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秘鲁某地区公共部门卫生工作者中脱氢表雄酮水平与心血管风险之间的关联。

Association between dehydroepiandrosterone levels and cardiovascular risk in public sector health workers in a Peruvian region.

作者信息

Rojas Ricardo J, Chávez-Sosa Janett V, Gutierrez-Ajalcriña Rosmery, Huancahuire-Vega Salomón

机构信息

Departamento de Ciencias Básicas.

Laboratorio de Investigación en Biología Molecular-LIBM.

出版信息

Cardiovasc Endocrinol Metab. 2020 Jun 19;10(1):51-55. doi: 10.1097/XCE.0000000000000219. eCollection 2021 Mar.

Abstract

Alterations in dehydroepiandrosterone sulfate (DHEAS) levels have been shown to affect the cardiovascular system. This study examined the associations between DHEAS levels and cardiovascular risk in workers of a public hospital in Lima, Peru. The analytical cross-sectional study was conducted at the Hospital de Huaycán, Peru. The cardiovascular risk was assessed in health workers using the Framingham score and categorized into high and low cardiovascular risk groups, and then the DHEAS levels of both groups were compared. Two hundred ninety-six health workers were studied, 67.2% showed low cardiovascular risk, 22.3% intermediate and 10.5% high. DHEAS levels were lower in the high cardiovascular risk group (2156.9 vs 2814.6 ng/mL;  < 0.05) and showed negative association (prevalence rate ratio 0.14, 95% IC 0.04-0.53; < 0.05) in multivariable analysis ( < 0.05). DHEAS, glycosylated hemoglobin, pulse pressure and mean arterial pressure show an independent association with high cardiovascular risk in a group of health workers. Additional variables should be considered for cardiovascular risk assessment.

摘要

硫酸脱氢表雄酮(DHEAS)水平的改变已被证明会影响心血管系统。本研究调查了秘鲁利马一家公立医院工作人员的DHEAS水平与心血管风险之间的关联。这项分析性横断面研究在秘鲁的瓦伊坎医院进行。使用弗明汉评分对医护人员的心血管风险进行评估,并将其分为高心血管风险组和低心血管风险组,然后比较两组的DHEAS水平。对296名医护人员进行了研究,67.2%的人显示低心血管风险,22.3%为中等风险,10.5%为高风险。高心血管风险组的DHEAS水平较低(2156.9对2814.6 ng/mL;P<0.05),多变量分析显示呈负相关(患病率比0.14,95%CI 0.04 - 0.53;P<0.05)(P<0.05)。在一组医护人员中,DHEAS、糖化血红蛋白、脉压和平均动脉压与高心血管风险呈独立关联。进行心血管风险评估时应考虑其他变量。

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