Vascular Health and Risk Management最新文献

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Real-World Analysis of Clinical Characteristics, Treatment Outcomes, and the Novel Predictive Model for Patients with Thrombotic Thrombocytopenic Purpura (TTP) and TTP-Like Syndrome. 血栓性血小板减少性紫癜(TTP)和TTP样综合征患者的临床特征、治疗结果和新型预测模型的现实世界分析
IF 2.6
Vascular Health and Risk Management Pub Date : 2025-03-24 eCollection Date: 2025-01-01 DOI: 10.2147/VHRM.S505818
Mengya Lv, Xing Hu, Lijun Zhu, Hui Xu, Erling Chen, Na Zhao, Juan Tong, Changcheng Zheng
{"title":"Real-World Analysis of Clinical Characteristics, Treatment Outcomes, and the Novel Predictive Model for Patients with Thrombotic Thrombocytopenic Purpura (TTP) and TTP-Like Syndrome.","authors":"Mengya Lv, Xing Hu, Lijun Zhu, Hui Xu, Erling Chen, Na Zhao, Juan Tong, Changcheng Zheng","doi":"10.2147/VHRM.S505818","DOIUrl":"10.2147/VHRM.S505818","url":null,"abstract":"<p><strong>Purpose: </strong>It is crucial to differentiate critically ill patients exhibiting thrombocytopenia and hemolytic anemia alongside organ damage to enable rapid identification of thrombotic thrombocytopenic purpura (TTP) and TTP-like syndrome, which allows for targeted emergency interventions such as plasma exchange.</p><p><strong>Patients and methods: </strong>This study retrospectively analyzed clinical data from patients with TTP and TTP-like syndrome to further elucidate the potential differences between these conditions. We also established a new predictive model to facilitate early identification and differentiation between TTP and TTP-like syndrome. A new predictive model for diagnosing TTP was developed using five key indicators: reticulocyte percentage, platelet count, schistocyte percentage, LDH/ULN, and indirect bilirubin. The performance of this new model was compared with the traditional PLASMIC score by evaluating sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV).</p><p><strong>Results: </strong>Thirty-five patients were diagnosed with TTP and 42 were diagnosed with TTP-like syndrome. TTP is most commonly associated with autoimmune diseases (n=13, 37.14%), while TTP-like syndrome frequently arises from infections (n=23, 54.76%). The ADAMTS13 activity was significantly lower in the TTP group than in the TTP-like syndrome group (Mean 8.30% vs 46.12%). TTP-like syndrome patients had significantly higher levels of inflammatory markers. The new predictive model was developed for TTP with a predictive ability of 96.9%. Overall, 16 patients (20.77%) died, including 3 (8.57%) in the TTP group and 13 (30.95%) in the TTP-like syndrome group. Kaplan-Meier survival analysis showed significant differences in survival between TTP and TTP-like syndrome patients, with a 180-day overall survival (OS) rate of 90.6% vs 60.9% (p=0.009); and plasma exchange improved 180-day OS rate in the TTP group compared to the TTP-like syndrome group (90.6% vs 65.6%) (p=0.054).</p><p><strong>Conclusion: </strong>This study demonstrates that TTP and TTP-like syndrome are two distinct types of diseases. The new predictive model has shown good efficacy in distinguishing TTP and TTP-like syndrome. Plasma exchange significantly improves survival in TTP patients; however, its effect on TTP-like syndrome is minimal.</p>","PeriodicalId":23597,"journal":{"name":"Vascular Health and Risk Management","volume":"21 ","pages":"153-165"},"PeriodicalIF":2.6,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952049/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevalence and Risk Factors of Peripheral Artery Disease in Diabetic Patients: Insights from a Retrospective Cross-Sectional and Cohort Study in Abu Dhabi. 糖尿病患者外周动脉疾病的患病率和危险因素:来自阿布扎比回顾性横断面和队列研究的见解
IF 2.6
Vascular Health and Risk Management Pub Date : 2025-03-24 eCollection Date: 2025-01-01 DOI: 10.2147/VHRM.S501096
Aysha Abdulla Alyahyaee, Esraa Mahmoud, Alyazia Aziz AlAzeezi, Amal Abdul Rahim Al Zarooni, Nico J D Nagelkerke, Latifa Baynouna Al Ketbi
