Xie Zhi-Yong, Zhao Di, Chen Bing-Rui, Wang You-Nan, Ma Yao, Shi Hao-Jie, Yang Yang, Wang Ze-Mu, Wang Lian-Sheng
Department of Cardiology Department of General Surgery, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Medicine (Baltimore). 2017 Mar;96(13):e6466. doi: 10.1097/MD.0000000000006466.
A number of studies have suggested the benefits of pet ownership to human health, including cardiovascular disease (CVD). However, there are few findings regarding pet ownership and coronary artery disease (CAD). The objective of this study is to investigate the association between pet ownership and CAD in a Chinese population. From October 2015 to May 2016, a survey consisting of 561 consecutive patients was done in Nanjing, China. Based on the results of coronary arteriography for the first time, participants were divided into 2 groups (non-CAD and CAD groups). Pet ownership information was collected by using a questionnaire. After multivariate adjustments, pet ownership was associated with a decreased CAD risk (odds ratios [OR]: 0.504, 95% confidence intervals [CIs]: 0.310-0.819). There was a reduced CAD risk among dog owners (OR: 0.420, 95% CI: 0.242-0.728) when compared with the cat group (OR: 0.738, 95% CI: 0.240-2.266) and the cat and dog group (OR: 1.052, 95% CI: 0.330-3.355). With the increase of pet ownership duration, there was a decreased tendency of CAD risk, including years of keeping pets (P for trend = 0.008) and time of playing with pets per day (P for trend = 0.001). In addition, similar dose-response relationship was observed for starting age of keeping pets (P for trend = 0.002). Pet ownership, especially dog ownership, can be a protective factor for CAD in Chinese patients.
多项研究表明养宠物对人类健康有益,包括心血管疾病(CVD)。然而,关于养宠物与冠状动脉疾病(CAD)的研究结果较少。本研究的目的是调查中国人群中养宠物与CAD之间的关联。2015年10月至2016年5月,在中国南京对561例连续患者进行了一项调查。根据首次冠状动脉造影结果,将参与者分为两组(非CAD组和CAD组)。通过问卷调查收集养宠物信息。经过多变量调整后,养宠物与CAD风险降低相关(优势比[OR]:0.504,95%置信区间[CI]:0.310 - 0.819)。与养猫组(OR:0.738,95% CI:0.240 - 2.266)和猫狗组(OR:1.052,95% CI:0.330 - 3.355)相比,养狗者患CAD的风险降低(OR:0.420,95% CI:0.242 - 0.728)。随着养宠物时间的增加,CAD风险呈降低趋势,包括养宠物的年限(趋势P = 0.008)和每天与宠物玩耍的时间(趋势P = 0.001)。此外,在养宠物的起始年龄方面也观察到类似的剂量反应关系(趋势P = 0.002)。养宠物,尤其是养狗,可能是中国患者CAD的一个保护因素。