| 韩成义,罗新萍,张明,张璐,任永成,王炳源,张红艳,杨香玉,周俊梅,赵阳,刘雪娇,张冬冬,李琳琳,王重建,尹磊,庞超,冯天平,赵景志,胡东生.静息心率与代谢综合征关系的队列研究[J].Chinese journal of Epidemiology,2016,37(12):1653-1657 |
| 静息心率与代谢综合征关系的队列研究 |
| Association between resting heart rate and metabolic syndrome: a cohort study |
| Received:June 21, 2016 |
| DOI：10.3760/cma.j.issn.0254-6450.2016.12.019 |
| KeyWord: 静息心率 代谢综合征 队列研究 |
| English Key Word: Resting heart rate Metabolic syndrome Cohort study |
| FundProject:国家自然科学基金（81373074，81402752） |
| Author Name | Affiliation | E-mail | | Han Chengyi | Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou 450001, China | | | Luo Xinping | Department of Preventive Medicine, Shenzhen University Health Sciences Center, Shenzhen 518060, China | | | Zhang Ming | Department of Preventive Medicine, Shenzhen University Health Sciences Center, Shenzhen 518060, China | | | Zhang Lu | Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou 450001, China | | | Ren Yongcheng | Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou 450001, China | | | Wang Bingyuan | Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou 450001, China | | | Zhang Hongyan | Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou 450001, China | | | Yang Xiangyu | Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou 450001, China | | | Zhou Junmei | Department of Prevention and Health Care, Military Hospital of Henan Province, Zhengzhou 450003, China | | | Zhao Yang | Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou 450001, China | | | Liu Xuejiao | Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou 450001, China | | | Zhang Dongdong | Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou 450001, China | | | Li Linlin | Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou 450001, China | | | Wang Chongjian | Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou 450001, China | | | Yin Lei | Department of Prevention and Health Care, Military Hospital of Henan Province, Zhengzhou 450003, China | | | Pang Chao | Department of Prevention and Health Care, Military Hospital of Henan Province, Zhengzhou 450003, China | | | Feng Tianping | Department of Prevention and Health Care, Military Hospital of Henan Province, Zhengzhou 450003, China | | | Zhao Jingzhi | Department of Prevention and Health Care, Military Hospital of Henan Province, Zhengzhou 450003, China | | | Hu Dongsheng | Department of Epidemiology and Health Statistics, College of Public Health, Zhengzhou University, Zhengzhou 450001, China | dongsheng-hu@zzu.edu.cn |
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| Abstract: |
| 目的 探讨静息心率（RHR）与MS发病的关系。方法 采用整群抽样方法，选择河南省某农村地区≥18岁常住居民为研究对象。2007年7-8月和2008年7-8月进行问卷调查、体格检查、血糖及脂质谱检测。2013年7-8月和2014年7-10月进行与基线相同内容的随访。结果 在平均6年的随访期间，MS累积患病率为21.89%（1 933/8 829），其中男性为16.78%（664/3 957），女性为26.05%（1 269/4 872）；控制潜在的混杂因素后，以基线RHR<60次/min组为参照，RHR 60～69、70～79、80～89和≥90次/min组发生MS的OR值（95%CI）分别为1.24（0.95～1.60）、1.42（1.10～1.84）、1.63（1.24～2.15）和1.62（1.16～2.27），其中男性分别为1.12（0.81～1.55）、1.23（0.88～1.71）、1.42（0.97～2.07）和1.84（1.09～3.11），女性分别为1.46（0.93～2.29）、1.70（1.09～2.65）、1.99（1.25～3.16）和1.78（1.06～2.98）。结论 女性MS发病风险高于男性且升高的RHR增加MS发病风险。应制定针对RHR升高的成年人群尤其是女性的MS综合干预策略和措施。 |
| English Abstract: |
| Objective To investigate the association between resting heart rate (RHR) and subsequent metabolic syndrome (MS). Methods Under a cluster design, participants age ≥18 years old were selected from a rural area of Henan province in China. Interview through questionnaire, physical examination, fasting blood glucose, and lipid profile measurements were done from July to August of 2007 and July to August of 2008. Same methods were implemented in the follow-up examination, during July to August of 2013 and July to October of 2014. Results During the 6-year follow-up period, cumulative incidence rates of MS for overall, male, and female participants appeared as 21.89%(1 933/8 829), 16.78%(664/3 957) and 26.05%(1 269/4 872), respectively. After controlling for potential confounders and compared with the groups of RHR<60 bpm, 60-69, 70-79, 80-89 and ≥90 bpm, the ORs (95%CIs) of MS for overall, male, and female participants became 1.24(0.95-1.60), 1.42(1.10-1.84), 1.63(1.24-2.15) and 1.62(1.16-2.27); 1.12(0.81-1.55), 1.23(0.88-1.71), 1.42(0.97-2.07) and 1.84(1.09-3.11); 1.46(0.93-2.29), 1.70(1.09-2.65), 1.99(1.25-3.16) and 1.78(1.06-2.98); respectively. Conclusions The risk on MS appeared higher in females than in males while the risk for MS increased with the elevation of RHR. Intensive intervention programs that targeted adult participants with elevated RHR, especially in females, should be formulated and implemented. |
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