首页|成年人衰弱指数与心血管疾病发病风险的关联研究

成年人衰弱指数与心血管疾病发病风险的关联研究

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目的 探究成年人衰弱指数(F1)与心血管疾病(CVD)发病风险的关联,为内蒙古自治区成年人预防CVD提供新的依据.方法 利用经历6年随访、样本量为25 055名的前瞻性队列数据构建FI,通过FI对成年人的衰弱情况进行描述,采用Cox比例风险回归模型分析成年人FI与CVD发病风险的关联.结果 研究人群的FI为0.24±0.09.与非衰弱(FI≤0.20)人群相比,衰弱前期(FI:0.21~0.27)和衰弱期(FI》0.28)人群CVD发病风险增加[衰弱前期:风险比(HR)=1.232,95%CI:1.127~1.347;衰弱期:HR=1.418,95%CI:1.299~1.548].FI 每增加 0.10,CVD 的发病风险增加 20.3%(HR=1.203,95%CI:1.156~1.252).结论 本研究构建了 FI,该指标与CVD发病风险增加相关.随着衰弱程度加重,CVD发病风险随之升高.
Association of frailty index with the risk for cardiovascular disease in adults
Objective To explore the association between frailty index(FI)and the risk for cardiovascular disease(CVD)in adults in Inner Mongolia Autonomous Region,and provide new evidence for the prevention of CVD in adults in Inner Mongolia Autonomous Region.Methods The FI was constructed by using the data from a prospective cohort with a sample size of 25 055 individuals in 6 years of follow-up,and the prevalence of frailty in adults in Inner Mongolia Autonomous Region was described by the FI,and Cox proportional hazard regression model was used to evaluate the association between the FI and the incidence of CVD in adults in Inner Mongolia Autonomous Region.Results The FI of the study population was 0.24±0.09.The population in the pre-frail(FI:0.21-0.27)and frail(FI≥0.28)phases had increased risk for CVD compared to non-frail(FI≤0.20)population[pre-frail:hazard ratio(HR)=1.232,95%CI:1.127-1.347;frail phase:HR=1.418,95%CI:1.299-1.548].For every 0.10 increase in FI,the risk for cardiovascular disease increased by 20.3%(HR=1.203,95%CI:1.156-1.252).Conclusions In this study,we constructed a FI,which can suggest the risk for CVD.As the increase of frailty degree,the risk for CVD increases.

Frailty indexCardiovascular diseaseProspective cohort study

张春发、李乐慧、张楠、曹宁、许蕾、闫金利、王雅、赵昕玥、杨雨心、闫涛、张星光

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内蒙古医科大学公共卫生学院卫生统计学教研室,呼和浩特 010110

内蒙古医科大学公共卫生学院环境与职业卫生学教研室,呼和浩特 010110

内蒙古医科大学公共卫生学院卫生检验与检疫教研室,呼和浩特 010110

内蒙古医科大学公共卫生学院流行病学教研室,呼和浩特 010110

内蒙古医科大学公共卫生学院卫生毒理学教研室,呼和浩特 010110

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衰弱指数 心血管疾病 前瞻性队列研究

2024

中华流行病学杂志
中华医学会

中华流行病学杂志

CSTPCD北大核心
影响因子:1.985
ISSN:0254-6450
年,卷(期):2024.45(11)