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捷克共和国两个不同人群中心血管疾病选定风险因素的比较。

Comparison of selected risk factors in cardiovascular diseases in two different populations of the Czech Republic.

作者信息

Pavlík Vladimír, Šafka Václav, Pravdová Lucie, Urban Miroslav, Lašák Petr, Tuček Milan

机构信息

Department of Military Internal Medicine and Military Hygiene, Faculty of Military Health Sciences, University of Defence, Hradec Kralove, Czech Republic.

Centre of Occupational Health, National Institute of Public Health, Prague, Czech Republic.

出版信息

Cent Eur J Public Health. 2020 Oct;28 Suppl:S47-S52. doi: 10.21101/cejph.a6182.

DOI:10.21101/cejph.a6182
PMID:33069181
Abstract

OBJECTIVES

The aim of this work is to compare the current prevalence of selected risk factors in cardiovascular diseases in the Czech general population in a particular region with a selected population of Czech soldiers in a particular military unit.

METHODS

Within medical preventive examinations, data from 684 civilians aged between 30-60 years were obtained (405 men and 279 women). Within compulsory medical preventive examinations, data from 659 soldiers from a particular military unit aged between 30-60 years were obtained (576 men and 83 women). Anthropometric parameters such as height and body weight were monitored and then used to calculate the values of Body Mass Index (BMI) and waist circumference. From biochemical parameters the following values were monitored: glycaemia, uric acid, total cholesterol, LDL-cholesterol, HDL-cholesterol, triglycerides, ALT, and GGT. As for the demographic data, age and gender were processed. In the cohort of male soldiers a questionnaire was used to find the extent of cigarette smoking, frequency of using alcoholic drinks and performance of regular physical activities such as aerobic exercises.

RESULTS

As for cardiovascular risk, assessed anthropometric parameters in monitored female age categories are statistically significantly lower (p < 0.05) in women in the Army of the Czech Republic (ACR) compared to the female civilian population. Most of the biochemical parameters also display values that indicate the female military population is healthier than the civilian in these parameters. On the other hand, assessed anthropometric parameters in monitored male age categories are statistically significantly lower (p < 0.001) in civilian men compared to the male military population. Most of the assessed biochemical parameters show statistically significant health-indicative values in the male civilian population as well.

CONCLUSION

This work revealed differences in anthropometric and biochemical parameters between the examined civilian and military populations. As for cardiovascular risk, the main findings are significantly worse anthropometric and biochemical parameters in the selected male military cohort compared to the male civilian cohort.

摘要

目的

本研究旨在比较捷克特定地区普通人群与特定军事单位中捷克士兵人群所选心血管疾病风险因素的当前流行情况。

方法

在医学预防检查中,获取了684名年龄在30至60岁之间的平民的数据(405名男性和279名女性)。在义务医学预防检查中,获取了来自特定军事单位的659名年龄在30至60岁之间的士兵的数据(576名男性和83名女性)。监测了身高和体重等人体测量参数,然后用于计算体重指数(BMI)和腰围值。从生化参数中监测了以下值:血糖、尿酸、总胆固醇、低密度脂蛋白胆固醇、高密度脂蛋白胆固醇、甘油三酯、谷丙转氨酶(ALT)和谷氨酰转肽酶(GGT)。至于人口统计学数据,对年龄和性别进行了处理。在男性士兵队列中,使用问卷调查来了解吸烟程度、饮酒频率以及有氧运动等定期体育活动的执行情况。

结果

至于心血管风险,与女性平民人群相比,捷克共和国陆军(ACR)女性在监测的女性年龄类别中评估的人体测量参数在统计学上显著更低(p < 0.05)。大多数生化参数的值也表明女性军人在这些参数方面比平民更健康。另一方面,与男性军人人群相比,监测的男性年龄类别中评估的人体测量参数在平民男性中在统计学上显著更低(p < 0.001)。大多数评估的生化参数在男性平民人群中也显示出具有统计学意义的健康指示值。

结论

本研究揭示了所检查的平民和军人人群在人体测量和生化参数方面的差异。至于心血管风险,主要发现是与男性平民队列相比,所选男性军人队列中的人体测量和生化参数明显更差。

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