{"title":"Prevalence and Risk Factors of Peripheral Artery Disease in Diabetic Patients: Insights from a Retrospective Cross-Sectional and Cohort Study in Abu Dhabi.","authors":"Aysha Abdulla Alyahyaee, Esraa Mahmoud, Alyazia Aziz AlAzeezi, Amal Abdul Rahim Al Zarooni, Nico J D Nagelkerke, Latifa Baynouna Al Ketbi","doi":"10.2147/VHRM.S501096","DOIUrl":"10.2147/VHRM.S501096","url":null,"abstract":"<p><strong>Background: </strong>Peripheral artery disease (PAD), a common manifestation of systemic atherosclerosis, is linked to high morbidity and mortality. Risk factors such as age, male gender, and hyperlipidemia significantly contribute to PAD. This study aims to estimate the Predictors and associations of peripheral artery diseases in the Abu Dhabi population.</p><p><strong>Methods: </strong>Cross-sectional analysis of diabetic patients who had ankle brachial index tests in 2018-2019. Data collected from electronic medical records include demographics, treatment history, comorbidities (hypertension, smoking), lab results (HbA1c, renal function, lipid profile), and findings from sudoscan test used to assess the function of small nerve fibers and evaluate autonomic dysfunction. A cohort study from the Abu Dhabi Cardiovascular Risk Study (ADRS), to determine the predictors and relationships associated with peripheral artery disease in Abu Dhabi. Data were analyzed using Statistical Package for the Social Sciences (SPSS) version 26.</p><p><strong>Results: </strong>Among the 359 patients from the cross-sectional study, 65.5% had normal ABI, 14.2% had low abnormal ABI, and 20.3% had high abnormal ABI. The average age was 65.3 years, with 66.3% females and 75.49% United Arab Emirates (UAE) nationals. Most patients (65.2%) were on non-insulin treatments, and 75.8% had hypertension. The mean HbA1c level was 7.3%. Regarding renal function, 51.5% had stage 1 estimated glomerular filtration rate (eGFR), and 9.2% had abnormal eye grading. Ulcers were present in 95.8%, and 9.7% had vascular referrals. Multivariate analysis showed no significant predictors of abnormal ABI (p > 0.05). In the cohort study of 8699 patients, PAD prevalence was highest among those aged 40-59, with significant associations with age, smoking, and diabetes.</p><p><strong>Conclusion: </strong>Abnormal ABI was present in 34.5% of patients, with no significant association with various risk factors. However, the cohort study showed that age, smoking, and diabetes are significantly related to PAD development.</p>","PeriodicalId":23597,"journal":{"name":"Vascular Health and Risk Management","volume":"21 ","pages":"167-180"},"PeriodicalIF":2.6,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11952046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
AQP1 Affects Necroptosis by Targeting RIPK1 in Endothelial Cells of Atherosclerosis. AQP1通过靶向RIPK1影响动脉粥样硬化内皮细胞的坏死下垂。
IF 2.6
Vascular Health and Risk Management Pub Date : 2025-03-20 eCollection Date: 2025-01-01 DOI: 10.2147/VHRM.S487327
Ping Wang, Lin Zheng, Yusi Yang, Xinyang Yue, Jie Liu, Keyi Fan, Haonan Zhou, Honglin Dong
{"title":"AQP1 Affects Necroptosis by Targeting RIPK1 in Endothelial Cells of Atherosclerosis.","authors":"Ping Wang, Lin Zheng, Yusi Yang, Xinyang Yue, Jie Liu, Keyi Fan, Haonan Zhou, Honglin Dong","doi":"10.2147/VHRM.S487327","DOIUrl":"10.2147/VHRM.S487327","url":null,"abstract":"<p><strong>Purpose: </strong>Aquaporin 1 (AQP1), a transmembrane water channel protein, has been implicated in the regulation of necroptosis. However, its specific role in atherosclerotic plaque stability through the modulation of necroptosis remains unclear. Therefore, in this study, we aim to investigate whether AQP1 influences necroptosis in atherosclerosis by binding to receptor-interacting serine/threonine-protein kinase 1 (RIPK1) and decreasing the expression of receptor-interacting serine/threonine-protein kinase 3 (RIPK3) and mixed lineage kinase domain-like pseudokinase (MLKL).