沙特阿拉伯吉达国民警卫队居住城市女性居民心血管疾病风险评估

Jumana H Khouja
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摘要

目的:心血管疾病(CVD)仍然是全球死亡的主要原因。这项以社区为基础的研究评估了沙特阿拉伯吉达≥30岁女性的心血管疾病风险。方法:2015年1月1日至4月30日,所有居住在国民警卫队居住城市的女性(n=616)接受了心血管疾病筛查和临床和实验室评估。计算每个人的弗雷明汉风险评分,并评估他们改变生活方式的意愿。采用Logistic回归分析检查心血管疾病危险因素。结果:大多数参与者(n=531;低危组平均年龄(42±8岁)占86%。中度(10%)和高度(4%)危险组(n=85)平均年龄为49±6.5岁。与其他女性相比,患有糖尿病、高血压、有心脏病家族史、高胆固醇血症的女性患心血管疾病的风险为7倍(95%置信区间,3.6%- 16.3%)、6倍(95%置信区间,3%-14%)、5倍(95%置信区间,2.4%-10.6%)、2倍(95%置信区间,1.2%-5%)和近3倍(95%置信区间,1.3%-5.4%)。改变生活方式的想法是一个保护因素。结论:CVD危险因素,包括合并症、不运动的生活方式、慢性家族史和吸烟与参与者中至高CVD风险相关。研究结果还强调,有必要根据个人风险和改变的意愿提供综合的跨学科方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cardiovascular Disease Risk Assessment among Female Residents at the National Guard Residential City, Jeddah, Saudi Arabia
Objectives: Cardiovascular Disease (CVD) remains the major cause of global mortality. This community-based study assessed CVD risk among female’s ≥30 years in Jeddah, Saudi Arabia. Methods: All women living in the National Guard Residential City (n=616) received CVD screening and clinical and laboratory assessments from 1st of January to 30th of April 2015. The Framingham risk score was calculated for each individual and their readiness to make lifestyle changes was assessed. Logistic regression analysis was used to examine factors of CVD risk. Results: Most participants (n=531; mean age, 42 ± 8 years) were in the low risk group (86%). The moderate (10%) and high (4%) risk groups (n=85) had a mean age of 49 ± 6.5 years. CVD risk was seven-fold (95% Confidence Interval [CI], 3.6%- 16.3%), six-fold (95% CI, 3%-14%) five-fold (95% CI, 2.4%-10.6%), two-fold (95% CI, 1.2%-5%), and almost three-fold (95% CI, 1.3%-5.4%) in women with diabetes, hypertension, family history of heart disease, hypercholesterolemia, and those who were junk food consumers compared to other women. Thinking of changing lifestyle was a protective factor. Conclusion: CVD risk factors, including co-morbid conditions, inactive lifestyle, family history of chronic conditions, and smoking were associated with moderate to high CVD risk among participants. The findings also highlight the need to provide comprehensive interdisciplinary programs according to individual risk and readiness to change.
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