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Observational Study on the Success Rate of Osseointegration: A Prospective Analysis of 15,483 Implants in a Public Health Setting 骨整合成功率的观察性研究:公共卫生机构对15483个种植体的前瞻性分析
Pub Date : 2022-11-28 DOI: 10.3390/biomed2040033
Butruz Sarkis Simão, Denis Damião Costa, M. C. Cangussú, B. Sotto-Maior, R. Devita, J. D. de Carvalho, Igor da Silva Brum
The osseointegration process between the host’s bone tissue and the titanium implant is the key to success of implantology. The literature highlights the high success rate of osseointegrated implants, which is above 90%, and warns that some failures may occur, and every professional may face some inevitable failure. A longitudinal study was designed to evaluate the success rate of osseointegrated implants by taking into account the early failure of osseointegration. The study’s population included a convenience sample of all patients attending in four municipalities in the state of Paraíba, Brazil, belonging to the Brazilian Unified Health System (SUS) and those who underwent implant placements between November 2015 and November 2018 and were followed-up until March 2020. Data were extracted from the National Registry of Health Establishments (CNES), a database that contains data on all Brazilian health institutions. Of the total placed implants, 1.88% failed before prosthetic rehabilitation, corresponding to a success rate of 98.12%. The success and failure rates by anatomical region were also evaluated, which revealed, respectively, the values for the anterior maxilla (95.52% and 4.48%), posterior maxilla (97.53% and 2.47%), anterior mandible (97.13% and 2.87%), and posterior mandible (98.90% and 1.10%). We conclude that the posterior mandible performed better than the other bone types and anatomical regions. The anterior region of the maxilla was the one that presented the worst performance. Moreover, when compared, the posterior maxilla performed similarly to the anterior mandible and better than the anterior maxilla.
宿主骨组织与钛种植体之间的骨融合过程是种植成功的关键。文献强调骨结合种植体的成功率很高,在90%以上,并警告可能会出现一些失败,每个专业人员都可能面临一些不可避免的失败。一项纵向研究旨在通过考虑早期骨结合失败来评估骨结合种植体的成功率。该研究的人群包括巴西Paraíba州四个城市的所有患者的便利样本,这些患者属于巴西统一卫生系统(SUS),以及2015年11月至2018年11月期间接受植入物放置的患者,并随访至2020年3月。数据摘自国家卫生机构登记处(CNES),这是一个包含巴西所有卫生机构数据的数据库。在放置的种植体中,1.88%的种植体在假肢康复前失败,成功率为98.12%。对不同解剖区域的成功率和失败率进行了比较,分别为上颌前(95.52%和4.48%)、上颌后(97.53%和2.47%)、下颌骨前(97.13%和2.87%)和下颌骨后(98.90%和1.10%)。我们的结论是,后下颌骨比其他骨类型和解剖区域表现更好。上颌前区是表现最差的区域。此外,当比较时,后上颌与前下颌骨相似,优于前上颌。
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引用次数: 2
Understanding Post-Stroke Movement by Means of Motion Capture and Musculoskeletal Modeling: A Scoping Review of Methods and Practices 通过动作捕捉和肌肉骨骼建模来理解中风后的运动:方法和实践的范围审查
Pub Date : 2022-11-16 DOI: 10.3390/biomed2040032
G. Giarmatzis, S. Fotiadou, E. Giannakou, Christos Kokkotis, Theodora D Fanaradelli, S. Kordosi, K. Vadikolias, N. Aggelousis
Research of post-stroke locomotion via musculoskeletal (MSK) modeling has offered an unprecedented insight into pathological muscle function and its interplay with skeletal geometry and external stimuli. Advances in solving the dynamical system of post-stroke effort and the generic MSK models used have triggered noticeable improvements in simulating muscle activation dynamics of stroke populations. However, a review of these advancements to inform the scientific community has yet to be made.: PubMed and Scopus databases were used to perform a thorough literature search to identify relevant articles since 2010. Here, we review MSK methods and practices—developed in the last ten years—that have been utilized to explore post-stroke locomotion and examine how their outcomes can inform clinical practice.: Out of the 44 articles that were initially found, 19 were reviewed. The articles were categorized with respect to the type of assessment the MSK methods were used for.: This review notes the considerable competence of existing methods to address post-stroke motion deficits. However, the drawbacks in the implementation of such methods by non-experts due to the high skill demand and the lack of mature software technology for further dissemination of practices and outcomes remain non-trivial.