</p><p><strong>Patients and methods: </strong>The gene expression of AQP1 and necroptosis-associated genes significantly differ between atherosclerosis and normal groups. Genes linked to necroptosis were screened to influence the AS identified by weighted gene coexpression network analysis (WGCNA). Then we collected femoral atherosclerosis and normal aortic samples, further conducted single-cell sequencing and spatial transcriptomic methods to confirm the potential function and pathway of AQP1 in endothelial cells. Meanwhile, we overexpressed AQP1 in ox-LDL-treated endothelial cells in vitro.</p><p><strong>Results: </strong>Firstly, via single-sample Gene Set Enrichment Analysis (ssGSEA) scores, we found that necroptosis plays the most important role among all ways of programmed cell death in two kinds of atherosclerosis. AQP1, RIPK1, RIPK3 and MLKL express differently in normal and atherosclerosis tissue by differentially expressed gene (DEG) analysis and Western Blot (WB). WGCNA analysis indicates that AQP1, MLKL and RIPK3 were significantly related to the AS. The area under the curve of the above hub genes was greater than 0.8 (AQP1 0.946, RIPK1 0.908, RIPK3 0.988, MLKL 0.863). We found AQP1 highly enriched in endothelial cells (ECs) by single-cell analysis. We sequenced the samples by spatial transcriptome and found that AQP1 was also mainly enriched in ECs both in expression and spatial location. With AQP1 overexpression in ECs, it significantly inhibited the expression of MLKL and RIPK3 and stimulated EC proliferation.</p><p><strong>Conclusion: </strong>Our study identified that AQP1 suppresses atherosclerotic necroptosis by inhibiting the expression of RIPK3 and MLKL in ECs which might indicates that AQP1 plays a role in atherosclerosis. This new mechanism contributes to improving the diagnostic, prognostic, and therapeutic outcomes of atherosclerosis.</p>","PeriodicalId":23597,"journal":{"name":"Vascular Health and Risk Management","volume":"21 ","pages":"139-152"},"PeriodicalIF":2.6,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932119/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Aerobic Exercise Practiced Over Time Mitigates the Structural Effects on the Vascular System Caused by the Deleterious Effects of Aging. 长期进行有氧运动可以减轻衰老对血管系统造成的有害影响。
IF 2.6
Vascular Health and Risk Management Pub Date : 2025-03-19 eCollection Date: 2025-01-01 DOI: 10.2147/VHRM.S478482
Rafael Antunes Nicoletti, Thiago Pereira de Souza, Danyelle S Miotto, Francine Duchatsch, Lidieli Pazin Tardelli, Vinicius Ferreira de Paula, Sandra Lia Amaral, Anderson Saranz Zago
{"title":"Aerobic Exercise Practiced Over Time Mitigates the Structural Effects on the Vascular System Caused by the Deleterious Effects of Aging.","authors":"Rafael Antunes Nicoletti, Thiago Pereira de Souza, Danyelle S Miotto, Francine Duchatsch, Lidieli Pazin Tardelli, Vinicius Ferreira de Paula, Sandra Lia Amaral, Anderson Saranz Zago","doi":"10.2147/VHRM.S478482","DOIUrl":"10.2147/VHRM.S478482","url":null,"abstract":"<p><strong>Background: </strong>Aerobic training has been considered beneficial for determining the detrimental alterations in blood vessels caused by aging.</p><p><strong>Objective: </strong>Evaluate the relationship between the preventive effects of aerobic exercise and time of practice on cardiovascular health, in aged Wistar rats.</p><p><strong>Methods: </strong>Wistar rats (16 months) were divided into 3 groups: (1) sedentary (AGED); (2) long-term trained61 weeks (LTT); and (3) short-term trainedfinal 8 weeks of life (STT). Body weight, maximum physical capacity, systolic blood pressure (SBP), pulse wave velocity (PWV), plasma nitrite (NO), oxidative stress (TBARS), wall thickness, the wall-to-lumen ratio, and collagen of the thoracic aorta, carotid, and femoral arteries were measured.</p><p><strong>Results: </strong>Both trained groups showed an increase in physical capacity when compared to the AGED group (p=<0.001 for LTT and p=0.011 for STT), and the LTT group demonstrated higher values when compared to the STT group (p= 0.004). The LTT group presented attenuation of PWV (p= 0.002) and a reduction in the wall thickness and wall-to-lumen ratio of the thoracic aorta (p=0.032 and 0.008, respectively) and carotid arteries (p=0.019 and 0.012, respectively) when compared to the AGED group. The STT group presented a reduction in TBARS compared to the AGED group (p=0.046). Additionally, both trained groups (LTT and STT) presented a reduction in the percentage of arterial collagen compared to the AGED group in the thoracic aorta (p=<0.001 and p=0.001 respectively) and carotid arteries (p= <0.008 and p= 0.041 respectively).