Investigation of DASH and analysis of the relationships between DASH scores and cardiovascular risk factors in elderly hypertensive patients in Chongqing
返回论文页
|更新时间:2023-12-22
|
Investigation of DASH and analysis of the relationships between DASH scores and cardiovascular risk factors in elderly hypertensive patients in Chongqing
Journal of Chongqing Medical UniversityVol. 43, Issue 3, Pages: 388(2018)
作者机构:
重庆医科大学公共卫生与管理学院营养与食品卫生学教研室,重庆,400016
作者简介:
基金信息:
DOI:
CLC:
Published:2018,
扫 描 看 全 文
Zhou Jiyong, Li Jie, Zhang Yong. Investigation of DASH and analysis of the relationships between DASH scores and cardiovascular risk factors in elderly hypertensive patients in Chongqing. [J]. Journal of Chongqing Medical University 43(3):388(2018)
DOI:
Zhou Jiyong, Li Jie, Zhang Yong. Investigation of DASH and analysis of the relationships between DASH scores and cardiovascular risk factors in elderly hypertensive patients in Chongqing. [J]. Journal of Chongqing Medical University 43(3):388(2018)DOI:
Investigation of DASH and analysis of the relationships between DASH scores and cardiovascular risk factors in elderly hypertensive patients in Chongqing
目的:了解重庆市老年高血压患者终止高血压膳食(dietary approaches to stop hypertension,DASH)评分现况,探讨DASH评分与主要心血管疾病危险因素的关系。方法:2016年4至6月,随机抽取重庆市的2个城区,再从2区中各随机抽取1个卫生服务站作为调查点,采用DASH问卷对前来体检的高血压患者进行问卷调查,并收集体格检查和实验室检测数据。结果:共调查435例重庆老年高血压患者。患者DASH评分的中位数为5.0分,得分范围为2~8分(总分10分),在水果类、奶类、坚果类各条目中得到满分的比例分别仅为1.6%、1.6%、2.5%。单因素方差分析显示不同DASH得分五分位数分组的患者收缩压(systolic blood pressure,SBP)、舒张压(diastolic blood pressure,DBP)、总胆固醇(total cholesterol,TC)、甘油三酯(triglyceride,TG)、低密度脂蛋白胆固醇(low density lipoprotein-cholesterol,LDL-C)、体质指数(body mass index,BMI)、腰围(waist circumfer-ence,WC)(P<0.05)。Spearman相关分析显示DASH得分与SBP、DBP、TC、TG、LDL-C、BMI和WC水平均呈负相关(r分别为-0.175、-0.323、-0.532、-0.521、-0.483、-0.169、-0.360,P<0.001),与高密度脂蛋白胆固醇(high density lipoprotein-cholesterol,HDL-C)水平呈正相关(r=0.108,P<0.05)。多元线性回归分析结果显示患者DBP、TC、TG、LDL-C、HDL-C和WC水平与DASH评分关系密切(P<0.05)。结论:重庆老年高血压患者DASH评分较低,DASH评分与心血管疾病危险因素水平有显著的相关性,提高患者DASH评分能降低心血管疾病危险因素的水平。应加强高血压患者DASH干预,改善患者饮食模式,进而降低心血管相关疾病的发生与发展。
Abstract
Objective:To assess the dietary approaches to stop hypertension(DASH) scores,and to analyze the relationship between DASH scores and cardiovascular risk factors in elderly hypertensive patients in Chongqing. Methods:Two districts were randomly selected from nine urban districts in Chongqing City. In each district,one community health service station was randomly selected as study site. All the hypertensive who visited those two health service stations during the time from April to June in 2016 were inves-tigated by questionnaire. The data of physical examination and laboratory test were collected. Results:Totally 435 patients completed this survey with median DASH scores of 5.0 points(the scores ranges from 2 to 8 points and the total scores was 10 points). The max-imum scores’ proportion of the items in fruit,milk and nuts were 1.6%,1.6% and 2.5%,respectively,among the patients. ANOVA analysis showed that the level of systolic blood pressure(SBP),diastolic blood pressure(DBP),total cholesterol (TC),triglyceride(TG),and low density lipoprotein-cholester(LDL-C) were significantly different in patients with different subgroups of DASH scores(all P<0.05). Spearman correlation analysis showed that DASH scores was negatively correlated with SBP,DBP,TC,TG,LDL-C,BMI,WC(r=-0.175,-0.323,-0.532,-0.521,-0.483,-0.169,-0.360,respectively,all P<0.001),whereas DASH scores and high density lipoprotein-cholester(HDL-C) were positively cor-related(r=0.108,P<0.05). Multiple linear regression analysis showed that the level of DBP,TC,TG,LDL-C,HDL-C,WC were closely related to DASH scores(all P<0.05). Conclusion:Elderly hypertensive patients in Chongqing have poor DASH scores. The DASH scores are significantly correlated with the level of cardiovascular disease risk factors. Improving DASH scores can reduce the level of risk factors of cardiovascular disease. DASH interventions should be strengthened to change the dietary pattern of hypertensive pa-tients,and to reduce the cardiovascular risk.
关键词
高血压终止高血压膳食心血管疾病危险因素
Keywords
hypertensiondietary approaches to stop hypertension dietcardiovascular diseasesrisk factors
Study on risk factors of hypertension among male bus drivers in Chongqing
Repeated measures-based comparison of patient-reported outcomes for patients with hypertension having different medication regimens and blood pressure levels
Echocardiographic changes in patients with acromegaly with hypertension and abnormal glucose metabolism
Degree of influence of hypertension and type 2 diabetes on early heart rate variability after cardiac bypass surgery
Risk factors of contrast-induced nephropathy in patients with diabetes after percutaneous coronary intervention and its prognosis
Related Author
SHUAI Ping
et al
贾庆良
Tang Shunding
Zhang Wen
Deng Li
Song Ying
Wang Han
Related Institution
Office of Scientific Research,College of Public Health,Chongqing Medical University
重庆医科大学流行病教研室
重庆市疾病预防控制中心
重庆医科大学公共卫生学院妇幼与儿少教研室重庆医科大学流行病教研室重庆市疾病预防控制中心
School of Public Health,Kunming Medical University