JAHA:中国卒中及其亚型的危险因素分析

2020-10-26 MedSci原创 MedSci原创

该研究明确了与传统的卒中及其亚型危险因素相辅相成的社会经济因素,从而有针对性地减少了卒中负担。

管理危险因素对于预防卒中至关重要。但是,很少有队列研究评估中国卒中及其亚型的传统危险因素相适应的社会经济因素。

近日,血管疾病领域权威杂志JAHA上发表了一篇研究文章,该研究是对来自中国国家卒中筛查和干预计划2014年至2016年期间纳入的437318名年龄≥40岁成年人进行的前瞻性研究,这些参与者基线时未发生卒中。

在2.1年的中位随访期内,有2429例首次卒中病例,包括2206例缺血性卒中和237例出血性卒中。多变量Cox回归分析表明,年龄在50至59岁之间(相对于40-49岁),小学或没有接受正规教育(相对于初中),孩子数量超过1个(相对于1个孩子),居住在东北、中部、东部或华北地区(与西南地区相比),缺乏运动,高血压,糖尿病和肥胖与总的和缺血性卒中风险呈正相关,而60-69岁且与配偶或子女同住(相对于独居)则与总的和缺血性卒中风险呈负相关。男性,以蔬菜为主的饮食,体重不足,缺乏运动,高血压,生活在高收入地区,有城市居民基本医疗保险和新型农村合作医疗制度与出血性卒中的风险呈正相关,而60至69岁年与出血性卒中的风险呈负相关。

由此可见,该研究明确了与传统的卒中及其亚型危险因素相辅相成的社会经济因素,从而有针对性地减少了卒中负担。

原始出处:

Wenwei Qi.et al.Risk Factors for Incident Stroke and Its Subtypes in China: A Prospective Study.J AM HEART ASSOC.2020.https://www.ahajournals.org/doi/full/10.1161/JAHA.120.016352

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  1. [GetPortalCommentsPageByObjectIdResponse(id=895429, encodeId=dcb28954297a, content=该研究明确了与传统的卒中及其亚型危险因素相辅相成的社会经济因素,从而有针对性地减少了卒中负担。, beContent=null, objectType=article, channel=null, level=null, likeNumber=103, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ae205385871, createdName=Lexi, createdTime=Thu Oct 29 15:27:25 CST 2020, time=2020-10-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=895204, encodeId=35a8895204a5, content=学习了,有收益, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ab4c5429935, createdName=ms3000000545151012, createdTime=Wed Oct 28 22:32:49 CST 2020, time=2020-10-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1268348, encodeId=2743126834813, content=<a href='/topic/show?id=922f21183d' target=_blank style='color:#2F92EE;'>#AHA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2118, encryptionId=922f21183d, topicName=AHA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf3d82, createdName=zhaohui6731, createdTime=Wed Oct 28 12:19:42 CST 2020, time=2020-10-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=894949, encodeId=241d89494993, content=小学或没有接受正规教育(相对于初中),缺乏运动,高血压,糖尿病和肥胖与总的和缺血性卒中风险呈正相关., beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211019/df01a4bfb64246379ddfef3370d04115/e1274c8eb5e440918f56f83bcfea9031.jpg, createdBy=3a345397082, createdName=Jessica, createdTime=Tue Oct 27 22:24:14 CST 2020, time=2020-10-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=894742, encodeId=be49894e424e, content=该研究明确了与传统的卒中及其亚型危险因素相辅相成的社会经济因素,从而有针对性地减少了卒中负担。, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ae205385871, createdName=Lexi, createdTime=Tue Oct 27 10:43:43 CST 2020, time=2020-10-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1026705, encodeId=5d571026e0568, content=卒中虽然是临床上常见病,溶栓,取栓等血管内治疗也很成熟,但是仍然有很多未知问题有待认知!, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=健健, createdTime=Tue Oct 27 00:19:42 CST 2020, time=2020-10-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=894632, encodeId=4c4389463287, content=有用, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=49465429256, createdName=周泡泡, createdTime=Mon Oct 26 21:52:45 CST 2020, time=2020-10-26, status=1, ipAttribution=)]
    2020-10-29 Lexi

