社区人群高血压及代谢综合征与脑卒中患病的相关性分析

目的调查贵阳市社区年龄≥60岁人群血压情况及脑卒中患病与代谢综合征(MS)和高血压的相关性。方法采用整群随机抽样方法,对贵阳市10个社区5182例年龄≥60岁的常住居民进行调查,以10岁为界,分为60～69岁组2437例、70～79岁组1755例和≥80岁组990例,分析脑卒中与MS和高血压的相关性。结果 5182例老年社区居民中,高血压前期人群比例25.67%,高血压患病率39.56%,MS患病率16.92%,脑卒中患病率5.77%。与60～69岁组比较,70～79岁组和≥80岁组高血压患病率、脑卒中患病率明显升高、MS患病率明显降低,差异有统计学意义(P<0.01),且男性MS患病率低于女性(P<0.01)。MS患者脑卒中患病率高于非MS患者,发生脑卒中的风险是非MS患者的2.53倍(OR=2.530,95%CI:1.966～3.257,P<0.01)。结论贵阳市社区老年居民随着年龄增长,人群收缩压逐渐上升,脑卒中惠痛与高血压和MS相关。     

青年和老年冠心病患者的临床特点比较

本文对我院收治并行冠状动脉造影术确诊的青年冠心病患者临床资料进行回顾性分析,并与同期行冠状动脉造影术确诊的老年冠心病患者的临床资料进行对比分析.现报道如下： 1 资料与方法 1.1 一般资料：选择2005年1月至2011年12月于我院住院并经选择性冠状动脉造影确诊的年龄≤44岁的冠心病患者54例为青年组,年龄31 ～ 44岁,平均（41.10±4.78）岁,男45例,女9例.根据造影时间先后对年龄≥60岁经冠状动脉造影确诊的同期住院冠心病患者进行排序,用随机数字生成器随机筛选出63例作为老年组,年龄60 ～ 88岁,平均（73.30±5.22）岁,男35例,女28例.两组患者年龄和女性比例差异有统计学意义.     

武汉市不同年龄公务员牙周炎危险因素的相关性研究

目的 调查武汉市不同年龄公务员牙周状况,并对其危险因素进行单因素和多因素分析. 方法 2007年1月至2008年3月采用随机整群抽样的方法 调查年龄30～79岁体检者493例的口腔状况,符合纳入标准458例,其中30～59岁(中青年组)288例,60～79岁(老年组)170例.其中牙周炎患者280例为病例组,无牙周炎178例为对照组.采用SQSERVER2000软件建立数据库,分别对年龄、性别、民族、学历、糖尿病、吸烟、饮酒、精神压力和口腔卫生习惯与牙周炎相关性进行单因素和多因素分析. 结果 458例检出280例牙周炎患者,患病率为61.1%.单因素分析结果 显示,年龄、学历,糖尿病、吸烟和口腔卫生习惯是患牙周炎的危险因素(OR值分别为0.44、2.27、3.44、1.75、9.82,P<0.05或P<0.01).多因素分析结果 显示,糖尿病和低学历(OR值分别为2.66、1.95,均为P<0.05)为牙周炎的危险因素.以年龄分层进行多因素分析时,中青年人糖尿病与牙周炎患病率无相关性.老年组糖尿病(OR=6.91,95%CI:1.27～37.42)是牙周炎的危险因素. 结论 牙周炎患病的危险因素较多,老年人糖尿病是牙周炎的患病的主要危险因素.     

