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美国(NHANES 1999-2018)血铅水平与高血压的关系。

Association Between Blood Lead Level With High Blood Pressure in US (NHANES 1999-2018).

机构信息

Department of Cardiovascular Medicine, The Third Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.

出版信息

Front Public Health. 2022 Apr 25;10:836357. doi: 10.3389/fpubh.2022.836357. eCollection 2022.

Abstract

BACKGROUND

Lead is a toxic metal for human health, but the effect on blood pressure (BP) is still controversial. The object of this study was to demonstrate the association between blood lead levels with BP and hypertension (HTN).

METHODS

We used the database from the National Health and Nutrition Examination Survey (NHANES, 1999-2018) to perform a cross-sectional study. We performed multivariate regressions to examine the association between blood lead level with HTN and BP, and then a subgroup analysis was performed.

RESULTS

A total of 32,289 participants were included in this study, but no significant difference was found between blood lead levels and HTN. However, the association between blood lead levels with systolic and diastolic pressure became positive. In the subgroup analysis stratified by race, the association between non-Hispanic white and black people still existed.

CONCLUSION

The association between blood lead levels with HTN was not significant, but it was positively associated with BP. Besides, the association between non-Hispanic white and black people was also significant.

摘要

背景

铅是一种对人体健康有害的重金属,但它对血压(BP)的影响仍存在争议。本研究旨在证明血液铅水平与血压和高血压(HTN)之间的关联。

方法

我们使用了来自国家健康和营养检查调查(NHANES,1999-2018)的数据库进行了一项横断面研究。我们进行了多元回归分析,以检查血液铅水平与 HTN 和 BP 之间的关联,然后进行了亚组分析。

结果

共有 32289 名参与者纳入本研究,但血液铅水平与 HTN 之间无显著差异。然而,血液铅水平与收缩压和舒张压之间的关联呈正相关。在按种族分层的亚组分析中,非西班牙裔白人和黑人之间的关联仍然存在。

结论

血液铅水平与 HTN 之间的关联不显著,但与 BP 呈正相关。此外,非西班牙裔白人和黑人之间的关联也很显著。

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