    该研究明确了与传统的卒中及其亚型危险因素相辅相成的社会经济因素,从而有针对性地减少了卒中负担。

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=895429, encodeId=dcb28954297a, content=该研究明确了与传统的卒中及其亚型危险因素相辅相成的社会经济因素,从而有针对性地减少了卒中负担。, beContent=null, objectType=article, channel=null, level=null, likeNumber=103, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ae205385871, createdName=Lexi, createdTime=Thu Oct 29 15:27:25 CST 2020, time=2020-10-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=895204, encodeId=35a8895204a5, content=学习了,有收益, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ab4c5429935, createdName=ms3000000545151012, createdTime=Wed Oct 28 22:32:49 CST 2020, time=2020-10-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1268348, encodeId=2743126834813, content=<a href='/topic/show?id=922f21183d' target=_blank style='color:#2F92EE;'>#AHA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2118, encryptionId=922f21183d, topicName=AHA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf3d82, createdName=zhaohui6731, createdTime=Wed Oct 28 12:19:42 CST 2020, time=2020-10-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=894949, encodeId=241d89494993, content=小学或没有接受正规教育(相对于初中),缺乏运动,高血压,糖尿病和肥胖与总的和缺血性卒中风险呈正相关., beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211019/df01a4bfb64246379ddfef3370d04115/e1274c8eb5e440918f56f83bcfea9031.jpg, createdBy=3a345397082, createdName=Jessica, createdTime=Tue Oct 27 22:24:14 CST 2020, time=2020-10-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=894742, encodeId=be49894e424e, content=该研究明确了与传统的卒中及其亚型危险因素相辅相成的社会经济因素,从而有针对性地减少了卒中负担。, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ae205385871, createdName=Lexi, createdTime=Tue Oct 27 10:43:43 CST 2020, time=2020-10-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1026705, encodeId=5d571026e0568, content=卒中虽然是临床上常见病,溶栓,取栓等血管内治疗也很成熟,但是仍然有很多未知问题有待认知!, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=健健, createdTime=Tue Oct 27 00:19:42 CST 2020, time=2020-10-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=894632, encodeId=4c4389463287, content=有用, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=49465429256, createdName=周泡泡, createdTime=Mon Oct 26 21:52:45 CST 2020, time=2020-10-26, status=1, ipAttribution=)]
    2020-10-28 ms3000000545151012

    学习了,有收益

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=895429, encodeId=dcb28954297a, content=该研究明确了与传统的卒中及其亚型危险因素相辅相成的社会经济因素,从而有针对性地减少了卒中负担。, beContent=null, objectType=article, channel=null, level=null, likeNumber=103, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ae205385871, createdName=Lexi, createdTime=Thu Oct 29 15:27:25 CST 2020, time=2020-10-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=895204, encodeId=35a8895204a5, content=学习了,有收益, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ab4c5429935, createdName=ms3000000545151012, createdTime=Wed Oct 28 22:32:49 CST 2020, time=2020-10-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1268348, encodeId=2743126834813, content=<a href='/topic/show?id=922f21183d' target=_blank style='color:#2F92EE;'>#AHA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2118, encryptionId=922f21183d, topicName=AHA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf3d82, createdName=zhaohui6731, createdTime=Wed Oct 28 12:19:42 CST 2020, time=2020-10-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=894949, encodeId=241d89494993, content=小学或没有接受正规教育(相对于初中),缺乏运动,高血压,糖尿病和肥胖与总的和缺血性卒中风险呈正相关., beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211019/df01a4bfb64246379ddfef3370d04115/e1274c8eb5e440918f56f83bcfea9031.jpg, createdBy=3a345397082, createdName=Jessica, createdTime=Tue Oct 27 22:24:14 CST 2020, time=2020-10-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=894742, encodeId=be49894e424e, content=该研究明确了与传统的卒中及其亚型危险因素相辅相成的社会经济因素,从而有针对性地减少了卒中负担。, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ae205385871, createdName=Lexi, createdTime=Tue Oct 27 10:43:43 CST 2020, time=2020-10-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1026705, encodeId=5d571026e0568, content=卒中虽然是临床上常见病,溶栓,取栓等血管内治疗也很成熟,但是仍然有很多未知问题有待认知!, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=健健, createdTime=Tue Oct 27 00:19:42 CST 2020, time=2020-10-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=894632, encodeId=4c4389463287, content=有用, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=49465429256, createdName=周泡泡, createdTime=Mon Oct 26 21:52:45 CST 2020, time=2020-10-26, status=1, ipAttribution=)]
    2020-10-28 zhaohui6731
  4. [GetPortalCommentsPageByObjectIdResponse(id=895429, encodeId=dcb28954297a, content=该研究明确了与传统的卒中及其亚型危险因素相辅相成的社会经济因素,从而有针对性地减少了卒中负担。, beContent=null, objectType=article, channel=null, level=null, likeNumber=103, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ae205385871, createdName=Lexi, createdTime=Thu Oct 29 15:27:25 CST 2020, time=2020-10-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=895204, encodeId=35a8895204a5, content=学习了,有收益, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ab4c5429935, createdName=ms3000000545151012, createdTime=Wed Oct 28 22:32:49 CST 2020, time=2020-10-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1268348, encodeId=2743126834813, content=<a href='/topic/show?id=922f21183d' target=_blank style='color:#2F92EE;'>#AHA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2118, encryptionId=922f21183d, topicName=AHA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf3d82, createdName=zhaohui6731, createdTime=Wed Oct 28 12:19:42 CST 2020, time=2020-10-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=894949, encodeId=241d89494993, content=小学或没有接受正规教育(相对于初中),缺乏运动,高血压,糖尿病和肥胖与总的和缺血性卒中风险呈正相关., beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211019/df01a4bfb64246379ddfef3370d04115/e1274c8eb5e440918f56f83bcfea9031.jpg, createdBy=3a345397082, createdName=Jessica, createdTime=Tue Oct 27 22:24:14 CST 2020, time=2020-10-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=894742, encodeId=be49894e424e, content=该研究明确了与传统的卒中及其亚型危险因素相辅相成的社会经济因素,从而有针对性地减少了卒中负担。, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ae205385871, createdName=Lexi, createdTime=Tue Oct 27 10:43:43 CST 2020, time=2020-10-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1026705, encodeId=5d571026e0568, content=卒中虽然是临床上常见病,溶栓,取栓等血管内治疗也很成熟,但是仍然有很多未知问题有待认知!, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=健健, createdTime=Tue Oct 27 00:19:42 CST 2020, time=2020-10-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=894632, encodeId=4c4389463287, content=有用, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=49465429256, createdName=周泡泡, createdTime=Mon Oct 26 21:52:45 CST 2020, time=2020-10-26, status=1, ipAttribution=)]
    2020-10-27 Jessica

