Eur Heart J:韩国25万人跟踪10年研究,每天刷三次牙,预防心血管病理想

2019-01-03 xujing 中国循环杂志

近期,发表在《欧洲心脏杂志》上的一项韩国近 25 万人的队列研究证实,每天多刷一次牙的人,心血管疾病风险低了9%,而且那些每年洗牙超过1次的人,心血管疾病风险则可降低 14%。 这项研究数据来自韩国的国家健康保险系统-国家健康筛查队列,纳入了 247,696 名 40岁以上居民,均没有心血管病史,其中58% 是男性,19.9% 的人患有高血压,21.8% 的人吸烟。


近期,发表在《欧洲心脏杂志》上的一项韩国近 25 万人的队列研究证实,每天多刷一次牙的人,血管疾病风险低了9%,而且那些每年洗牙超过1次的人,血管疾病风险则可降低 14%。

这项研究数据来自韩国的国家健康保险系统-国家健康筛查队列,纳入了 247,696 名 40岁以上居民,均没有心血管病史,其中58% 是男性,19.9% 的人患有高血压,21.8% 的人吸烟。

他们当中,有40.5% 的人每天刷牙至少三次,44.8%的人早晚刷牙,14.7% 的人每天刷牙不到一次;另外还有 25.9% 的人保持每年去洗牙。

中位随访 9.5 年,共发生了 14893 例心血管事件,包括心血管死亡、心肌梗死卒中和心力衰竭。

研究发现,患有牙周病、更多的龋齿或更多的牙齿脱落的人心血管事件风险更高。

而每天刷牙次数越多以及每年至少洗牙一次则会降低心血管病风险。

每天多刷一次牙则使心血管事件风险降低9%,每年洗牙一次以上则使风险降低 14%。

原始出处:

Park SY, et al. Improved oral hygiene care attenuates the cardiovascular risk of oral health disease: a population-based study from Korea. Eur Heart J. 2018 Dec 18.doi: 10.1093/eurheartj/ehy836. [Epub ahead of print]

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    2019-01-12 jyzxjiangqin

    心血管疾病治疗。

    0

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    2019-01-05 zhaojie88
  5. [GetPortalCommentsPageByObjectIdResponse(id=1644722, encodeId=194e1644e222f, content=<a href='/topic/show?id=e3eb89e17fb' target=_blank style='color:#2F92EE;'>#血管病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=89717, encryptionId=e3eb89e17fb, topicName=血管病)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=64bb23195917, createdName=Luyuxie_17, createdTime=Sat Aug 17 07:21:00 CST 2019, time=2019-08-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=357923, encodeId=20a635e92397, content=心血管疾病治疗。, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Sat Jan 12 16:33:54 CST 2019, time=2019-01-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1334852, encodeId=ddff1334852c7, content=<a href='/topic/show?id=d16910002215' target=_blank style='color:#2F92EE;'>#韩国#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100022, encryptionId=d16910002215, topicName=韩国)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=99cf2500102, createdName=zjshifan_98647306, createdTime=Sat Jan 05 10:21:00 CST 2019, time=2019-01-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1357058, encodeId=59cc135e05883, content=<a href='/topic/show?id=b0702e84b9' target=_blank style='color:#2F92EE;'>#ART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2784, encryptionId=b0702e84b9, topicName=ART)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Sat Jan 05 10:21:00 CST 2019, time=2019-01-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1563038, encodeId=dd0b156303831, content=<a href='/topic/show?id=f69d864413' target=_blank style='color:#2F92EE;'>#HEART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8644, encryptionId=f69d864413, topicName=HEART)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=80d715270048, createdName=slcumt, createdTime=Sat Jan 05 10:21:00 CST 2019, time=2019-01-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=357175, encodeId=5a2935e17563, content=预防心血管病。, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Fri Jan 04 20:20:09 CST 2019, time=2019-01-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=357126, encodeId=bfc335e1262d, content=刷牙这么多好处, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6ef781002, createdName=topnew, createdTime=Fri Jan 04 08:19:03 CST 2019, time=2019-01-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=357106, encodeId=f0d735e106d8, content=学习了,认真刷牙, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=82311653708, createdName=医者仁心5538, createdTime=Thu Jan 03 20:35:17 CST 2019, time=2019-01-03, status=1, ipAttribution=)]
    2019-01-05 slcumt
  6. [GetPortalCommentsPageByObjectIdResponse(id=1644722, encodeId=194e1644e222f, content=<a href='/topic/show?id=e3eb89e17fb' target=_blank style='color:#2F92EE;'>#血管病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=89717, encryptionId=e3eb89e17fb, topicName=血管病)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=64bb23195917, createdName=Luyuxie_17, createdTime=Sat Aug 17 07:21:00 CST 2019, time=2019-08-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=357923, encodeId=20a635e92397, content=心血管疾病治疗。, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Sat Jan 12 16:33:54 CST 2019, time=2019-01-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1334852, encodeId=ddff1334852c7, content=<a href='/topic/show?id=d16910002215' target=_blank style='color:#2F92EE;'>#韩国#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100022, encryptionId=d16910002215, topicName=韩国)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=99cf2500102, createdName=zjshifan_98647306, createdTime=Sat Jan 05 10:21:00 CST 2019, time=2019-01-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1357058, encodeId=59cc135e05883, content=<a href='/topic/show?id=b0702e84b9' target=_blank style='color:#2F92EE;'>#ART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2784, encryptionId=b0702e84b9, topicName=ART)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Sat Jan 05 10:21:00 CST 2019, time=2019-01-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1563038, encodeId=dd0b156303831, content=<a href='/topic/show?id=f69d864413' target=_blank style='color:#2F92EE;'>#HEART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8644, encryptionId=f69d864413, topicName=HEART)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=80d715270048, createdName=slcumt, createdTime=Sat Jan 05 10:21:00 CST 2019, time=2019-01-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=357175, encodeId=5a2935e17563, content=预防心血管病。, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Fri Jan 04 20:20:09 CST 2019, time=2019-01-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=357126, encodeId=bfc335e1262d, content=刷牙这么多好处, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6ef781002, createdName=topnew, createdTime=Fri Jan 04 08:19:03 CST 2019, time=2019-01-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=357106, encodeId=f0d735e106d8, content=学习了,认真刷牙, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=82311653708, createdName=医者仁心5538, createdTime=Thu Jan 03 20:35:17 CST 2019, time=2019-01-03, status=1, ipAttribution=)]
    2019-01-04 jyzxjiangqin

