Department of Meridian & Acupoint, College of Korean Medicine, Kyung Hee University, 26 Kyungheedae-ro, Dongdaemun-gu, Seoul, 02447, South Korea.
Health Qual Life Outcomes. 2022 Jun 27;20(1):101. doi: 10.1186/s12955-022-02008-7.
Although the cardiovascular health and quality of life (QoL) of stroke survivors have been previously studied, no study has investigated the correlation between cardiovascular health and QoL. This study aimed to investigate whether there would be a difference in the quality of life (QoL) in this population depending on the degree of cardiovascular health.
Overall, 577 people aged > 40 years who participated in the Korea National Health and Nutrition Examination Survey from 2013 to 2018 were included and were divided into three groups according to the survey period (2013-2014, n = 145; 2015-2016, n = 198; and 2017-2018, n = 234). Participants were further divided into the following groups based on their cardiovascular health score, as defined by the American Heart Association: poor, intermediate, and ideal groups. We examined how the health-related QoL score was expressed through the five-dimensional European Quality of Life Questionnaire (EQ-5D-3L).
The ideal (cardiovascular health scores 11-14) and intermediate (cardiovascular health scores 8-10) groups had the lowest (7.72-8.14%) and highest (46.39-57.70%) number of participants, respectively. The total EQ-5D index score was highest in the ideal group, followed by the intermediate and poor groups across all three periods (2013-2014, p = 0.0015; 2015-2016, p = 0.0040; 2017-2018, p < 0.0001). The dimension-specific analysis revealed that, Findings showed that stroke survivors' mobility significantly varied by cardiovascular health scores (p = 0.0371 in 2015-2016, p =0.0486 in 2017-2018), whereas usual activities (p = 0.0322) and pain/discomfort (p = 0.0420) were significantly different among the three groups in 2015-2016.
QoL in post-stroke survivors, when related to cardiovascular health degree, could be correlated with stroke sequelae.
尽管已有研究关注脑卒中幸存者的心血管健康和生活质量（QoL），但尚无研究调查心血管健康与 QoL 之间的相关性。本研究旨在探讨在考虑到心血管健康程度的情况下，该人群的生活质量（QoL）是否存在差异。
共纳入 2013 年至 2018 年参加韩国国家健康和营养检查调查的 577 名年龄大于 40 岁的患者，根据调查时间将其分为三组（2013-2014 年，n=145；2015-2016 年，n=198；2017-2018 年，n=234）。根据美国心脏协会的定义，根据心血管健康评分将参与者进一步分为以下几组：差、中、优组。我们通过五个维度欧洲生活质量问卷（EQ-5D-3L）来评估健康相关 QoL 评分的表达。
心血管健康评分优（11-14 分）和中（8-10 分）组的参与者比例最低（分别为 7.72%-8.14%）和最高（46.39%-57.70%）。在所有三个时期（2013-2014 年，p=0.0015；2015-2016 年，p=0.0040；2017-2018 年，p<0.0001），理想组的总 EQ-5D 指数得分最高，其次是中组和差组。特定维度分析显示，脑卒中幸存者的移动能力与心血管健康评分显著相关（2015-2016 年，p=0.0371；2017-2018 年，p=0.0486），而在 2015-2016 年，通常活动（p=0.0322）和疼痛/不适（p=0.0420）在三组之间存在显著差异。
与心血管健康程度相关的脑卒中后幸存者的 QoL 可能与脑卒中后遗症有关。
