Shi Ji-hong, Hao Yan-hong, Wu Shou-ling, Zheng Xiao-ming, Jin Cheng, Gao Jing-sheng, Liu Xiu-rong, Wu Yun-tao, Zhang Yu-mei
Department of Cardiology, Hebei University, Tangshan, China.
Zhonghua Xin Xue Guan Bing Za Zhi. 2012 Jan;40(1):62-7.
To observe the prevalence and distribution of ideal cardiovascular health behavior.
Health examination data between 2008 to 2009 from the employees of Kailuan Group were analyzed.
A total of 101 333 subjects took part in the health examination, subjects with previous myocardial infarction (n = 871), stroke (n = 2255), myocardial infarction and stroke (n = 162) and subjects with incomplete examination data (n = 9311) were excluded and 88 534 subjects were included for final analysis [mean age (50.6 ± 12.3) years, male 69 916]. (1) Body mass index (BMI), systolic and diastolic pressure, cholesterol (TC) and triglyceride were significantly higher in males than in females (all P < 0.05), women's income and the education lever were significantly higher than men (P < 0.05). (2) The distribution of ideal cardiovascular health behavior (smoking, BMI, physical exercise, salt intake) was 55.8%, 41.4%, 18.9% and 14.0% respectively among the population; the ideal cardiovascular factors (fasting blood glucose, TC, blood pressure) was 80.9%, 61.8% and 18.5%, respectively. (3) The subjects with distribution of seven, six, five, four ideal cardiovascular health behavior and factors was 0.1%, 1.9%, 9.1%, 20.3%, respectively. (4) Multiple logistic regression analysis showed that female, age < 55 and high education level were associated with the ideal cardiovascular health status with a RR value (95%CI) of 4.52 (4.32 - 4.72), 1.46 (1.39 - 1.53) and 2.23 (2.10 - 2.37), respectively.
The prevalence of ideal cardiovascular health is extremely low in the study population, most persons were not in the ideal cardiovascular health behavior and factors and female, age < 55 and high education level are linked with ideal cardiovascular health status.
观察理想心血管健康行为的患病率及分布情况。
对开滦集团员工2008年至2009年的健康体检数据进行分析。
共有101333名受试者参加了健康体检,排除既往有心肌梗死(n = 871)、中风(n = 2255)、心肌梗死合并中风(n = 162)以及体检数据不完整的受试者(n = 9311),最终纳入88534名受试者进行分析[平均年龄(50.6±12.3)岁,男性69916名]。(1)男性的体重指数(BMI)、收缩压和舒张压、胆固醇(TC)及甘油三酯均显著高于女性(均P < 0.05),女性的收入和教育水平显著高于男性(P < 0.05)。(2)人群中理想心血管健康行为(吸烟、BMI、体育锻炼、盐摄入量)的分布分别为55.8%、41.4%、18.9%和14.0%;理想心血管因素(空腹血糖、TC、血压)分别为80.9%、61.8%和18.5%。(3)具有七种、六种、五种、四种理想心血管健康行为和因素的受试者分别占0.1%、1.9%、9.1%、20.3%。(4)多因素logistic回归分析显示,女性、年龄<55岁及高教育水平与理想心血管健康状态相关,RR值(95%CI)分别为4.52(4.32 - 4.72)、1.46(1.39 - 1.53)和2.23(2.10 - 2.37)。
研究人群中理想心血管健康的患病率极低,大多数人不存在理想心血管健康行为和因素,女性、年龄<55岁及高教育水平与理想心血管健康状态相关。