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65岁以上波兰外科手术患者中心血管疾病危险因素的患病率。

The prevalence of risk factors for cardiovascular diseases among Polish surgical patients over 65 years.

作者信息

Kołtuniuk Aleksandra, Rosińczuk Joanna

机构信息

Department of Nervous System Diseases, Faculty of Health Science, Wroclaw Medical University, Wroclaw, Poland.

出版信息

Clin Interv Aging. 2016 May 13;11:631-9. doi: 10.2147/CIA.S105201. eCollection 2016.

Abstract

BACKGROUND

Cardiovascular diseases (CVDs) are the leading cause of mortality among adults in Poland. A number of risk factors have significant influence on CVD incidence. Early identification of risk factors related to our lifestyle facilitates taking proper actions aiming at the reduction of their negative impact on health.

AIM

The aim of the study was to compare the prevalence of CVD risk factors between patients aged over 65 years and patients of other age groups in surgical wards.

MATERIAL AND METHODS

The study was conducted for assessment and finding the distribution of major risk factors of CVD among 420 patients aged 18-84 years who were hospitalized in surgical wards. Interview, anthropometric measurements, blood pressure, and fasting blood tests for biochemical analysis were conducted in all subjects. Statistical analysis of the material was performed using Student's t-test, chi-square test, Fisher's exact test, Mann-Whitney U-test, and analysis of variance.

RESULTS

While abdominal obesity (83.3%), overweight and obesity (68%), hypertension (65.1%), hypercholesterolemia (33.3%), and low level of physical activity (29.1%) were the most common CVD risk factors among patients over 65 years old, abdominal obesity (36.2%), overweight and obesity (36.1%), and current smoking were the most common CVD risk factors among patients up to the age of 35. In the age group over 65, the least prevalent risk factors for CVD were diabetes mellitus (14.8%), depressive episodes (13.6%), abuse of alcohol (11.4%), and smoking (7.8%). In the group under 35 years, we have not reported any cases of hypercholesterolemia and a lesser number of patients suffered from diabetes and HTN.

CONCLUSION

Distribution of the major risk factors for CVD is quite high in the adult population, especially in the age group over 65, which can result in serious problems of health and increased rates of chronic diseases, especially CVDs.

摘要

背景

心血管疾病(CVD)是波兰成年人死亡的主要原因。许多风险因素对心血管疾病的发病率有重大影响。早期识别与我们生活方式相关的风险因素有助于采取适当行动,以减少其对健康的负面影响。

目的

本研究的目的是比较外科病房中65岁以上患者与其他年龄组患者心血管疾病风险因素的患病率。

材料与方法

本研究旨在评估和发现420名年龄在18 - 84岁之间、入住外科病房的患者中主要心血管疾病风险因素的分布情况。对所有受试者进行了访谈、人体测量、血压测量以及用于生化分析的空腹血液检测。使用学生t检验、卡方检验、费舍尔精确检验、曼 - 惠特尼U检验和方差分析对材料进行了统计分析。

结果

65岁以上患者中最常见的心血管疾病风险因素是腹型肥胖(83.3%)、超重和肥胖(68%)、高血压(65.1%)、高胆固醇血症(33.3%)和低体力活动水平(29.1%),而35岁及以下患者中最常见的心血管疾病风险因素是腹型肥胖(36.2%)、超重和肥胖(36.1%)以及当前吸烟。在65岁以上年龄组中,心血管疾病最不常见的风险因素是糖尿病(14.8%)、抑郁发作(13.6%)、酗酒(11.4%)和吸烟(7.8%)。在35岁以下组中,未报告任何高胆固醇血症病例,患糖尿病和高血压的患者数量较少。

结论

心血管疾病主要风险因素在成年人群中的分布相当高,尤其是在65岁以上年龄组,这可能导致严重的健康问题和慢性病发病率上升,特别是心血管疾病。

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