通过肌肉骨骼(MSK)模型对脑卒中后运动的研究为病理肌肉功能及其与骨骼几何形状和外部刺激的相互作用提供了前所未有的见解。在解决中风后努力的动力系统和使用的通用MSK模型的进展引发了在模拟中风人群的肌肉激活动力学显著的改进。然而,尚未对这些进展进行审查,以告知科学界。使用PubMed和Scopus数据库进行全面的文献检索,以确定2010年以来的相关文章。在这里,我们回顾了MSK方法和实践——在过去十年中发展起来的,用于探索中风后运动,并检查其结果如何为临床实践提供信息。在最初发现的44篇文章中,有19篇被审查。文章根据使用MSK方法的评估类型进行了分类。本综述指出,现有方法在解决卒中后运动缺陷方面具有相当大的能力。然而,由于高技能要求和缺乏成熟的软件技术来进一步传播实践和结果,非专家实施这些方法的缺点仍然是不容忽视的。
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引用次数: 0
Significance of Features from Biomedical Signals in Heart Health Monitoring 生物医学信号特征在心脏健康监测中的意义
Pub Date : 2022-11-10 DOI: 10.3390/biomed2040031
M. Mamun
Cardiovascular diseases require extensive diagnostic tests and frequent physician visits. With the advance in signal processing and sensor technology, now it is possible to acquire vital signs from the human body and process the signal to extract features necessary to primarily diagnose symptoms of cardiovascular disease early. This can help prevent deadly health incidents such as heart attack and or stroke, as well as reduce the number of visits to a health care facility. The proper detection of an elevated ST segment of ECG wave at an early stage may save the patient from having a heart attack or ST elevated myocardial infarction later. The use of a variety of complementary biomedical sensors can lead to a better diagnosis than what is possible when a single sensor is used. This paper proposes a MATLAB GUI which can detect elevated ST segments of ECG waves and use information from a variety of biomedical sensors to bring forth a technique to assess heart health to predict potential heart failure conditions. The proposed technique used fusion among multiple biomedical sensors to reduce the false alarm in diagnosis. Data from the online dataset were used to show the effectiveness and promise of the proposed detection of elevated ST segments and diagnosis techniques using the GUI.
心血管疾病需要广泛的诊断测试和频繁的医生检查。随着信号处理和传感器技术的进步,现在可以从人体中获取生命体征,并对信号进行处理,提取必要的特征,早期初步诊断心血管疾病的症状。这有助于预防致命的健康事件,如心脏病发作和/或中风,并减少前往卫生保健机构的次数。早期正确检测心电图ST段升高,可避免患者日后心脏病发作或ST段升高的心肌梗死。使用多种互补的生物医学传感器可以比使用单一传感器更好地进行诊断。本文提出了一个MATLAB图形用户界面,它可以检测心电图ST段升高,并利用各种生物医学传感器的信息,提出了一种评估心脏健康的技术,以预测潜在的心力衰竭情况。该方法利用生物医学传感器之间的融合来减少诊断中的误报。来自在线数据集的数据被用来显示使用GUI的ST段升高检测和诊断技术的有效性和前景。
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引用次数: 2
Mask-Wearing during the COVID-19 Pandemic: A Theoretical Analysis from the Perspective of Public Health Ethics 新冠肺炎大流行期间的口罩佩戴:公共卫生伦理学视角的理论分析
Pub Date : 2022-11-03 DOI: 10.3390/biomed2040030
A. Akabayashi, A. Akabayashi, E. Nakazawa
Do we have the right to wear masks during an infectious disease pandemic? If so, what is the underlying philosophical justification for this? During the COVID-19 pandemic, most people wore masks. Should the government be able to intervene to enforce mask wearing? It should be noted that the government’s encouragement to wear masks does not mean that people are encouraged to ignore them. In the field of public health ethics, many current debates boil down to establishing a balance between “individual freedom” and “the public good”. However, a clear definition of “the public good” has yet to emerge, which can make this debate difficult. Based on our philosophical analysis, we propose the following as a new right in the field of public health ethics: the “right to mask for self-protection”. Based on our proposed “right to mask for self-protection”, we offer a justification for the argument that all people have the right to wear a mask during an infectious disease pandemic or endemic.