    预防心血管病。

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=1644722, encodeId=194e1644e222f, content=<a href='/topic/show?id=e3eb89e17fb' target=_blank style='color:#2F92EE;'>#血管病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=89717, encryptionId=e3eb89e17fb, topicName=血管病)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=64bb23195917, createdName=Luyuxie_17, createdTime=Sat Aug 17 07:21:00 CST 2019, time=2019-08-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=357923, encodeId=20a635e92397, content=心血管疾病治疗。, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Sat Jan 12 16:33:54 CST 2019, time=2019-01-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1334852, encodeId=ddff1334852c7, content=<a href='/topic/show?id=d16910002215' target=_blank style='color:#2F92EE;'>#韩国#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100022, encryptionId=d16910002215, topicName=韩国)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=99cf2500102, createdName=zjshifan_98647306, createdTime=Sat Jan 05 10:21:00 CST 2019, time=2019-01-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1357058, encodeId=59cc135e05883, content=<a href='/topic/show?id=b0702e84b9' target=_blank style='color:#2F92EE;'>#ART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2784, encryptionId=b0702e84b9, topicName=ART)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Sat Jan 05 10:21:00 CST 2019, time=2019-01-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1563038, encodeId=dd0b156303831, content=<a href='/topic/show?id=f69d864413' target=_blank style='color:#2F92EE;'>#HEART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8644, encryptionId=f69d864413, topicName=HEART)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=80d715270048, createdName=slcumt, createdTime=Sat Jan 05 10:21:00 CST 2019, time=2019-01-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=357175, encodeId=5a2935e17563, content=预防心血管病。, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Fri Jan 04 20:20:09 CST 2019, time=2019-01-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=357126, encodeId=bfc335e1262d, content=刷牙这么多好处, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6ef781002, createdName=topnew, createdTime=Fri Jan 04 08:19:03 CST 2019, time=2019-01-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=357106, encodeId=f0d735e106d8, content=学习了,认真刷牙, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=82311653708, createdName=医者仁心5538, createdTime=Thu Jan 03 20:35:17 CST 2019, time=2019-01-03, status=1, ipAttribution=)]
    2019-01-04 topnew