558例心房颤动患者相关危险因素的分析

目的 探讨心房颤动(房颤)患者的相关危险因素,旨在防止房颤的发生.方法 对我院2005年6月至2008年6月558例房颤患者的住院资料进行回顾性分析,并按年龄分组,分析老年人房颤的特点.结果 558例房颤患者中,男298例(53.4%),女260例(46.6%);年龄21～97岁,平均(72.8±10.1)岁,其中21～59岁57例(10.2%),60～97岁501例(89.8 %);同期全院住院患者11 869例,不同年龄组分别为:21～59岁4049例,60～69岁2527例,70～79岁3971例,80～89岁1244例,90～97岁78例.房颤患者占同年龄组住院患者的比例依次为1.4%(57例)、4.2%(107例)、6.6%(262例)、9.5%(118例)、17.9%(14例);558例中,阵发性、持续性、永久性房颤分别为230例(41.2%)、44例(7.9%)、284例(50.9%);基础疾病高血压占首位,其次为冠心病、心功能不全、糖尿病、风湿性心脏病等.结论 房颤的发生随增龄而明显增加.高血压、冠心病、风湿性心脏病、心功能不全、甲状腺功能亢进、糖尿病、慢性肺疾病、肾衰竭均是房颤的危险因素,应早期预防、控制和治疗以防房颤的发生.     

老年缺血性脑卒中与危险因素相关性分析

本文就老年缺血性脑卒中与危险因素相关性进行了回顾分析. 1 临床资料 1.1 研究对象我院2000～2002年体检及住院行头部CT检查者154例,男143例,女11例,年龄60～79岁,平均67.6岁.     

1401例社区老年人群血脂现况调查

目的:了解广东顺德容桂地区1 401例老年人血脂[胆固醇(TC)、三酰甘油(TG)]现况.方法:调查对象均为顺德区容桂街道≥60岁的常住人口,其中资料完整者1 401例,年龄60～93(68.12±6.64)岁,男579例,女822例,60～69岁867例(占61.9%),70～79岁430例(占30.7%),≥80岁...     

中老年男性人群年龄与前列腺特异抗原水平的关系

目的 了解中老年人群中血清前列腺特异抗原(PSA)随年龄分布的状况.方法 回顾性分析2006年11月至2008年11月北京医院体检中心常规体检资料,将进行PSA检查的男性按照年龄分组,分析不同年龄组中PSA的数值及分布状况.结果 11 557例男性入组,中位PSA值随年龄增长而上升,分别为40～49岁0.79μg/L,50～59岁0.85 μg/L,60～69岁1.20μg/L,70～79岁1.44 μg/L,80岁以上1.52μg/L.各组中PSA 4μg/L以上比例分别为1.3%、2.6%、8.8%、15.4%和14.4%.结论 北京市中老年人群中年龄与PSA水平呈正相关,PSA异常比例从60岁开始显著增加,人群中可能存在许多潜在的未被发现的前列腺癌患者.     

发热门诊患者2159例临床特征及相关因素调查分析

目的 分析调查发热门诊患者的临床特征及相关因素。方法 回顾性纳入2020年11月1日～2021年2月28日、2021年11月1日～2022年2月28日于我院发热门诊就诊的患者2 159例，根据就诊时间段将其分为A组814例(2020年11月1日～2021年2月28日就诊)和B组1 345例(2021年11月1日～2022年2月28日就诊)。收集所有患者的临床资料，包括性别、年龄、发热程度、新型冠状病毒感染(COVID-19)核酸检测结果、新型冠状病毒疫苗接种史、发热原因、胸部CT结果、合并基础疾病情况进行分析及组间比较。结果 所有患者COVID-19核酸检测结果均为阴性。年龄<30岁患者比例高于年龄30～39岁、年龄40～49岁、年龄50～59岁及年龄>60岁患者比例(P<0.01)。中热患者比例高于低热及高热患者比例(P<0.05)。A组2021年1月就诊患者比例高于2020年11月、2020年12月及2021年2月；普通感冒患者比例高于其他原因发热患者比例(P<0.01)。A组肺部感染年龄>60岁患者比例高于年龄<30岁、年龄30～39岁、...     