在传染病大流行期间,我们是否有权戴口罩?如果是这样,这背后的哲学理由是什么?在2019冠状病毒病大流行期间,大多数人都戴着口罩。政府是否应该进行干预,强制佩戴口罩?需要指出的是,政府鼓励人们戴口罩并不意味着鼓励人们不戴口罩。在公共卫生伦理领域,目前的许多辩论归结为在"个人自由"和"公共利益"之间建立平衡。然而,“公共利益”的明确定义尚未出现,这可能使这场辩论变得困难。在哲学分析的基础上,我们提出了公共卫生伦理学领域的一项新权利:“口罩自保权”。根据我们提出的"为自我保护戴口罩的权利",我们为下述论点提供了理由,即在传染病大流行或流行期间,所有人都有权戴口罩。
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引用次数: 2
Changes in Physical Activity and Glycemic Control before and after the Declaration of the State of Emergency Due to the COVID-19 Pandemic in Japanese Adult Females with Type 1 Diabetes: A 1-Year Follow-Up Study 日本成年女性1型糖尿病患者在COVID-19大流行宣布紧急状态前后的身体活动和血糖控制变化:一项为期一年的随访研究
Pub Date : 2022-10-31 DOI: 10.3390/biomed2040029
Hiroto Honda, Naoko Hashimoto, M. Zenibayashi, Akihiko Takeda, T. Takeuchi, Akane Yamamoto, Y. Hirota
This preliminary study aimed to investigate physical activity (PA) and glycemic control changes in Japanese adult females with type 1 diabetes (T1D) before the COVID-19 pandemic and one year later. Twelve females with T1D who used continuous glucose monitoring devices and initially volunteered for the study between February and March 2020 were included. PA data, obtained using a triaxial accelerometer, and glycemic control, including glycated hemoglobin (HbA1c), glycoalbumin (GA), mean 24-h sensor glucose (SG), time above range (TAR > 180 mg/dL), time in range (TIR 70–180 mg/dL), and time below range (TBR < 70 mg/dL), were analyzed. One year later, long (≥10 min) bouts of moderate-to-vigorous-intensity PA and daily steps decreased by 35.1% and 6.0%, respectively, and TAR increased from 23.5% to 29.0%. Additionally, an increase in prolonged (≥30 min) sedentary behavior correlated with a decrease in TBR and an increase in mean 24-h SG, GA, and the GA/HbA1c ratio. Furthermore, a decrease in daily energy consumption correlated with a decrease in TIR. These results indicate that some forms of PA in Japanese T1D adults have not returned to their pre-pandemic status, even in the same season one year later, which could worsen glycemic control.
本初步研究旨在调查日本成年女性1型糖尿病(T1D)患者在COVID-19大流行前和一年后的身体活动(PA)和血糖控制变化。12名患有T1D的女性患者在2020年2月至3月期间使用了连续血糖监测设备,并最初自愿参加了这项研究。使用三轴加速度计获得的PA数据和血糖控制,包括糖化血红蛋白(HbA1c)、糖蛋白(GA)、平均24小时传感器血糖(SG)、高于范围时间(TAR > 180 mg/dL)、在范围时间(TIR 70 - 180 mg/dL)和低于范围时间(TBR < 70 mg/dL)进行分析。一年后,长时间(≥10分钟)的中高强度PA和每日步数分别减少了35.1%和6.0%,TAR从23.5%增加到29.0%。此外,长时间(≥30分钟)久坐行为的增加与TBR的降低和平均24小时SG、GA和GA/HbA1c比值的增加相关。此外,每日能源消耗的减少与TIR的降低相关。这些结果表明,即使在一年后的同一季节,日本T1D成人中某些形式的PA也没有恢复到大流行前的状态,这可能会使血糖控制恶化。
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引用次数: 0
Conservative Treatments for Patellar Tendinopathy: A Review of Recent High-Quality Evidence 髌骨肌腱病的保守治疗:近期高质量证据综述
Pub Date : 2022-09-29 DOI: 10.3390/biomed2040028
Jerneja Čobec, Ž. Kozinc
Patellar tendinopathy is a common injury characterized by progressive activity-related anterior knee pain. It is highly prevalent in sports which involve jumping and changing direction. The aim of this paper is to review recent high-quality evidence regarding the effectiveness of physical therapy in the treatment of patellar tendinopathy. Randomized controlled trials (n = 22) researching the effects of exercise therapy, physical agents, and soft tissue techniques were included. The results show that exercise therapy is the most effective. While eccentric exercise is commonly used, very promising progressive tendon-loading exercise therapy programs are recently emerging. Extracorporeal shock wave therapy, dry needling, and orthoses are no more effective than eccentric exercises or placebo groups. Isometric and isotonic exercise, patellar strap, sports tape, and kinesiotaping have a short-term effect on functional improvement and pain reduction, while progressive tendon-loading exercise, dry needling, platelet-rich plasma, and extracorporeal shock wave therapy have long-term effects.
