年龄大于 60 岁的居民中直立性低血压的流行病学和风险因素及其严重程度:一项横断面研究

IF 1.9 4区 医学 Q3 PERIPHERAL VASCULAR DISEASE
Mingni Yang, Ruiqiang Peng, Zetuo Wang, Miaoduan Li, Yehua Song, Jianping Niu, Yong Ji
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引用次数: 0

摘要

这项横断面研究调查了居住在天津蓟州社区和厦门集美社区的老年人正性低血压(OH)的流行病学和相关风险因素及其严重程度。研究于2019年3月至9月进行,涉及60岁以上的成年人。通过全面的问卷调查,共招募了 4383 名老年人。研究发现,OH 的总体患病率为 11.7%(4383 人中有 516 人)。值得注意的是,性别差异明显,男性发病率为 10%(1926 人中有 194 人),女性发病率为 13.1%(2457 人中有 322 人)。在 OH 患者中,332 人症状轻微,64 人症状中度,58 人症状重度,50 人症状极重度。多变量逻辑回归分析表明,女性、丧偶、从事一般社会活动、有高血压、偏头痛、心脏病、脑血管疾病和精神疾病(焦虑和抑郁)病史与 OH 有独立关联。顺序逻辑回归分析进一步证实,高血压、偏头痛和全身麻醉手术史与OH的严重程度独立相关。这项研究表明,在中国天津蓟州社区和厦门集美社区的老年人中,OH 的发病率相对较高。已发现的危险因素,尤其是社会活动和高血压,对OH的严重程度有显著影响。要证实这些发现并研究潜在的干预措施,还需要进一步的研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Epidemiology and Risk Factors for Orthostatic Hypotension and Its Severity in Residents Aged > 60 years: A Cross-Sectional Study
This cross-sectional study investigated the epidemiology and risk factors associated with orthostatic hypotension (OH) and its severity in older adults residing in the Jizhou community of Tianjin and the Jimei community of Xiamen. The study, conducted from March to September 2019, involved adults aged over 60. A comprehensive questionnaire survey was administered, resulting in the enrolment of 4383 older adults. The overall prevalence of OH was found to be 11.7% (516 out of 4383). Notably, a significant gender difference was observed, with a prevalence of 10% among males (194 out of 1926) and 13.1% among females (322 out of 2457) (). Among individuals with OH, 332 exhibited mild symptoms, 64 had moderate OH, 58 had severe OH cases, and 50 have very severe OH. Multivariable logistic regression analysis revealed that being female, widowed, engaging in general social activities, and a history of hypertension, migraines, heart disease, cerebrovascular disease, and mental health conditions (anxiety and depression) were independently associated with OH. Ordinal logistic regression analysis further confirmed that hypertension, migraine, and a history of general anesthesia surgery were independently associated with the severity of OH. This study highlights a relatively high prevalence of OH among older adults in the Jizhou community of Tianjin and the Jimei community of Xiamen, China. The identified risk factors, particularly social activities, and hypertension, significantly influence the severity of OH. Further examination is required to corroborate these findings and investigate potential interventions.
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来源期刊
International Journal of Hypertension
International Journal of Hypertension Medicine-Internal Medicine
CiteScore
4.00
自引率
5.30%
发文量
45
期刊介绍: International Journal of Hypertension is a peer-reviewed, Open Access journal that provides a forum for clinicians and basic scientists interested in blood pressure regulation and pathophysiology, as well as treatment and prevention of hypertension. The journal publishes original research articles, review articles, and clinical studies on the etiology and risk factors of hypertension, with a special focus on vascular biology, epidemiology, pediatric hypertension, and hypertensive nephropathy.
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