老年人脉压和脉压指数水平及相关危险因素研究

1资料与方法 在唐山市集中体检的离退休干部中,选择3 850例≥60岁老年人,其中年龄为60～72(67.3±5.8)岁,男性2009名,年龄为(68.9±6.8)岁;女性1841名,年龄为(66.3±4.5)岁.排除继发性高血压、心脏瓣膜病变等疾病.     

老年糖尿病治疗率及控制率影响因素的分析

研究表明 ,长期良好的血糖控制能不同程度地逆转和延缓糖尿病慢性并发症的发生、发展〔1〕。为了解老年糖尿病治疗及控制情况 ,我们对 485例糖尿病患者进行了有关问题的问卷调查。1　资料和方法1.1　对象　根据WHO(1985 )诊断标准 ,对 1998～ 2 0 0 1年来我院疗养 485例≥ 60岁以上的糖尿病患者进行问卷调查。调查内容包括糖尿病诊断史、治疗情况及与糖尿病有关的生活方式及知识 ,并于入院后 3d内使用微柱法进行糖化血红蛋白测定。本组男 2 60例 ,女 2 2 5例 ,年龄 60～ 81岁 (平均 68± 5 .1岁 )。发现糖尿病的途径 :健康体检发现 5 0 .3…     

Epidemiologic surve of Overweight and obesity among residents aged≥60 years in ronggui community

Objectives To investigate prevalence of overweight and obesity among residents aged 3≥60 years in ronggui community.Methods 1372 ones(570 males,802 females,68.03±6.62 years) Of total 1503 residents aged≥60 years in the 2 villages which were randomly exampled in rong-gui community were investigated.857 ones aged among 60-69 years(62.5%),416 ones aged among 70-79 years (30.3%),99 ones aged≥60 years(7.2%).Investigative items included age,sex,body height,body weight,waist circumference(WC),hip circumference(HC)、fasting plasma glucose(FG),total cholesterol(TC),triglyceride(TG),blood pressure,history of past illness,body mass index(BMI),waist hip ratio(WHR) and waist height ratio(WHtR).Results (1)Of total 1372 residents,the combined prevalence of overweight and obesity was 39.4%.Prevalence of overweight, obesity were 29.4%,10.0%respectively.Prevalence of overweight, obesity of male were 30.8%,6.0%,and female, 28.5%,12.8%respectively.Prevalence of overweight,obesity of residents aged 60-69 years were 31.2%,11.3%,70-79 years were 27.0%,9.1%and≥80 years were 25.2%,2.0% respectively.The difference between male and female、among three age groups were not significant.(2)Of total 1372 residents, prevalence of central adiposity were 34.6%,male was 15.9%and female was 52.4%,female signifleanfly higher than male(P<0.01).(3)The FG^TG.SBP^DBP of residents with overweight、obesity or central adiposity were higher than residents with normal weight or WC(P<0.01).(4)By Pearson correlation analysis,we found that overweight、obesity and central adiposity were obviously correlated with FG、TG、SBP、DBP(P<0.01),were not correlated with TC(P>0.05). Conclusions(1)Of total 1372 residents,the combined preva- lence of overweight and obesity was 39.4%,prevalence of overweight,obesity were 29.4%,10.0%respectively,prevalence of central adiposity were 34.6%,female was 52.4%, female signifleanfly higher than male.(2)overweight.obesity and central adiposity were obviously correlated with FG,TG, SBP,DBP.     

