性别对人群肱-踝脉搏波传导速度的影响
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国家科技支撑计划项目(200813AI52B03)


The Effect of Gender on Brachial-Ankle Pulse Wave Velocity
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    摘要:

    目的 探讨性别对人群肱-踝脉搏波传导速度(baPWV)的影响。方法 本研究采用横断面研究方法。在2006~2007年参加健康体检的101510名开滦集团职工中随机分层抽取5 852人作为研究对象,符合入选标准的5 440例纳入研究队列,每两年进行一次随访,参加2010~2011年体检且脉搏波资料完整的5 222例最终纳入统计分析。比较不同性别、不同年龄段baPWV分布情况,采用多元线性回归和多因素Logistic回归分析性别对baPWV的影响。结果 总体人群平均baPWV为1545.85±373.02 cm/s,其中男性为1570.19±300.53 cm/s,女性为1507.93±301.27 cm/s;多元线性回归分析显示<60岁人群,baPWV男性>baPWV女性(P<0.05);60~80岁人群,baPWV女性>baPWV男性(P<0.05);≥80岁人群中不同性别人群baPWV差异无统计学意义。多因素Logistic回归分析显示校正年龄、收缩压、空腹血糖、体质指数、低密度脂蛋白胆固醇、尿酸,以及吸烟、饮酒、高血压、糖尿病病史等混杂因素后,在<60岁人群中,女性为动脉硬化的保护因素,OR值为0.74,95%CI(0.59~0.93);在60岁以上人群中男、女患病危险并无统计学差异。结论 无论男性还是女性,baPWV均随年龄增长而增快,女性baPWV随年龄增快速度大于男性。60岁之前女性的baPWV慢于男性,60岁以后两性差别不明显。

    Abstract:

    Aim To explore the effect of gender on (brachial-ankle pulse wave velocity baPWV). Methods Cross-sectional study was used in our study.We studied the baPWV of 5 440 workers in the Kailuan study cohort from 2006 to 2007,and 5 222 cases who took part in the third examination in 2010 to 2011 with complete data included in the final statistical analysis.Multiple linear regression and multiple logistic regression analysis were used to test the impact of gender on baPWV. Results The age adjusted mean value of baPWV was significantly higher in males than that in females(1570.19±300.53 cm/s vs 1507.93±301.27 cm/s,P<0.05).After adjusting for age,systolic blood pressure,fasting blood glucose ,smoking,alcohol consumption and hypertension,diabetes mellitus,and other confounding factors,in the <60 age group baPWV was significantly higher in males than in females,and showed no difference between different genders in >60 year old group.In the <60 age group,after adjusted for age,low density lipoprotein cholesterol,fasting blood glucose,smoking,alcohol consumption and hypertension,female was an independent safety factor for baPWV accelerated [OR(95%)0.74(0.59~0.93)],compared with male. Conclusion The effect of age on baPWV are larger in females than in males.baPWV was lower in females than in males until age 60,and became similar in both genders over age 60.

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王希柱,张彩凤,陈朔华,邢爱君,魏晓明,刘 妍,孟令民,吴寿岭.性别对人群肱-踝脉搏波传导速度的影响[J].中国动脉硬化杂志,2014,22(10):1023~1029.

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  • 收稿日期:2014-01-10
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