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中国中老年人群生活方式与心血管病发生风险关联:基于东风同济队列的综述

张海庆 邬堂春 张晓敏

张海庆, 邬堂春, 张晓敏. 中国中老年人群生活方式与心血管病发生风险关联:基于东风同济队列的综述[J]. 中华疾病控制杂志, 2021, 25(3): 271-275, 283. doi: 10.16462/j.cnki.zhjbkz.2021.03.005
引用本文: 张海庆, 邬堂春, 张晓敏. 中国中老年人群生活方式与心血管病发生风险关联:基于东风同济队列的综述[J]. 中华疾病控制杂志, 2021, 25(3): 271-275, 283. doi: 10.16462/j.cnki.zhjbkz.2021.03.005
ZHANG Hai-qing, WU Tang-chun, ZHANG Xiao-min. Association between lifestyle and incident risk of cardiovascular diseases in Chinese middle-aged and older adults: a review based on Dongfeng-Tongji Cohort[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(3): 271-275, 283. doi: 10.16462/j.cnki.zhjbkz.2021.03.005
Citation: ZHANG Hai-qing, WU Tang-chun, ZHANG Xiao-min. Association between lifestyle and incident risk of cardiovascular diseases in Chinese middle-aged and older adults: a review based on Dongfeng-Tongji Cohort[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(3): 271-275, 283. doi: 10.16462/j.cnki.zhjbkz.2021.03.005

中国中老年人群生活方式与心血管病发生风险关联:基于东风同济队列的综述

doi: 10.16462/j.cnki.zhjbkz.2021.03.005
基金项目: 

国家重点研发计划精准医学专项 2016YFC0900800

国家自然科学基金 81973128

详细信息
    通讯作者:

    张晓敏,E-mail: mingxz117@163.com

    邬堂春,E-mail: wut@mails.tjmu.edu.cn

  • 中图分类号: R181.2

Association between lifestyle and incident risk of cardiovascular diseases in Chinese middle-aged and older adults: a review based on Dongfeng-Tongji Cohort

Funds: 

National Key Research and Development Program of China 2016YFC0900800

National Natural Scientific Foundation of China 81973128

More Information
  • 摘要: 我国人口老龄化进程加快所带来的心血管疾病(cardiovascular disease, CVD)等慢性病问题日趋严峻,如何降低其发生已成为首要的公共卫生任务。关注中老年人群健康的东风同济队列于2008-2010年完成基线调查共纳入27 009名研究对象,至2018年12月随访已逾10年,目前已经系统地探讨了多种生活方式与CVD的关联,发现单个或多个健康的生活方式均可降低CVD的风险。例如单次适量饮酒者与从不饮酒相比,可降低24%的冠心病(coronary heart disease, CHD)风险;经常饮绿茶与不饮绿茶相比,CHD风险降低11%;运动量达到WHO推荐值的3~5倍可降低约18%的CVD风险。坚持≥4项健康生活方式与≤1项相比,CVD风险降低39%。在5年间,从2项提高至≥4项,CVD和CHD的风险分别下降26%和20%。反之,不良生活方式可增加CVD的风险。如夜间睡眠时长过长者CHD和脑卒中风险分别增加33%和23%;而午休超过90 min,CHD和脑卒中的风险均增加25%。从≥4项健康生活方式减少至≤1项,发生CVD和CHD的风险升高76%和68%,而脑卒中风险增加达1.54倍。这些发现提示坚持多项健康生活方式可在一定程度上降低中老年人群CVD的发生风险,为公共卫生政策的制订提供了理论依据。
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出版历程
  • 收稿日期:  2021-01-11
  • 修回日期:  2021-02-23
  • 刊出日期:  2021-03-10

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