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外科病房住院患者中性别对慢性非传染性疾病特定风险因素的影响:一项横断面研究。

The influence of gender on selected risk factors for chronic non-communicable diseases in patients hospitalized in surgical wards: A cross-sectional study.

作者信息

Kołtuniuk Aleksandra, Rosińczuk Joanna

机构信息

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

出版信息

Adv Clin Exp Med. 2018 Apr;27(4):515-523. doi: 10.17219/acem/68741.

DOI:10.17219/acem/68741
PMID:29558030
Abstract

BACKGROUND

Chronic non-communicable diseases (CNCDs) are the leading cause of mortality in the world. Identification of risk factors and the implementation of preventive measures can effectively reduce the chance of disease and death due to CNCDs.

OBJECTIVES

The aim of this study was to analyze selected risk factors of CNCDs in women and men hospitalized in surgical wards.

MATERIAL AND METHODS

The study group included 420 patients aged 18-84 years who were hospitalized in surgical wards. All participants were interviewed prior to anthropometric measurements, blood pressure, and fasting blood tests. A statistical analysis of the material was performed with the use of Student's t-test, χ2 test, Fisher's exact test, Mann-Whitney U test, and analysis of variance (ANOVA).

RESULTS

The analysis of the study material showed abdominal obesity in 63% of patients, more likely in women (p < 0.001); increased total cholesterol values in 30% of patients, more frequently in women (p = 0.025); blood pressure values ≥140/90 mm Hg in 28% of patients, more frequently in men (p < 0.001); alcohol abuse (≥5 points in the Michigan Alcoholism Screening Test, MAST) in 12.6% of patients, more frequently in men (p < 0.001).

CONCLUSIONS

Both women and men are at risk of developing CNCDs; however, women should pay more attention to psychological counseling and the prevention of obesity and hypercholesterolemia, while men should be educated on how to prevent hypertension and alcohol abuse.

摘要

背景

慢性非传染性疾病(CNCDs)是全球主要的死亡原因。识别风险因素并实施预防措施可有效降低因CNCDs导致疾病和死亡的几率。

目的

本研究旨在分析外科病房住院的女性和男性中选定的CNCDs风险因素。

材料与方法

研究组包括420名年龄在18 - 84岁之间、在外科病房住院的患者。所有参与者在进行人体测量、血压测量和空腹血液检测之前均接受了访谈。使用学生t检验、χ²检验、费舍尔精确检验、曼 - 惠特尼U检验和方差分析(ANOVA)对材料进行统计分析。

结果

对研究材料的分析显示,63%的患者存在腹型肥胖,女性更为常见(p < 0.001);30%的患者总胆固醇值升高,女性更为频繁(p = 0.025);28%的患者血压值≥140/90 mmHg,男性更为频繁(p < 0.001);12.6%的患者存在酒精滥用(密歇根酒精ism筛查测试,MAST得分≥5分),男性更为频繁(p < 0.001)。

结论

女性和男性都有患CNCDs的风险;然而,女性应更多地关注心理咨询以及肥胖和高胆固醇血症的预防,而男性则应接受如何预防高血压和酒精滥用的教育。

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