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家族史与糖尿病及其他危险因素对高血压的交互作用。

The interaction on hypertension between family history and diabetes and other risk factors.

机构信息

Jiading District Center for Disease Control and Prevention, Shanghai, China.

出版信息

Sci Rep. 2021 Feb 25;11(1):4716. doi: 10.1038/s41598-021-83589-z.

Abstract

To explore the individual effect and interaction of diabetes and family history and other risk factors on hypertension in Han in Shanghai China. The method of case-control study with l:l matched pairs was used, 342 cases of hypertension and 342 controls were selected and investigate their exposed factors with face-to-face. The method of epidemiology research was used to explore the individual effect and interaction of diabetes and family history and other risk factors on hypertension. The individual effect of family history (OR = 4.103, 95%CI 2.660-6.330), diabetes (OR = 4.219, 95%CI 2.926-6.083), personal taste (OR = 1.256, 95%CI 1.091-1.593), drinking behavior (OR = 1.391, 95%CI 1.010-1.914) and smoking behavior (OR = 1.057, 95%CI 1.00-1.117) were significant (p < 0.05). But individual effect of sex, education, occupation, work/life pressure, environmental noise, sleeping time and sports habit were not significant (p > 0.05). The OR of interaction between FH and DM to hypertension was 16.537 (95%CI 10.070-21.157), between FH and drinking behavior was 4.0 (95%CI 2.461-6.502), FH and sport habit was 7.668 (95%CI 3.598-16.344), FH and personal taste was 6.521 (95%CI 3.858-11.024), FH and smoking behavior was 5.526 (95%CI 3.404-8.972), FH and work/life pressure was 4.087 (95%CI 2.144-7.788). The SI of FH and DM was 2.27, RERI was 8.68, AP was 52.48% and PAP was 55.86%. FH and DM, personal taste, smoking behavior had positive interaction on hypertension, but FH and sport habits, drinking behavior, work/life pressure had reverse interaction on hypertension. FH and diabetes were very important risk factors with significant effect for hypertension. FH and diabetes, personal taste, smoking behavior had positive interaction on hypertension, but FH and sport habits, drinking behavior, work/life pressure had reverse interaction on hypertension.

摘要

目的

探讨糖尿病和家族史等危险因素对中国上海汉族人群高血压的单独作用和交互作用。

方法

采用病例对照研究 1∶1 匹配的方法,选择 342 例高血压病例和 342 例对照,面对面调查其暴露因素。采用流行病学研究方法探讨糖尿病和家族史等危险因素对高血压的单独作用和交互作用。家族史(OR=4.103,95%CI 2.660-6.330)、糖尿病(OR=4.219,95%CI 2.926-6.083)、个人口味(OR=1.256,95%CI 1.091-1.593)、饮酒行为(OR=1.391,95%CI 1.010-1.914)和吸烟行为(OR=1.057,95%CI 1.00-1.117)的个体作用有统计学意义(p<0.05)。但性别、教育、职业、工作/生活压力、环境噪声、睡眠时间和运动习惯的个体作用无统计学意义(p>0.05)。FH 和 DM 对高血压的交互作用 OR 为 16.537(95%CI 10.070-21.157),FH 和饮酒行为的 OR 为 4.0(95%CI 2.461-6.502),FH 和运动习惯的 OR 为 7.668(95%CI 3.598-16.344),FH 和个人口味的 OR 为 6.521(95%CI 3.858-11.024),FH 和吸烟行为的 OR 为 5.526(95%CI 3.404-8.972),FH 和工作/生活压力的 OR 为 4.087(95%CI 2.144-7.788)。FH 和 DM 的 SI 为 2.27,RERI 为 8.68,AP 为 52.48%,PAP 为 55.86%。FH 和 DM、个人口味、吸烟行为对高血压有正交互作用,而 FH 和运动习惯、饮酒行为、工作/生活压力对高血压有负交互作用。FH 和糖尿病是高血压的重要危险因素,具有显著的效应。FH 和糖尿病、个人口味、吸烟行为对高血压有正交互作用,而 FH 和运动习惯、饮酒行为、工作/生活压力对高血压有负交互作用。

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