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Stroke and (or) myocardial infarction attributable to modifiable risk factors in Henan, China
Journal of the American Society of Hypertension Pub Date : 2018-04-03 , DOI: 10.1016/j.jash.2018.03.013
Kaiyan Dong , Qian Yang , Fujiao Duan , Shuying Liang , Nan Ma , Wei Nie , Yali Yan , Ye Zhang , Rui Peng , Shuaibing Wang , Chunhua Song , Kaijuan Wang

Estimating population attributable risks of potential modifiable risk factors for stroke and (or) myocardial infarction may be useful for planning cardiovascular disease (CVD) preventive strategies. A population of 17,292 adults aged 18 years and older from a cross-sectional survey was included in the study. The binary logistic regression was used to evaluate the association between risk factors with disease events, then population attributable fraction according to prevalence and odds ratios were calculated to identify and compare the effects at different subpopulations. We found that the main risk factor for CVD events was hypertension with about 50% of population attributable fraction; prehypertension (22.24%) only acts at rural older females; the efficiency of low- and moderate-level physical activities were higher in males (over 20%) than females (under 20%); ever smoked contributed to CVDs in rural older populations (males, 19.25%; females, 5.57%) and urban younger males (54.52%); while as for high body mass index, overweight (12.59%) only made contribution to rural males over 60 years. In conclusion, hypertension control in the whole population, physical activity increasing in males and older females, smoking prevention in rural elders and urban younger males, and slimming in rural elder males might be effective to reduce the burden of CVDs in Henan.



中文翻译:

河南省中风和(或)心肌梗死归因于可改变的危险因素

估计中风和(或)心肌梗塞的潜在可修正危险因素的人群归因风险可能有助于规划心血管疾病(CVD)的预防策略。这项横断面调查包括17292名年龄在18岁以上的成年人。使用二元逻辑回归分析评估危险因素与疾病事件之间的关联,然后根据患病率和优势比计算人群归因分数,以识别和比较不同亚人群的影响。我们发现CVD事件的主要危险因素是高血压,约占总人口的50%。高血压前期(22.24%)仅对农村老年女性起作用;男性(20%以上)中低水平体育锻炼的效率高于女性(20%以下);曾经吸烟的人在农村老年人(男性,占19.25%;女性,占5.57%)和城市青年(男性,占54.52%)中引起心血管疾病;至于高体重指数,超重(12.59%)仅对60岁以上的农村男性有所贡献。综上所述,在河南,控制整个人群的高血压,增加男性和老年女性的身体活动,预防农村老年人和城市年轻男性的吸烟,以及减少农村老年男性的体重可能有效地减轻了CVD的负担。59%)仅对60岁以上的农村男性做出了贡献。综上所述,在河南,控制整个人群的高血压,增加男性和老年女性的身体活动,预防农村老年人和城市年轻男性的吸烟,以及减少农村老年男性的体重可能有效地减轻了CVD的负担。59%)仅对60岁以上的农村男性做出了贡献。综上所述,在河南,控制整个人群的高血压,增加男性和老年女性的身体活动,预防农村老年人和城市年轻男性的吸烟,以及减少农村老年男性的体重可能有效地减轻了CVD的负担。

更新日期:2018-04-03
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