Woodward Mark, Tsukinoki-Murakami Rumi, Murakami Yoshitaka, Suh Il, Fang Xianghua, Ueshima Hirotsugu, Lam Tai Hing
The George Institute, University of Sydney, Camperdown, Sydney, New South Wales, Australia.
Womens Health (Lond). 2011 May;7(3):305-17. doi: 10.2217/whe.11.25.
National data from the Asia-Pacific region suggest that stroke accounts for over 10% of female deaths. With general aging in the region, and longer life expectancies for women than men, action is required to maintain recent improvements in female death rates from stroke. However, local data on incidence and risk factors for stroke amongst women are scarce. Data from 214,032 women in the Asia Pacific Cohort Studies Collaboration were thus used to investigate the risk factors for stroke in the region. Raised systolic blood pressure and diabetes were found to be key risk factors for both ischemic (IS) and hemorrhagic (HS) stroke. After adjustment for other risk factors, every extra 10 mmHg systolic blood pressure increased risk of IS by 36% and HS by 69%, whilst diabetes increased risk of IS by 170% and HS by 147%. Smoking was also an important risk factor for IS and HS; risk was reduced by quitting.
亚太地区的全国数据表明,中风占女性死亡人数的10%以上。随着该地区人口普遍老龄化,且女性预期寿命比男性长,需要采取行动来维持近期女性中风死亡率的改善。然而,关于女性中风发病率和风险因素的本地数据稀缺。因此,亚太队列研究协作组中214,032名女性的数据被用于调查该地区中风的风险因素。收缩压升高和糖尿病被发现是缺血性(IS)和出血性(HS)中风的关键风险因素。在对其他风险因素进行调整后,收缩压每额外升高10 mmHg,缺血性中风风险增加36%,出血性中风风险增加69%,而糖尿病使缺血性中风风险增加170%,出血性中风风险增加147%。吸烟也是缺血性和出血性中风的重要风险因素;戒烟可降低风险。