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2017年,伊朗上班族中使用弗雷明汉风险评分预测心血管疾病风险。

Prediction of cardiovascular disease risk using framingham risk score among office workers, Iran, 2017.

作者信息

Nakhaie Mahmood Reza, Koor Behrooz Ebrahimzadeh, Salehi Seyyed Omid, Karimpour Farzad

机构信息

Department of Nutrition, Arak University of Medical Sciences, Arak, Iran.

Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran.

出版信息

Saudi J Kidney Dis Transpl. 2018 May-Jun;29(3):608-614. doi: 10.4103/1319-2442.235179.

Abstract

Cardiovascular diseases (CVDs) are leading cause of morbidity and mortality and early identification of risk factors can help reduce mortality from them. The aim of this study was to determine the risk of CVD based on the Framingham Risk Score (FRS) among office workers, Yasuj City, Southwestern Iran. In this descriptive study, 180 workers aged 30-74 years old free of cardiovascular disease were recruited by single-stage stratified cluster sampling from the office of Yasuj City. Analysis showed that 163 workers (90.5%) were at low risk, 12 people (6.6%) at moderate risk, and five people (2.9%) at high 10-year risk of CVD. Mean of FRS and 10-year prediction of CVD risk was significantly higher among male workers than females. Subjects with normal body mass index than overweight and obese people had only significantly lower FRS (P <0.001), but 10-year risk of CVD did not differ among groups. Participants with Master of Science and above educational degree and subjects with normal waist-to-hip ratio had only significantly lower 10-year risk of CVD (P < 0.001). Nonsmokers, whose with systolic blood pressure <140 mm Hg, total cholesterol <240 mg/dL, normal total cholesterol/high-density lipoprotein-cholesterol (HDL-C), and abnormal HDL-C had significantly lower both FRS and 10-year CVD risk (P <0.01). This population-based study will health care policy makers develop targeted strategies to develop individual and community-based health care promotion programs.

摘要

心血管疾病(CVDs)是发病和死亡的主要原因,早期识别风险因素有助于降低其死亡率。本研究的目的是基于弗明汉姆风险评分(FRS)确定伊朗西南部亚苏杰市上班族患心血管疾病的风险。在这项描述性研究中,通过单阶段分层整群抽样从亚苏杰市办公室招募了180名年龄在30 - 74岁且无心血管疾病的工作人员。分析表明,163名工作人员(90.5%)处于低风险,12人(6.6%)处于中度风险,5人(2.9%)处于10年心血管疾病高风险。男性工作人员的FRS均值和10年心血管疾病风险预测显著高于女性。体重指数正常的受试者的FRS仅显著低于超重和肥胖者(P <0.001),但各组间10年心血管疾病风险无差异。拥有硕士及以上学历的参与者和腰臀比正常的受试者的10年心血管疾病风险仅显著较低(P < 0.001)。收缩压<140 mmHg、总胆固醇<240 mg/dL、总胆固醇/高密度脂蛋白胆固醇(HDL-C)正常且HDL-C异常的非吸烟者的FRS和10年心血管疾病风险均显著较低(P <0.01)。这项基于人群的研究将有助于医疗保健政策制定者制定有针对性的策略,以制定基于个人和社区的医疗保健促进计划。

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