</p><p><strong>Conclusion: </strong>This study demonstrated that long-term training decreased the level of collagen, PWV values, wall thickness, and the wall-to-lumen ratio of the aorta and carotid arteries compared to the AGED group. Moreover, short-term training reduced TBARS and collagen percentage in the aorta and carotid arteries compared to the AGED group.</p>","PeriodicalId":23597,"journal":{"name":"Vascular Health and Risk Management","volume":"21 ","pages":"125-138"},"PeriodicalIF":2.6,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11930239/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143693579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Evaluating the Hypertension Cascade of Care in Adults in Urban Lao PDR: Evidence From the VITERBI Cohort Study. 评估老挝城市居民高血压级联治疗:来自VITERBI队列研究的证据。
IF 2.6
Vascular Health and Risk Management Pub Date : 2025-03-15 eCollection Date: 2025-01-01 DOI: 10.2147/VHRM.S506857
Georg Loss, Jordyn T Wallenborn, Miley Sinantha-Hu, Vattahanaphone Ouipoulikoune, Nicole Probst-Hensch, Sengchanh Kounnavong, Somphou Sayasone, Peter Odermatt, Günther Fink
{"title":"Evaluating the Hypertension Cascade of Care in Adults in Urban Lao PDR: Evidence From the VITERBI Cohort Study.","authors":"Georg Loss, Jordyn T Wallenborn, Miley Sinantha-Hu, Vattahanaphone Ouipoulikoune, Nicole Probst-Hensch, Sengchanh Kounnavong, Somphou Sayasone, Peter Odermatt, Günther Fink","doi":"10.2147/VHRM.S506857","DOIUrl":"10.2147/VHRM.S506857","url":null,"abstract":"<p><strong>Background: </strong>Hypertension (HT) is a major risk factor for adult morbidity and mortality in low- and middle-income countries and little is known regarding the distribution of HT risk and treatment access within urban areas.</p><p><strong>Patients and methods: </strong>We used data from the Vientiane Multi-Generational Birth Cohort in urban Lao PDR to assess the prevalence of loss and retention across five stages of HT care for 40+ year old adults: i) prevalence of hypertension, ii) hypertensives who ever had their BP measured by a health care professional, iii) hypertensives ever diagnosed with HT by a professional, iv) patients currently treated with HT medication, and v) patients with currently controlled BP. We estimated associations between sociodemographic and lifestyle predictors and the proportion of participants who reached each care cascade step using mutually adjusted Poisson regression modeling.</p><p><strong>Results: </strong>Among the 3196 participants aged 40 to 99 years, the overall prevalence of HT was 16.3%, with higher rates for women, people over 60 years, peripheral district residents, low educated, widowed, and obese. Among people with HT, 90.2% ever had their BP measured by a health care professional, 69.3% ever received a HT diagnosis, 60.9% HT were currently on (drug) treatment, and 39.5% had currently controlled BP. The largest cascade of care losses occurred at the diagnosis and control stages with better outcomes for women. While central districts showed higher rates of diagnosis, control levels were lower than in peripheral districts, but there these differences appeared to be explained by adjusting for sociodemographic and lifestyle factors.</p><p><strong>Conclusion: </strong>While HT prevalence in Lao PDR is lower than reported for other LMICs, more than 16% over the age of 40 years suffer from HT, and 60% of these cases are currently not controlled. Major policy efforts are needed to support this population and to prevent HT-driven excess mortality.</p>","PeriodicalId":23597,"journal":{"name":"Vascular Health and Risk Management","volume":"21 ","pages":"109-123"},"PeriodicalIF":2.6,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11923041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Circulating Inflammatory Factors and Bidirectional Mendelian Randomization Analysis in Patients with Kawasaki Disease. 川崎病患者循环炎症因子和双向孟德尔随机化分析。