1447例容桂社区老年人下肢动脉疾病的流行病学调查

目的了解顺德容桂街道60岁以上老年人下肢动脉疾病(lower extremity peripheral arterial disease,LEAD)的流行病学调查情况。方法对顺德容桂街道整群随机抽取2个村。共调查1447例常住老年人,根据有无LEAD分为LEAD组(165例)和无下肢动脉疾病(NLEAD)组(1 282例),调查内容包括一般临床资料、血脂、空腹血糖、腰围、臀围,计算出体重指数、腰臀围比和腰围身高比,测量四肢血压,计算出踝肱指数和趾肱指数。结果LEAD组与NLEAD组在年龄、性别、吸烟、收缩压(SBP)、舒张压(DBP)、空腹血糖、原发性高血压和糖尿病等方面差异有统计学意义。LEAD组与NLEAD组男性在年龄、SBP、DBP、原发性高血压和糖尿病等方面差异有统计学意义。LEAD组与NLEAD组女性在年龄、吸烟、SBP、DBP、空腹血糖、原发性高血压和糖尿病等方面差异有统计学意义。多因素logistic回归分析.预测总人群LEAD风险的因素是年龄、SBP、吸烟、腰围、糖尿病;预测男性LEAD风险的因素是SBP;预测女性LEAD风险的因素是年龄、SBP、吸烟。结论预测老年人LEAD风险的因素可能是年龄、SBP、吸烟、腰围、糖尿病。     

Epidemiologic surve of blood lipid level among 1401 residents aged≥60 years in rong-gui community

Objectives To investigate prevalence of blood lipid level among 1401 residents aged≥60 years in rong-gui community.Methods 1401 ones(579 males,822 females, (68.12±6.64)years Of total 1503 residents aged≥60 years in the 2 villages which were randomly exampled in rong-gui community were investigated.867 ones aged among 60-69 years(61.9%),430 ones aged among 70-79 years (30.7%),104 ones aged≥60 years(7.4%).Investigative items included age,sex,total cholesterol(TC),triglyceride (TG),body height,body weight,waist circumference(WC), hip circumference(HC),fasting plasma glucose(FG),blood pressure,history of past illness,body mass index(BMI), waist hip ratio(WHR),waist height ratio(WHtR).Results (l)Of total 1401 residents,Prevalence of hyperlipemia were 42.8%,female were signifleanfly higher than male(P<0.01), The difference among three age groups were not significant, the combined prevalence of hyperlipemia and borderline hyperlipemia was 80.1%.(2)The FG、BMI、SBP、DBP、WC、WHR、WHtR of residents with hyperlipemia were higher than ones with normal blood lipid level(P<0.01).(3)By Pearson correlation analysis,we found that hyperlipemia was obviously correlated with FG,BMI,WC,WHR,WHtR, SBP,DBP.Conclusions(1)Prevalence of hyperlipemia were 42.8%,female were signifleanfly higher than male.(2) hyperlipemia were obviously correlated with higher FG、BMI、WC、WHR、WHtR、SBP、DBP.     

Waist circumference cutoff points for Chinese adults with metabolic syndrome defined by the International Diabetes Federation

Objective To investigate the appropriate waist circumference (WC) cutoff points for central obesity in the middle-aged and elderly Beijing residents by the metabolic syndrome definition of the International Diabetes Federation (IDF). Methods A total of 2,344 Beijing residents aged ≥40 years were investigated. They answered questionnaires, received physical examinations, and underwent plasma glucose and lipid profile measurement. Those non-diabetic subjects underwent a 75g oral glucose tolerance test. All data were analyzed to calculate the appropriate WC cutoff points for central obesity reaching the diagonsis of MS. Results 1) Both in males and females, the triglyceride (TG), systolic blood pressure, diastolic blood pressure and fasting plasma glucose (FPG) increased linearly with WC, and the high density lipoprotein cholesterol (HDL-C) decreased linearly with WC (P<0.05). 2)The prevalence of elevated TG, reduced HDL-C, elevated blood pressure, elevated FBG, or ≥ 2 of these factors increased with WC (P<0.05). 3) Based on the receiver operating characteristic (ROC) curve analysis and Youden index, the WC values for central obesity and for detecting BMI ≥ 25 kg/m2 were about 90 cm for men and 80 cm for women. 4) The odds ratio for the presence of two or more metabolic risk factors increased abruptly in men with WC ≥ 90 cm and in women with WC ≥ 80 cm. Conclusions The appropriate WC cutoff point for central obesity was determined to be 90 cm for men and 80 cm for women in the middle-aged and elderly Beijing residents by the metabolic syndrome definition of IDF.     

