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[亚速尔群岛人群中主要心血管危险因素的患病率]

[The prevalence of the principal cardiovascular risk factors in the population of the Azores].

作者信息

Schneider V, Cruz J, Lopes D, Bruges G, Paisana J, Gomes F, Gil C

机构信息

Serviço de Cardiologia, Hospital de Angra do Heroísmo.

出版信息

Rev Port Cardiol. 1995 Dec;14(12):1019-27, 987-8.

PMID:8562111
Abstract

STUDY OBJECTIVE

to characterize the high mortality rate by ischemic heart disease in Azores, by evaluating the main coronary heart disease risk factors prevalence in the population.

DESIGN

sample study referring the population of 5 islands: 37 counties. Aleatory choose in the electoral lists.

SETTING

the selected individuals were convocated by mail to show up at the Hospital for evaluation.

PATIENTS

1089 individuals selected by aleatory choose from the electoral lists.

INTERVENTIONS

the sample was stratified regarding rural (R) and urban (U), by sex feminine (F) and masculine (M), age 20-40 and 40 to 60 years old. All of them were determined three values of blood pressure, and was taken for exact value the medium of the three, inquired the smoking habits and serum lipids were determined. We considered risk factors (RF); blood pressure > 140/90 mmHg, total cholesterol > 200 mg/dl, HDL cholesterol < 35 mg/dl, triglycerides > 180 mg/dl and smoking habits were stratified in three scores: 1: 1-10, 2: 11-20, and 3: more than 20 cigarettes a day.

MAIN RESULTS

total prevalences; HBP 20.4%, smoking habits 33%, total hypercholesterolemia 47.3%, low HDL cholesterol 17.4% and triglycerides 30.5%.

CONCLUSIONS

the values found for total cholesterol, triglycerides and smoking habits were high and superior to the national medium and to those found in reference studies. Preventive strategies are pointed out.

摘要

研究目的

通过评估人群中主要冠心病危险因素的患病率,来描述亚速尔群岛缺血性心脏病的高死亡率。

设计

对5个岛屿(37个县)的人群进行抽样研究。从选举名单中随机选取。

地点

通过邮件召集选定的个体到医院进行评估。

患者

从选举名单中随机选取1089名个体。

干预措施

样本按农村(R)和城市(U)、女性(F)和男性(M)、年龄20 - 40岁和40至60岁进行分层。所有人均测定三个血压值,并取三者的平均值作为准确值,询问吸烟习惯并测定血脂。我们将危险因素(RF)定义为:血压>140/90 mmHg、总胆固醇>200 mg/dl、高密度脂蛋白胆固醇<35 mg/dl、甘油三酯>180 mg/dl,吸烟习惯分为三个等级:1:每天1 - 10支,2:每天11 - 20支,3:每天超过20支。

主要结果

总体患病率;高血压20.4%、吸烟习惯33%、总高胆固醇血症47.3%、低高密度脂蛋白胆固醇17.4%和甘油三酯30.5%。

结论

所发现的总胆固醇、甘油三酯和吸烟习惯的值较高,高于全国平均水平以及参考研究中的值。指出了预防策略。

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