    小学或没有接受正规教育(相对于初中),缺乏运动,高血压,糖尿病和肥胖与总的和缺血性卒中风险呈正相关.

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=895429, encodeId=dcb28954297a, content=该研究明确了与传统的卒中及其亚型危险因素相辅相成的社会经济因素,从而有针对性地减少了卒中负担。, beContent=null, objectType=article, channel=null, level=null, likeNumber=103, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ae205385871, createdName=Lexi, createdTime=Thu Oct 29 15:27:25 CST 2020, time=2020-10-29, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=895204, encodeId=35a8895204a5, content=学习了,有收益, beContent=null, objectType=article, channel=null, level=null, likeNumber=94, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ab4c5429935, createdName=ms3000000545151012, createdTime=Wed Oct 28 22:32:49 CST 2020, time=2020-10-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1268348, encodeId=2743126834813, content=<a href='/topic/show?id=922f21183d' target=_blank style='color:#2F92EE;'>#AHA#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2118, encryptionId=922f21183d, topicName=AHA)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=bf3d82, createdName=zhaohui6731, createdTime=Wed Oct 28 12:19:42 CST 2020, time=2020-10-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=894949, encodeId=241d89494993, content=小学或没有接受正规教育(相对于初中),缺乏运动,高血压,糖尿病和肥胖与总的和缺血性卒中风险呈正相关., beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20211019/df01a4bfb64246379ddfef3370d04115/e1274c8eb5e440918f56f83bcfea9031.jpg, createdBy=3a345397082, createdName=Jessica, createdTime=Tue Oct 27 22:24:14 CST 2020, time=2020-10-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=894742, encodeId=be49894e424e, content=该研究明确了与传统的卒中及其亚型危险因素相辅相成的社会经济因素,从而有针对性地减少了卒中负担。, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ae205385871, createdName=Lexi, createdTime=Tue Oct 27 10:43:43 CST 2020, time=2020-10-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1026705, encodeId=5d571026e0568, content=卒中虽然是临床上常见病,溶栓,取栓等血管内治疗也很成熟,但是仍然有很多未知问题有待认知!, beContent=null, objectType=article, channel=null, level=null, likeNumber=50, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=健健, createdTime=Tue Oct 27 00:19:42 CST 2020, time=2020-10-27, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=894632, encodeId=4c4389463287, content=有用, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=49465429256, createdName=周泡泡, createdTime=Mon Oct 26 21:52:45 CST 2020, time=2020-10-26, status=1, ipAttribution=)]
    2020-10-27 Lexi

    该研究明确了与传统的卒中及其亚型危险因素相辅相成的社会经济因素,从而有针对性地减少了卒中负担。

    0

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    2020-10-27 健健

    卒中虽然是临床上常见病,溶栓,取栓等血管内治疗也很成熟,但是仍然有很多未知问题有待认知!

    0

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    2020-10-26 周泡泡

    有用

    0

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