    刷牙这么多好处

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=1644722, encodeId=194e1644e222f, content=<a href='/topic/show?id=e3eb89e17fb' target=_blank style='color:#2F92EE;'>#血管病#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=89717, encryptionId=e3eb89e17fb, topicName=血管病)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=64bb23195917, createdName=Luyuxie_17, createdTime=Sat Aug 17 07:21:00 CST 2019, time=2019-08-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=357923, encodeId=20a635e92397, content=心血管疾病治疗。, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Sat Jan 12 16:33:54 CST 2019, time=2019-01-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1334852, encodeId=ddff1334852c7, content=<a href='/topic/show?id=d16910002215' target=_blank style='color:#2F92EE;'>#韩国#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100022, encryptionId=d16910002215, topicName=韩国)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=99cf2500102, createdName=zjshifan_98647306, createdTime=Sat Jan 05 10:21:00 CST 2019, time=2019-01-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1357058, encodeId=59cc135e05883, content=<a href='/topic/show?id=b0702e84b9' target=_blank style='color:#2F92EE;'>#ART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=38, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2784, encryptionId=b0702e84b9, topicName=ART)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Sat Jan 05 10:21:00 CST 2019, time=2019-01-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1563038, encodeId=dd0b156303831, content=<a href='/topic/show?id=f69d864413' target=_blank style='color:#2F92EE;'>#HEART#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=8644, encryptionId=f69d864413, topicName=HEART)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=80d715270048, createdName=slcumt, createdTime=Sat Jan 05 10:21:00 CST 2019, time=2019-01-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=357175, encodeId=5a2935e17563, content=预防心血管病。, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160806/IMG57A5698BDB0244113.jpg, createdBy=32a91358059, createdName=jyzxjiangqin, createdTime=Fri Jan 04 20:20:09 CST 2019, time=2019-01-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=357126, encodeId=bfc335e1262d, content=刷牙这么多好处, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=6ef781002, createdName=topnew, createdTime=Fri Jan 04 08:19:03 CST 2019, time=2019-01-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=357106, encodeId=f0d735e106d8, content=学习了,认真刷牙, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=82311653708, createdName=医者仁心5538, createdTime=Thu Jan 03 20:35:17 CST 2019, time=2019-01-03, status=1, ipAttribution=)]
    2019-01-03 医者仁心5538

    学习了,认真刷牙

    0

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目前,关于研究青少年时期的心血管健康(CVH)与老年时期痴呆发生的相关性甚少。本研究将1967-1973年的CHA研究数据和1991-2010年的数据库相关联进行了分析,良好的心血管状态定义为未治疗状态下的收缩压/舒张压≤120/≤80mmHg,未治疗状态下的血清总胆固醇水平<5.18mmol/L,不抽烟,BMI<25kg/m2,且无糖尿病。在10119名基线水平的参与对象中,年龄范围

JAHA:自付成本对患者药物选择的影响

“财务问题”是患者关心的问题,但很少有人知道患者在决策时如何考虑自付成本。萨库比尔—缬沙坦是指南推荐用于治疗射血分数减少型心衰患者的药物,但成本较高。本研究对49名心衰伴射血分数减少的患者进行了采访,在使用图形显示描述益处后,征求了患者对该药物及其价值的意见。分析结果显示,如果内科医生推荐用萨库比尔—缬沙坦治疗的话,92%的患者愿意每月多花5美元转为萨库比尔—缬沙坦治疗。而仅43%的患者愿意每月多

JAHA:血浆脂质运载蛋白2水平与远期冠心病发生风险相关

中性粒细胞明胶酶相关脂质运载蛋白(NGAL)或脂质运载蛋白2可能促进动脉粥样硬化从而增加心血管疾病发生风险,本研究的目的旨在探究血浆NGAL水平、心血管疾病标志物和远期心血管疾病发病风险的相关性。本研究纳入了1131名无冠心病的白种老年女性(平均年龄75岁),对其血浆NGAL水平进行了检测,经过平均14.5年时间的随访,有256名女性发生了冠心病事件,118名女性发生了心衰事件,血浆NGAL水平每

JAHA:跑步训练对外周动脉疾病患者预后的影响

目前在外周动脉疾病的患者中,时长6个月的有监督的跑步运动是否对患者的6分钟行走试验有帮助尚不清楚。本研究共纳入了156名外周动脉疾病患者,并随机分成三组:有监督的跑步运动组,有监督的阻力训练组和对照组。主要终点事件是6个月后6分钟行走距离的变化,次要终点事件是12个月后6分钟行走距离的变化。最终共有134名(86%)患者完成了12个月的随访,在前6个月,与对照组相比,跑步运动组患者的6分钟行走距离