世界人群理想心血管健康行为和因素流行趋势的Meta分析  

Meta Analysis on the Trend of Ideal Cardiovascular Health Behaviors and Factors among World Population

作　　者：韩全乐[1] 王桂苹[1] 刘晓堃[1] 尚小明[1] 张琦[1] 吴寿岭[2] 高竟生[2] 张华[3] 王晓晓[3] 

机构地区：[1]唐山工人医院心血管内科,河北省唐山市063000 [2]开滦总医院心血管内科 [3]北京大学第三医院临床流行病学研究中心

出　　处：《中国全科医学》2015年第10期1192-1196,共5页Chinese General Practice

基　　金：唐山市科技计划项目(13130258a)

摘　　要：目的综合评价世界人群理想心血管健康行为和因素的流行趋势,为心血管疾病的预防提供基础参考资料。方法系统检索Pub Med、Springer、Elsevier、EMBase、SSCI、中国生物医学文献服务系统（CBM）、中国期刊全文数据库（CJFD）、万方数据库、中国优秀硕士学位论文全文数据库（CMFD）及中国重要会议论文全文数据库（CPFD）中关于理想心血管健康行为和因素、相关心血管事件的文献。检索时间为2010年1月—2014年3月。采用Rev Man 3.1.0软件对符合纳入及排除标准的文献采用随机效应模型进行Meta分析。结果共纳入文献10篇,总样本量为519 052人。世界人群具有7项理想心血管健康行为和因素的人数发生率为0.47%〔95%CI（0.22%,1.03%）〕,具有5~7项理想心血管健康行为和因素的人数发生率为16.26%〔95%CI（11.18%,23.05%）〕。亚组分析显示,女性人群具有5~7项理想心血管健康行为和因素的人数发生率为23.25%〔95%CI（19.34%,27.69%）〕,男性人群具有5~7项理想心血管健康行为和因素的人数发生率为8.08%〔95%CI（4.56%,13.92%）〕,不同性别间理想心血管健康行为和因素的人数发生率比较,差异有统计学意义（Z=-2.67,P=0.008）。结论世界人群理想心血管健康行为和因素的发生率较低,女性优于男性。建议关注并采取积极干预措施,提高人群理想心血管健康水平。Objective To comprehensively assess the tread of ideal cardiovascular health behaviors and factors among world population and to offer basic reference materials for the prevention of cardiovascular diseases（ CVDs）. Methods We searched Pub Med,Springer,Elsevier,EMBase,SSCI,Chinese biomedical literature database（ CBM）,Chinese journal full text database（ CJFD）,Wanfang data resource,Chinese outstanding master＇ s degree thesis full- text database（ CMFD） and Chinese important articles published in full- text database（ CPFD） for the related research literature on ideal cardiovascular healthy behavior,factors and events from January,2010 to March,2014. Random effect model of meta analysis was made on the literatures meeting the inclusive and exclusive criteria by using the software of Rev Man 3. 1. 0. Results 10 papers were included in this meta analysis with a sample size of 519 052. The incidence rate of 7 ideal cardiovascular health behaviors and factors among world population was 0. 47% 〔95% CI（ 0. 22%,1. 03%） 〕; of 5 ~ 7 was 16. 26% 〔95% CI（ 11. 18%,23. 05%） 〕.Subgroup analysis revealed that the incidence of 5 ~ 7 among female population was 23. 25% 〔95% CI（ 19. 34%,27. 69%） 〕and 8. 08% 〔95% CI（ 4. 56%,13. 92%） 〕among males and the incidence difference in gender was statistically significant（ Z=- 2. 67,P = 0. 008）. Conclusion The prevalence rate of ideal cardiovascular health behaviors and factors is lower and females are superior to males in that. It is suggested that attention be paid and positive measures be taken to improve the ideal cardiovascular health level.

关 键 词：理想心血管健康行为和因素 流行病学 META分析 

分 类 号：R54[医药卫生—心血管疾病]