Ali Moradi, Hannaneh Khadem, Mohammadreza Rahmani, Mohammad Sadra Saghafi, Helia Ghadri, Maryam Mohammadi, Mina Rabbani, Meysam Moulaee, Niloofar Deravi, Sahar Khoshravesh, Sina Seyedipour, Ehsan Emami, Mahdiyeh Naziri
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引用次数: 0
摘要
重要的发病率和死亡与心血管疾病(CVD)有关,典型的风险因素,如年龄、性别、吸烟、高血压、高脂血症和糖尿病占80%的风险。另外20%的风险变量人们知之甚少。婚姻状况的影响是另一个作用尚不清楚的因素。对PubMed、Scopus和Web of Science数据库进行了全面的文献综述,并从纳入的文章中提取数据并进行分析。对13篇出版物的研究结果进行了荟萃分析。在这项研究中,我们通过分析来自11个国家的13项队列研究,共计1,809,825名参与者,评估了不同婚姻状况下心血管疾病的发病率。我们的结果显示,已婚个体(HR 1.00, 95%可信区间[CI] 0.84-1.20)和未婚个体(HR 1.24, 95%可信区间[CI] 0.95-1.62)的心血管疾病发病率无显著差异。离婚个体的发病率高出28% (HR 1.28, 95% CI 1.14-1.44),丧偶个体的发病率高出28% (HR 1.28, 95% CI 1.11-1.48)。结果显示,已婚和单身人群的心血管疾病发病率没有明显差异。然而,离婚和丧偶的人患心血管疾病的风险明显增加。研究的高度异质性突出了这种联系的复杂性。这些结果强调了在评估心血管疾病风险和制定预防措施时考虑婚姻状况的重要性。
Meta-analysis of the association between marital status and cardiovascular diseases.
Significant morbidity and death are connected to cardiovascular disease (CVD), with classic risk factors such as age, sex, smoking, hypertension, hyperlipidemia, and diabetes accounting for 80% of the risk. The other 20% of risk variables are poorly understood. The influence of marital status is one more element whose function is unclear. A comprehensive literature review was conducted on PubMed, Scopus, and Web of Science databases and data from the included articles were extracted and analyzed. A meta-analysis was conducted using the findings of the 13 publications. In this study, we evaluated the incidence of CVD across different marital statuses by analyzing 13 cohort studies from 11 countries with 1,809,825 participants. Our results showed no significant differences in CVD incidence among married (HR 1.00, 95% confidence interval [CI] 0.84-1.20) and unmarried individuals (HR 1.24, 95% CI 0.95-1.62). Divorced individuals had a 28% higher incidence (HR 1.28, 95% CI 1.14-1.44), and widowed individuals showed a 28% increase (HR 1.28, 95% CI 1.11-1.48). The results show no discernible difference in the incidence of CVD between married and single people. However, divorced and widowed people have a noticeably increased risk of CVD incidence. The high heterogeneity of the research highlights the complexity of the link. These results emphasize how crucial it is to take marital status into account when evaluating CVD risk and developing preventative measures.