上海市社区60岁以上人群脂肪肝患病率及危险因素的横断面研究

目的了解上海市社区60岁以上人群脂肪肝的患病率及危险因素。方法对闵行区梅陇社区7534名60岁以上人群定期体检,填写统一设计的调查表,内容包括:一般情况、实验室检查、B型超声检查结果等。结果其中女性4198名,男性3336名,女男之比为1.26:1,平均年龄(68.8±7.0)岁。经B型超声检出脂肪肝3074例,占40.80%。60岁以上老年人脂肪肝患病率随着年龄增加而呈下降趋势,患病率最高的年龄段为60～64岁,达到45.20%。80岁以下,女性患病率显著高于男性。脂肪肝组的体质指数(BMI)、腰围、腰臀比(WHR)、三酰甘油、总胆固醇(TC)、低密度脂蛋白胆固醇(LDL-C)、收缩压(SBP)、ALT、γ-谷氨酸转肽酶(GGT)等指标显著高于非脂肪肝组,而高密度脂蛋白胆固醇(HDL-C)则低于非脂肪肝组。相比正常对照组,肥胖、中心性肥胖和高脂血症分别增加脂肪肝患病风险15.2倍、10.8倍和8.6倍(P<0.01)。多元回归分析发现,女性、BMI、SBP、三酰甘油、HDL-C、LDL-C、TC、ALT、GGT等9项指标与脂肪肝密切相关。结论上海市社区60～64岁人群脂肪肝患病率较高,与肥胖及脂代谢紊乱密切相关。     

北京市老年人体重指数与代谢指标及心脑血管疾病的关系

目的分析北京市城乡老年人体重指数(BMI)与各代谢指标及心脑血管疾病的关系。方法2000年起对一个流行病学队列研究人群1827例老年人进行身高、体重、血压测量和多项血液代谢指标的检查,同时进行人口学因素及心脑血管疾病的调查。结果女性BMI、超重及肥胖显著高于男性;随着年龄增长,BMI、超重及肥胖的比例显著下降;患代谢综合征的女性高于男性。随着BMI的增加,收缩压、舒张压、空腹血糖、TG逐渐增高,而平均年龄逐渐降低;代谢综合征及其各组分中的高血压、空腹血糖异常、糖尿病、高TG血症增加,高TC血症及高LDL-C血症也显著增加;冠心病患病率增高。结论随着BMI的增加,老年人多种代谢异常明显增高。     

Associations between adiposity, family history of CHD and blood pressure in 3-8 year-old children

The purpose of this study was to examine the relationships between overall and central adiposity, a family history of coronary heart disease (FHCHD), and blood pressure (BP) in young children. We were specifically interested in determining whether the relationship between adiposity and BP was modified by a FHCHD. Subjects were 130 (68 males, 62 females) young children (mean age 6.0 years). Indicators of adiposity included the body mass index, waist circumference, skinfold thickness, and body composition determined by dual energy X-ray absorbtiometry (DXA). BP was measured by standard procedures. FHCHD was reported by the parent on a questionnaire. Approximately 19% of the total sample was classified as overweight and almost 50% were classified as prehypertensive (22.4%) or hypertensive (24.8%). In the total sample, 21 of 27 correlations were significant and ranged from 0.03 to 0.52. Correlations for systolic blood pressure appeared to be stronger in female subjects. Most of the correlations for diastolic blood pressure and mean arterial pressure were significant in both sexes and, in general, ranged between 0.30 and 0.50. Overweight status was significantly associated with high BP (crude odds ratio=3.65, 95% confidence intervals 1.40-9.49). There were no significant associations between a positive FHCHD and BP, and the correlations between BMI, WC, and BP were similar in magnitude in subjects with and without a FHCHD. In conclusion, both overall and central adiposity are important determinants of resting BP in young children. A FHCHD was not associated with BP and nor were the associations between adiposity and BP modified by a FHCHD.     

