住院埃及老年人的腰高比、腰围与高血压及弗雷明汉风险评分的关系
Waist height ratio and waist circumference in relation to hypertension, Framingham risk score in hospitalized elderly Egyptians.
作者信息
Tawfik Heba M
机构信息
Geriatric Medicine and Gerontology Department, Ain-Shams University, Cairo, Egypt.
出版信息
Egypt Heart J. 2018 Sep;70(3):213-216. doi: 10.1016/j.ehj.2017.12.008. Epub 2018 Feb 2.
BACKGROUND
Hypertension is a public health problem and obesity is becoming an epidemic, increasing the risk of hypertension. Both are risk factors for cardiovascular diseases (CVD).
METHODS
A case control study recruiting 102 patients aged ≥60 years, divided into 55 cases with hypertension and 47 controls without. Body mass index (BMI), waist circumference (WC) and waist to height ratio (WHtR) were measured as well as lipid profile then Framingham risk score (FRS) was calculated.
RESULTS
Odds ratio (OR) for hypertension and medium to high risk cardiovascular events was the same in female patients using WC and WHtR. In male patients, only WHtR increased the risk for hypertension and for cardiovascular events, OR significantly increased with higher WHtR compared to WC.
CONCLUSION
WHtR and WC are strong risk factors for hypertension and cardiovascular events in Egyptian elderly female patients. WHtR is the best anthropometric predictor for hypertension and cardiovascular events in male patients.
背景
高血压是一个公共卫生问题，肥胖正呈流行趋势，增加了患高血压的风险。二者均为心血管疾病（CVD）的危险因素。
方法
一项病例对照研究纳入了102名年龄≥60岁的患者，分为55例高血压患者和47例非高血压对照。测量了体重指数（BMI）、腰围（WC）和腰高比（WHtR）以及血脂谱，然后计算弗明汉风险评分（FRS）。
结果
在使用WC和WHtR的女性患者中，高血压和中高危心血管事件的比值比（OR）相同。在男性患者中，只有WHtR增加了患高血压和心血管事件的风险，与WC相比，随着WHtR升高，OR显著增加。
结论
在埃及老年女性患者中，WHtR和WC是高血压和心血管事件的强危险因素。在男性患者中，WHtR是高血压和心血管事件的最佳人体测量预测指标。
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