心血管风险因素流行病学:非行为风险因素。

IF 2.3 3区 医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Valérie Olié, Amélie Gabet, Clémence Grave, Gérard Helft, Sandrine Fosse-Edorh, Clara Piffaretti, Grégory Lailler, Charlotte Verdot, Valérie Deschamps, Juliette Vay-Demouy, Emmanuelle Vidal-Petiot, Beatrice Duly-Bouhanick, Philippe Tuppin, Jean Ferrières, Jean-Michel Halimi, Jacques Blacher
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引用次数: 0

摘要

心血管疾病是全球第一大死因,也是法国的第二大死因。在可改变的心血管风险因素中,代谢性疾病(高血压、低密度脂蛋白高胆固醇血症、糖尿病和肥胖症)扮演着重要角色,导致动脉粥样硬化的发生和发展。本综述总结了全国范围内现有的最新流行病学数据。2015 年,在 18-74 岁的成年人中,肥胖症发病率为 17.2%,糖尿病发病率为 7.4%,高血压发病率为 30.6%,低密度脂蛋白高胆固醇血症发病率为 23.3%,3-5 期慢性肾病发病率为 1.5%。受影响人群对这些疾病的认知度很低,糖尿病为 23%,高血压为 45%。虽然肥胖症和高血压的患病率在 2006 年至 2015 年期间保持稳定,但糖尿病的患病率却大幅上升。为了减轻法国心血管疾病的负担,必须加强对这些风险因素的预防,特别是通过营养以及对这些风险因素的认识和管理。虽然代谢因素在男性中的流行率仍然较高,但也应特别关注女性特有的风险因素,如妇科疾病(子宫内膜异位症、多囊卵巢综合征)和妊娠疾病(妊娠期高血压疾病、妊娠糖尿病),这些疾病对心血管风险的影响很大。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Epidemiology of cardiovascular risk factors: Non-behavioural risk factors.

Cardiovascular disease is the leading cause of death worldwide, and the second leading cause in France. Among the modifiable cardiovascular risk factors, metabolic diseases (hypertension, low-density lipoprotein hypercholesterolaemia, diabetes and obesity) play a major role, contributing to the development and progression of atherosclerosis. This review summarizes the latest epidemiological data available at a national level. In 2015, the prevalence among adults aged 18-74years was 17.2% for obesity, 7.4% for diabetes, 30.6% for hypertension, 23.3% for low-density lipoprotein hypercholesterolaemia and 1.5% for stage 3-5 chronic kidney disease. Awareness of these diseases among affected individuals was very poor, ranging from 23% for diabetes to 45% for hypertension. While the prevalence of obesity and hypertension remained stable between 2006 and 2015, the prevalence of diabetes increased significantly. Prevention of these risk factors, particularly through nutrition, as well as awareness and management of them, must be intensified to reduce the burden of cardiovascular diseases in France. Whereas the prevalence of metabolic factors remains higher in men, particular attention should also be paid to risk factors specific to women, such as gynaecological diseases (endometriosis, polycystic ovary syndrome) and pregnancy disorders (hypertensive disorders in pregnancy, gestational diabetes), which contribute significantly to cardiovascular risk.

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来源期刊
Archives of Cardiovascular Diseases
Archives of Cardiovascular Diseases 医学-心血管系统
CiteScore
4.40
自引率
6.70%
发文量
87
审稿时长
34 days
期刊介绍: The Journal publishes original peer-reviewed clinical and research articles, epidemiological studies, new methodological clinical approaches, review articles and editorials. Topics covered include coronary artery and valve diseases, interventional and pediatric cardiology, cardiovascular surgery, cardiomyopathy and heart failure, arrhythmias and stimulation, cardiovascular imaging, vascular medicine and hypertension, epidemiology and risk factors, and large multicenter studies. Archives of Cardiovascular Diseases also publishes abstracts of papers presented at the annual sessions of the Journées Européennes de la Société Française de Cardiologie and the guidelines edited by the French Society of Cardiology.
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