IF 2.6
Vascular Health and Risk Management Pub Date : 2025-03-12 eCollection Date: 2025-01-01 DOI: 10.2147/VHRM.S509753
Muqing Niu, Jinyong Pan, Kui Wang, Li Zhang, Zhaotang Lin, Fengling Zhang
{"title":"Circulating Inflammatory Factors and Bidirectional Mendelian Randomization Analysis in Patients with Kawasaki Disease.","authors":"Muqing Niu, Jinyong Pan, Kui Wang, Li Zhang, Zhaotang Lin, Fengling Zhang","doi":"10.2147/VHRM.S509753","DOIUrl":"10.2147/VHRM.S509753","url":null,"abstract":"<p><strong>Background: </strong>Kawasaki disease (KD), also known as mucocutaneous lymph node syndrome, is a systemic immune vasculitis with an unclear etiology. It is often complicated by coronary artery disease. This study uses bidirectional Mendelian randomization (MR) to investigate the interaction between KD and circulating inflammatory factors, providing insights into their causal relationships.</p><p><strong>Methods: </strong>We conducted a two-way pooled MR analysis to examine the causal links between 41 circulating inflammatory regulators and the risk of KD. Genetic data related to inflammation were sourced from three genome-wide association studies (GWASs) involving CRP, PCT, and cytokines, while KD data were derived from other studies. Inverse-variance weighting (IVW) was the primary MR method, with sensitivity analyses performed using MR‒Egger, weighted median, weighted mode, and MR-PRESSO to ensure robustness.</p><p><strong>Results: </strong>Forward MR analyses showed no significant relationship between inflammatory factors and KD outcomes. In contrast, reverse MR, with KD as the exposure factor, revealed that interleukin-2 (IL-2) and interleukin-8 (IL-8) were significantly associated with KD (IL-2: OR=1.0085, P=0.037; IL-8: OR=1.0099, P=0.014). Borderline significant associations were observed for factors such as B_NGF, EOTAXIN, HGF, and IL_12_P70 in MR‒Egger and weighted median analyses.</p><p><strong>Conclusion: </strong>This bidirectional MR study highlights the role of circulating inflammatory modulators in KD risk, offering insights into KD pathogenesis and potential therapeutic targets.</p>","PeriodicalId":23597,"journal":{"name":"Vascular Health and Risk Management","volume":"21 ","pages":"99-108"},"PeriodicalIF":2.6,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11910938/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143650997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Response to "Self-Care Behavior Based on Knowledge of Patients with Hypertension" [Letter]. 对“基于高血压患者知识的自我护理行为”的回应[信]。
IF 2.6
Vascular Health and Risk Management Pub Date : 2025-03-02 eCollection Date: 2025-01-01 DOI: 10.2147/VHRM.S519867
Joel Rey Ugsang Acob, Heru Santoso Wahito Nugroho, Pitri Noviadi
{"title":"Response to \"Self-Care Behavior Based on Knowledge of Patients with Hypertension\" [Letter].","authors":"Joel Rey Ugsang Acob, Heru Santoso Wahito Nugroho, Pitri Noviadi","doi":"10.2147/VHRM.S519867","DOIUrl":"10.2147/VHRM.S519867","url":null,"abstract":"","PeriodicalId":23597,"journal":{"name":"Vascular Health and Risk Management","volume":"21 ","pages":"97-98"},"PeriodicalIF":2.6,"publicationDate":"2025-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11884254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143573987","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparing the Association Between Depressive Symptoms and Cardiovascular Disease Among the Middle-Aged and Elderly Population: A National Survey of 9,049 Subjects Based on the Indonesian Family Life Survey-5. 比较中老年人群抑郁症状与心血管疾病之间的关系:基于印度尼西亚家庭生活调查的9049名受试者的全国调查-5
IF 2.6
Vascular Health and Risk Management Pub Date : 2025-02-25 eCollection Date: 2025-01-01 DOI: 10.2147/VHRM.S491961
Sofa D Alfian, Putri G R Permata, Meliana Griselda, Irma Melyani Puspitasari, Rizky Abdulah
