心血管代谢健康指数：一种利用电子健康记录测量应激负荷的新方法。
Index of cardiometabolic health: a new method of measuring allostatic load using electronic health records.
作者信息
Nobel Lisa, Roblin Douglas W, Becker Edmund R, Druss Benjamin G, Joski Peter I, Allison Jeroan J
机构信息
a Department of Quantitative Health Sciences , University of Massachusetts Medical School , Worcester , MA , USA.
b School of Public Health , Georgia State University and Kaiser Permanente , Atlanta , GA , USA.
出版信息
Biomarkers. 2017 Jul;22(5):394-402. doi: 10.1080/1354750X.2016.1201535. Epub 2016 Jun 30.
Abstract
OBJECTIVE
We developed a measure of allostatic load from electronic medical records (EMRs), which we named "Index of Cardiometabolic Health" (ICMH).
METHODS
Data were collected from participants' EMRs and a written survey in 2005. We computed allostatic load scores using the ICMH score and two previously described approaches.
RESULTS
We included 1865 employed adults who were 25-59 years old. Although the magnitude of the association was small, all methods of were predictive of SF-12 physical component subscales (all p < 0.001).
CONCLUSION
We found that the ICMH had similar relationships with health-related quality of life as previously reported in the literature.
摘要
目的
我们从电子病历（EMR）中开发了一种应激负荷测量方法，将其命名为“心脏代谢健康指数”（ICMH）。
方法
2005年从参与者的电子病历和书面调查中收集数据。我们使用ICMH评分和两种先前描述的方法计算应激负荷分数。
结果
我们纳入了1865名年龄在25至59岁之间的在职成年人。尽管关联程度较小，但所有方法都可预测SF-12身体成分量表（所有p<0.001）。
结论
我们发现ICMH与健康相关生活质量的关系与文献中先前报道的相似。
相似文献
1
Index of cardiometabolic health: a new method of measuring allostatic load using electronic health records.
Biomarkers. 2017 Jul;22(5):394-402. doi: 10.1080/1354750X.2016.1201535. Epub 2016 Jun 30.
2
Exploring the validity of allostatic load in pregnant women.
Midwifery. 2020 Mar;82:102621. doi: 10.1016/j.midw.2019.102621. Epub 2019 Dec 28.
3
Are Cardiometabolic Markers of Allostatic Load Associated With Pronociceptive Processes in Native Americans?: A Structural Equation Modeling Analysis From the Oklahoma Study of Native American Pain Risk.
J Pain. 2021 Nov;22(11):1429-1451. doi: 10.1016/j.jpain.2021.04.014. Epub 2021 May 24.
4
Neighbourhood socioeconomic status and biological 'wear and tear' in a nationally representative sample of US adults.
J Epidemiol Community Health. 2010 Oct;64(10):860-5. doi: 10.1136/jech.2008.084814. Epub 2009 Sep 16.
5
Evaluation of Nutritional Status and Allostatic Load in Adult Patients With Type 2 Diabetes.
Can J Diabetes. 2020 Mar;44(2):156-161. doi: 10.1016/j.jcjd.2019.05.011. Epub 2019 May 28.
6
Cumulative toll of exposure to stressors in Canadians: An allostatic load profile.
Health Rep. 2019 Jun 19;30(6):14-21. doi: 10.25318/82-003-x201900600002-eng.
7
Depressive symptoms are associated with allostatic load among community-dwelling older adults.
Physiol Behav. 2014 Jan 17;123:223-30. doi: 10.1016/j.physbeh.2013.10.014.
8
Mediating-Moderating Effect of Allostatic Load on the Association between Dietary Approaches to Stop Hypertension Diet and All-Cause and Cause-Specific Mortality: 2001-2010 National Health and Nutrition Examination Surveys.
Nutrients. 2019 Sep 29;11(10):2311. doi: 10.3390/nu11102311.
9
Poor self-rated health is not associated with a high total allostatic load in type 2 diabetic patients--but high blood pressure is.
Diabetes Metab. 2011 Nov;37(5):446-51. doi: 10.1016/j.diabet.2011.03.005. Epub 2011 May 18.
10
A sex- and gender-based analysis of allostatic load and physical complaints.
Gend Med. 2012 Dec;9(6):511-23. doi: 10.1016/j.genm.2012.10.008. Epub 2012 Nov 13.
引用本文的文献
1
Association between neighborhood stressors and allostatic load in breast cancer survivors: the Pathways Study.
Am J Epidemiol. 2025 May 7;194(5):1264-1274. doi: 10.1093/aje/kwae134.
2
Uses of Social Determinants of Health Data to Address Cardiovascular Disease and Health Equity: A Scoping Review.
J Am Heart Assoc. 2023 Nov 7;12(21):e030571. doi: 10.1161/JAHA.123.030571. Epub 2023 Nov 6.
3
Differential associations between everyday versus institution-specific racial discrimination, self-reported health, and allostatic load among black women: implications for clinical assessment and epidemiologic studies.
Ann Epidemiol. 2019 Jul;35:20-28.e3. doi: 10.1016/j.annepidem.2019.05.002. Epub 2019 May 17.
4
Racial discrimination, educational attainment, and biological dysregulation among midlife African American women.
Psychoneuroendocrinology. 2019 Jan;99:225-235. doi: 10.1016/j.psyneuen.2018.09.001. Epub 2018 Sep 5.
本文引用的文献
1
Allostatic load and health in the older population of England: a crossed-lagged analysis.
Psychosom Med. 2014 Sep;76(7):490-6. doi: 10.1097/PSY.0000000000000083.
2
Determinants of self-rated health and the role of acculturation: implications for health inequalities.
Ethn Health. 2013;18(6):563-85. doi: 10.1080/13557858.2013.771147. Epub 2013 Feb 21.
3
A systematic review of allostatic load, health, and health disparities.
Biol Res Nurs. 2012 Oct;14(4):311-46. doi: 10.1177/1099800412455688.
4
Modified metabolic syndrome criteria for identification of patients at risk of developing diabetes and coronary heart diseases: longitudinal assessment via electronic health records.
Can J Cardiol. 2012 Nov-Dec;28(6):744-9. doi: 10.1016/j.cjca.2012.02.009. Epub 2012 May 1.
5
Allostatic load and health status of African Americans and whites.
Am J Health Behav. 2011 Nov;35(6):641-53. doi: 10.5993/ajhb.35.6.1.
6
History of socioeconomic disadvantage and allostatic load in later life.
Soc Sci Med. 2012 Jan;74(1):75-83. doi: 10.1016/j.socscimed.2011.09.037. Epub 2011 Nov 10.
7
Social and material adversity from adolescence to adulthood and allostatic load in middle-aged women and men: results from the Northern Swedish Cohort.
Ann Behav Med. 2012 Feb;43(1):117-28. doi: 10.1007/s12160-011-9309-6.
8
Racial and ethnic patterns of allostatic load among adult women in the United States: findings from the National Health and Nutrition Examination Survey 1999-2004.
J Womens Health (Larchmt). 2011 Apr;20(4):575-83. doi: 10.1089/jwh.2010.2170. Epub 2011 Mar 23.
9
Sex differences in age trajectories of physiological dysregulation: inflammation, metabolic syndrome, and allostatic load.
J Gerontol A Biol Sci Med Sci. 2011 May;66(5):493-500. doi: 10.1093/gerona/glr003. Epub 2011 Feb 24.
10
Racial/ethnic disparities in all-cause mortality in U.S. adults: the effect of allostatic load.
Public Health Rep. 2010 Nov-Dec;125(6):810-6. doi: 10.1177/003335491012500608.
Zotero 插件