Gao Jingsheng, Liang Xin, Shi Jihong, Huang Zhe, Wei Xiaoming, Li Huiying, Lin Liming, Xing Aijun, Du Xin, Wu Shouling
Department of Cardiology, Kailuan Hospital Affiliated to Hebei United University, Tangshan 063000, China.
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Zhonghua Xin Xue Guan Bing Za Zhi. 2014 Sep;42(9):778-83.
To investigate the impact of ideal cardiovascular health behaviors and factors on resting heart rate (RHR).
A cross-sectional study method was used in our study.83 824 workers who had participated in the 2006-2007 Kailuan health examination were included, individuals with arrhythmia, hemoglobin ≤ 90g/L, taking drugs which might affect RHR, history of cerebral infarction or myocardial infarction or cancer were excluded.Related information was obtained from the unified questionnaire, blood biochemistry was performed. Multivariate logistic regression was used to analyze the impact of ideal cardiovascular health behaviors and factors on the RHR.
(1) The RHR was (76.4 ± 10.3), (75.2 ± 10.3), (74.3 ± 9.9), (73.6 ± 10.0), (72.6 ± 9.9), (72.1 ± 9.7) and (71.8 ± 9.2) beats/min in workers whose number of ideal cardiovascular health behaviors and factors was 1, 2, 3, 4, 5 and ≥ 6 respectively (P < 0.01). (2) Multivariate logistic regression showed that, after adjusted by gender, age, triglyceride, high density lipoprotein cholesterol, high-sensitive C-reactive protein, tea drinking, alcohol drinking, the risk of RHR ≥ 80 beats/min gradually reduces along with the increasing of number of ideal cardiovascular health behaviors and factors (1, 2, 3, 4, 5 and ≥ 6) compared with those who did not have ideal cardiovascular health behaviors and factors, the value of OR (95%CI) was 0.79 (0.71-0.87), 0.68 (0.62-0.75), 0.61 (0.55-0.67), 0.52 (0.47-0.58), 0.50 (0.44-0.56), 0.49 (0.40-0.60) respectively.
Ideal cardiovascular health behavior and factors is related to lower RHR in individuals without cardiovascular diseases.
探讨理想心血管健康行为及因素对静息心率(RHR)的影响。
本研究采用横断面研究方法。纳入83824名参加2006 - 2007年开滦健康体检的职工,排除有心律失常、血红蛋白≤90g/L、正在服用可能影响RHR的药物、有脑梗死或心肌梗死或癌症病史者。通过统一问卷获取相关信息,并进行血液生化检测。采用多因素logistic回归分析理想心血管健康行为及因素对RHR的影响。
(1)理想心血管健康行为及因素数量分别为1、2、3、4、5及≥6的职工,其RHR分别为(76.4±10.3)、(75.2±10.3)、(74.3±9.9)、(73.6±10.0)、(72.6±9.9)、(72.1±9.7)及(71.8±9.2)次/分钟(P<0.01)。(2)多因素logistic回归显示,在调整性别、年龄、甘油三酯、高密度脂蛋白胆固醇、高敏C反应蛋白、饮茶、饮酒因素后,与无理想心血管健康行为及因素者相比,理想心血管健康行为及因素数量为1、2、3、4、5及≥6时,RHR≥80次/分钟的风险随其数量增加而逐渐降低,OR(95%CI)值分别为0.79(0.71 - 0.87)、0.68(0.62 - 0.75)、0.61(0.55 - 0.67)、0.52(0.47 - 0.58)、0.50(0.44 - 0.56)、0.49(0.40 - 0.60)。
理想心血管健康行为及因素与无心血管疾病个体的较低RHR相关。