{"title":"Comparing the Association Between Depressive Symptoms and Cardiovascular Disease Among the Middle-Aged and Elderly Population: A National Survey of 9,049 Subjects Based on the Indonesian Family Life Survey-5.","authors":"Sofa D Alfian, Putri G R Permata, Meliana Griselda, Irma Melyani Puspitasari, Rizky Abdulah","doi":"10.2147/VHRM.S491961","DOIUrl":"10.2147/VHRM.S491961","url":null,"abstract":"<p><strong>Introduction: </strong>The association between depressive symptoms and cardiovascular disease (CVD) is widely acknowledged. However, there is a lack of relevant evidence among the middle-aged population in developing countries where depressive symptoms often go undetected and untreated. The objectives of this study were to assess the association between depressive symptoms and CVD in Indonesia and to compare the association between the middle-aged and elderly population.</p><p><strong>Methods: </strong>This national cross-sectional population-based survey used secondary data from the publicly available Indonesian Family Life Survey (IFLS-5). Depressive symptoms were assessed using a modified Center for Epidemiologic Studies Depression (CESD-R-10) scale, and data on CVD and sociodemographic variables were self-reported. Binary logistic regression was performed to determine the association between depressive symptom and self-reported CVD after adjusting for confounding factors, with an adjusted odds ratio (AOR) and 95% confidence interval (CI) reported. Subgroup analysis was performed based on the age group.</p><p><strong>Results: </strong>The study included 9049 respondents, predominantly the middle-aged (71.1%), female (52.6%), elementary school graduates (50.7%), non-smokers (59.0%), non-obese (77.3%), without depressive symptoms (82.2%), and without self-reported CVD (96.7%). Respondents with depressive symptoms were more likely to experience self-reported CVD (AOR = 1.56; 95% CI = 1.18-2.05; p-value = 0.002), after adjusting for potential confounders. A significant association was observed between depressive symptoms and self-reported CVD in elderly respondents (AOR = 1.89; 95% CI = 1.22-2.94; p-value = 0.005), whereas no significant association was observed in the middle-aged group (AOR = 1.39; 95% CI = 0.98-1.98; p-value = 0.063) after adjusting for confounders.</p><p><strong>Conclusion: </strong>Respondents with depressive symptoms were associated with an increased risk of self-reported CVD, highlighting the urgent need for targeted prevention strategies, especially for those struggling with depressive symptoms.</p>","PeriodicalId":23597,"journal":{"name":"Vascular Health and Risk Management","volume":"21 ","pages":"85-95"},"PeriodicalIF":2.6,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11871849/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143543612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Accuracy of the Combei BP880W Wrist Device for Self-Blood Pressure Measurements in General Population According to the International Organization for Standardization Universal Standard (ISO 81060-2:2018/AMD 1:2020) Protocol. 根据国际标准化组织通用标准(ISO 81060-2:2018/AMD 1:2020)协议,Combei BP880W手腕装置在一般人群中自我血压测量的准确性。
IF 2.6
Vascular Health and Risk Management Pub Date : 2025-02-18 eCollection Date: 2025-01-01 DOI: 10.2147/VHRM.S513013
Zoya Hakobyan, Parounak Zelveian, Heghine Gharibyan, Jirar Topouchian, Roland Asmar
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引用次数: 0
Understanding the Uniformity in Scientific Publications on Blood Pressure Device Validation. 了解关于血压器械验证的科学出版物的一致性。
IF 2.6
Vascular Health and Risk Management Pub Date : 2025-02-18 eCollection Date: 2025-01-01 DOI: 10.2147/VHRM.S513015
Roland Asmar
{"title":"Understanding the Uniformity in Scientific Publications on Blood Pressure Device Validation.","authors":"Roland Asmar","doi":"10.2147/VHRM.S513015","DOIUrl":"https://doi.org/10.2147/VHRM.S513015","url":null,"abstract":"","PeriodicalId":23597,"journal":{"name":"Vascular Health and Risk Management","volume":"21 ","pages":"71-73"},"PeriodicalIF":2.6,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11846619/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143483838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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