江苏某地居民心血管健康水平与心脑血管疾病患病状况的关系研究  

Study on the relationship between cardiovascular health level and the prevalence of cardio-cerebrovascular diseases among residents in a certain area of Jiangsu province

作　　者：高兵 徐淑倩 于蕾[2] 陆慧 GAO Bing;XU Shuqian;YU Lei;LU Hui(Department of Social Medicine and Health Education,School of Public Health,Nanjing Medical University,Nanjing 211166;Suqian Center for Disease Control and Prevention,Suqian 223899,China)

机构地区：[1]南京医科大学公共卫生学院社会医学与健康教育学系,江苏南京211166 [2]宿迁市疾病预防控制中心,江苏宿迁223899

出　　处：《南京医科大学学报（自然科学版）》2024年第10期1448-1455,共8页Journal of Nanjing Medical University(Natural Sciences)

基　　金：国家重点研发计划项目(2018YFC2000703,2018YFC1312800)。

摘　　要：目的:了解我国人群理想心血管健康(ideal cardiovascular health,ICVH)的水平,分析ICVH指标体系评分与心脑血管疾病(cardio-cerebrovascular disease,CVD)患病现况的关联,为开发人群CVD整合式健康管理的有效策略提供证据。方法:采用多阶段整群随机抽样方法,2019年对江苏省宿迁市2县的21815名常住成年居民进行问卷调查、体格检查与实验室检测,ICVH指标评分与疾病进展之间的关系采用趋势χ2检验,CVD患病率与ICVH指标理想水平数量及得分关系(非)校正模型采用多因素Logistic回归分析。结果:调查对象CVD的患病率为45.7%;ICVH均分为(8.60±2.24)分,居民以达到3~4项指标标准为主(57.5%),ICVH单项指标理想水平最高为烟草控制(80.9%),最低为健康膳食(0.1%);与ICVH得分低水平(0~7分)相比,中等水平(8~9分)组和高水平(10~15分)组患CVD的可能性分别下降38%、69%[OR_(ICVH8-9分)=0.617(0.577~0.661),OR_(ICVH10-15分)=0.308(0.286~0.331)]。结论:调查地区重点人群的CVD负担较重,ICVH水平不高,ICVH水平与CVD患病风险呈负相关关系,建议加强不良膳食行为、身体活动和血压控制的综合干预。Objective:To understand the level of ideal cardiovascular health(ICVH)in Chinese population,analyze the relationship between ICVH score and the current prevalence of cardio-cerebrovascular disease(CVD),and provide evidence for developing effective strategies for CVD integrated health management among populations.Methods:A multi-stage cluster random sampling method was used to conduct a survey,physical examination,and laboratory tests on 21815 permanent adult residents from 2 counties in Suqian City in 2019.The relationship between ICVH scores and disease progression were analyzed by the trendχ2 test,and the relationship between CVD prevalence and the number of ideal ICVH indicators and score(non-)adjusted models was analyzed by multivariate logistic regression.Results:The prevalence rate of CVD among the residents was 45.7%.The average ICVH score was(8.60±2.24)points,with most residents achieving(3-4)index standards(57.5%).The highest rate of achieving an ideal level for an individual ICVH indicator was for tobacco control(80.9%)and the lowest was for a healthy diet(0.1%).Compared to the low ICVH score group(0-7 points),the moderate leve(l 8-9 points)and the high level group(10-15 points)had a 38%and 69%lower likelihood of developing CVD[OR_(ICVH8-9)=0.617(0.577-0.661),OR_(ICVH10-15)=0.308(0.286-0.331)],respectively.Conclusion:The CVD burden among key populations in the surveyed area is realatively heavy,and the ICVH level is low.There is a negative correlation between ICVH levels and CVD risk.It is recommended to strengthen comprehensive interventions on poor dietary behavior,physical activity and blood pressure control.

关 键 词：心脑血管疾病 理想心血管健康 横断面调查 

分 类 号：R54[医药卫生—心血管疾病] R181.3[医药卫生—内科学]