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动脉粥样硬化危险因素的流行病学及青少年预防方案

Epidemiology of risk factors of atherosclerosis and preventive program for youth.

作者信息

Baszczyński J, Karpiński E, Sordyl E, Zytkiewicz B, Sysowa V

机构信息

Department of Pediatrics, Medical Academy, Lódź, Poland.

出版信息

Int Angiol. 1990 Jan-Mar;9(1):20-1.

PMID:2212795
Abstract

In 2208 boys aged 15 to 22 years the incidence of risk factors of atherosclerosis were determined. The risk factors were found in 33.7% of boys. The level of risk factors in youth has increased with age (p = 0.001), especially hypertension (p = 0.001) and smoking (p = 0.001). The authors concluded that the most important methods of prevention of atherosclerosis in youth should be: identification of high-risk individuals (overweight, hypertension, hyperlipidemia, family history of CHD and PAD, ischemic postexercise ST segment depression), health education and motivation for change, modification nutritional habits in cases of hyperlipidemia and overweight (prevention of early atherosclerotic lesions in childhood), early diagnosis and control of hypertension, practice of low salt intake, avoidance of smoking, sufficient physical activity (prevention of atherosclerotic disease mainly in adulthood).

摘要

对2208名年龄在15至22岁的男孩进行了动脉粥样硬化危险因素发生率的测定。在33.7%的男孩中发现了危险因素。青年人群中危险因素水平随年龄增长而升高(p = 0.001),尤其是高血压(p = 0.001)和吸烟(p = 0.001)。作者得出结论,青年人群预防动脉粥样硬化最重要的方法应是:识别高危个体(超重、高血压、高脂血症、冠心病和外周动脉疾病家族史、运动后缺血性ST段压低),健康教育及改变的动机,对高脂血症和超重者改变营养习惯(预防儿童期早期动脉粥样硬化病变),早期诊断和控制高血压,实行低盐饮食,避免吸烟,进行充足的体育活动(主要预防成年期动脉粥样硬化疾病)。

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