factors that are present from childhood.

OBJECTIVE

To evaluate the presence and evolution of several cardiovascular risk factors (CVRF) among medical professionals, in a period of 15 years.

METHODS

We analyzed a group of individuals when they entered medical school, and repeated the analysis after 15 years, comparing the data found. We used CVRF questionnaires (systemic arterial hypertension (SAH); diabetes mellitus (DM); dyslipidemia and family history of premature CVD; smoking habit; alcoholism; and sedentary lifestyle). Cholesterol, blood glucose, BP, weight, height, body mass index (BMI) values were determined.

RESULTS

We compared 100 subjects (64.0% men with a mean age of 19.9 years) with a total of 72 subjects (62.5% men, 34.8 years) that were included in the study 15 years later. There was an increase in the prevalence of hypertension (6.0% vs 16.7%, p = 0.024), overweight (9.0% vs 26.4%, p = 0.002), and dyslipidemia (4.0% vs 19.14%, p = 0.002). The other CVRF remained unchanged. Analyzing the values of systolic blood pressure (SBP); diastolic blood pressure (DBP); cholesterol; glucose; and BMI, we found an increase in the mean values of all variables (p < 0.05). We observed a positive correlation between the values of SBP, DBP, BMI, and blood glucose measured in the time interval (p < 0.05).

CONCLUSION

Among medical professionals, there was an elevation in SBP, DBP, glucose, BMI, and cholesterol values in 15 years. In the CVRF prevalence analysis, we found an increase in the prevalence of hypertension, overweight, and dyslipidemia.

摘要

背景

根据世界卫生组织(WHO)的数据,心血管疾病(CVD)每年导致 1670 万人死亡。有证据表明,CVD 是由多种从儿童时期就存在的危险因素共同作用引起的。

目的

评估医疗专业人员在 15 年内存在的几种心血管危险因素(CVRF)及其变化情况。

方法

我们分析了一组在进入医学院时的个体,并在 15 年后重复了分析,比较了发现的数据。我们使用了 CVRF 问卷(系统性动脉高血压(SAH);糖尿病(DM);血脂异常和早发性 CVD 家族史;吸烟习惯;酗酒;以及久坐的生活方式)。还测定了胆固醇、血糖、血压、体重、身高、体重指数(BMI)值。

结果

我们比较了 100 名受试者(64.0%为男性,平均年龄为 19.9 岁)和 15 年后总共纳入研究的 72 名受试者(62.5%为男性,34.8 岁)。高血压(6.0%比 16.7%,p=0.024)、超重(9.0%比 26.4%,p=0.002)和血脂异常(4.0%比 19.14%,p=0.002)的患病率增加。其他 CVRF 保持不变。分析收缩压(SBP)、舒张压(DBP)、胆固醇、血糖和 BMI 的值,我们发现所有变量的平均值都有所增加(p<0.05)。我们观察到在间隔时间内 SBP、DBP、BMI 和血糖的测量值之间存在正相关(p<0.05)。

结论

在医疗专业人员中,15 年内 SBP、DBP、血糖、BMI 和胆固醇值升高。在 CVRF 患病率分析中,我们发现高血压、超重和血脂异常的患病率增加。

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