Body mass, fat distribution and blood pressure in Southern Italian children: results of the ARCA project

OBJECTIVE: To investigate the association between the degree of adiposity, assessed using the international reference values for body mass index (BMI) of the International Obesity Task Force (IOTF), the fat distribution pattern and the blood pressure (BP) profile in children. METHODS: Anthropometric indices and blood pressure were measured in 3923 children aged 6-11 years in southern Italy. RESULTS: The prevalence of overweight and obesity (by IOTF references) and pediatric hypertension was, respectively: 27, 21 and 10% for boys; 25, 21 and 14% for girls. Body mass index and waist z-scores were the strongest determinants of BP by regression analysis. Overweight and obesity were associated with a greater tendency for central fat deposition and higher BP (waist, cm; boys: 59.2+/-6.0, 69.5+/-7.9, 79.0+/-9.7; girls: 58.8+/-6.5, 68.2+/-7.4, 75.3+/-8.9; SBP/DBP, mmHg; boys: 94/60+/-12/9, 99/62+/-13/8, 103/64+/-15/10; girls: 93/59+/-12/9, 99/62+/-14/9, 101/63+/-14/9; normal weight, overweight and obese, respectively; P<0.0001; M+/-SD), and a higher risk of hypertension (overweight: RR=2.33; 95% CI 1.76-3.08; obesity: RR=3.69; 95% CI 2.78-4.90), independent of age, physical activity, birth weight, parental adiposity and education. Among normal weight children, 99% had waist <85th percentile and 93% were normotensive. CONCLUSIONS: Overweight and obese children, identified according to the IOTF growth charts, are characterized by a central fat distribution pattern and higher BP.     

Sex-specific difference in the relationship between body fat percentage and arterial stiffness: Results from Fuzhou study

Obesity and overweight are closely related to cardiovascular mortality. Arterial stiffness is one of the important risks for cardiovascular diseases and is strongly related with the cardiovascular mortality. However, the relationship between obesity and arterial stiffness is still controversial. A cross-sectional study was performed to examine the relationship of body fat percentage (BFP), an indicator of obesity, with carotid-femoral pulse wave velocity (cfPWV) in 2603 subjects (aged 58.62 ± 11.27 years, male 71.07%, hypertension 64.89%). All participants were divided into four groups according to the gender and the presence of arterial stiffening based on a value ≥10 m/s of cfPWV(group1 : male with cfPWV <10 m/s, group2 : male with cfPWV ≥10 m/s, group3 : female with cfPWV <10 m/s, group4 : female with cfPWV ≥10 m/s). Body weight, height, waist circumference, blood pressure were measured and clinical biochemical tests were recorded. cfPWV was measured using a non-invasive automatic device (Complior Analysis, France). BFP were calculated by CUN-BAE equation. The level of cfPWV was significantly increased with the increasing trend of BFP in both males and females. Stepwise multiple regression analysis revealed that SBP, DBP, HR, Hcy, BFP, FPG were independent associated with cfPWV in females and SBP, eGFR, FPG, BFP, DBP were independent associated with cfPWV in males. In the subgroups stratified by age, BFP was correlated with cfPWV only in females over 60 years old, but not in female those aged under 60 years old and males. In addition to the age and blood pressure, BFP was one of important predictor of arterial stiffening special in females aged over 60 years old.     

南京某医院中青年体检人群高血压前期和高血压病流行现状及其危险因素分析

目的:通过分析中青年群体高血压前期和高血压病的患病现状及可能危险因素,为相应疾病防控提供研究依据。方法:选取南京鼓楼医院体检中心2009—2016年的中青年（18~44岁为青年,45~59岁为中年）体检人群作为研究对象,通过分析该人群的体检资料,探讨高血压前期［收缩压120~139 mmHg（1 mmHg=0.133 ...