髌骨肌腱病是一种常见的损伤,其特征是进行性活动相关的膝关节前侧疼痛。它在涉及跳跃和改变方向的运动中非常普遍。本文的目的是回顾最近高质量的证据关于物理治疗在治疗髌骨肌腱病的有效性。随机对照试验(n = 22)研究运动疗法、物理制剂和软组织技术的效果。结果表明,运动疗法是最有效的。虽然通常使用偏心运动,但最近出现了非常有前途的渐进式肌腱负荷运动治疗方案。体外冲击波疗法、干针和矫形器并不比偏心运动或安慰剂组更有效。等长和等张运动、髌骨带、运动带和运动带对功能改善和疼痛减轻有短期效果,而渐进式肌腱负荷运动、干针刺、富血小板血浆和体外冲击波治疗有长期效果。
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引用次数: 0
Risk Factors Associated with the Mortality of COVID-19 Patients Aged ≥60 Years Neither Intubated nor Treated with Mechanical Ventilation: A Multicentre Retrospective Cohort Study during the First Wave in Spain 与年龄≥60岁未插管或未接受机械通气治疗的COVID-19患者死亡率相关的危险因素:西班牙第一波多中心回顾性队列研究
Pub Date : 2022-08-11 DOI: 10.3390/biomed2030027
D. Culqui, Josep Ortega Segura, Elisabeth Da Costa-Venancio, A. Renom-Guiteras, Esther Roquer, Sherly Melissa Muñoz Tejada, P. Rodríguez, Adilis L. Alba Travieso, Isis Medrano, Lizzeth Canchucaja-Gutarra, Marta Herrero-Torrus, Paula Jurado-Marín, M. Marín-Casino, Rosa Ana Sabaté-García, Cristina Roqueta-Guillen, María del Carmen Martínez, G. de Febrer, J. López-Bueno, M. Navas-Martín, César Garriga Fuentes, J. Caylà
Background: To determine risk factors of death in diagnosed patients with COVID-19 who were aged ≥60 years and could not benefit from intubation and mechanical ventilation. Methods: Retrospective multicentre study including all patients with COVID-19 admitted to four medium-stay centres in Catalonia (March-June 2020). At the multivariate level, we calculated hazard ratios (HR) with 95% confidence intervals (CI) to determine risk factors associated with mortality. Results: 683 patients were included, of whom 227 died (case fatality rate of 33%, reaching 42% in patients of more than 90 years). Mean survival was 21.92 (20.98–22.86) days. Factors associated with death were fever (HR:1.5 (1.06–2.13)), malaise (HR:1.4 (1.04–1.99)), dyspnoea (HR:1.98 (1.41–2.79)) and atrial fibrillation (HR:1.45 (1.03–2.05)), while coughing (HR: 0.66 (0.46–0.94)), diarrhoea (HR:0.46 (0.23–0.92)), dyslipidaemia (HR:0.47 (0.28–0.82)), and receiving antithrombotic treatment (HR:0.56 (0.40–0.78)) had a protective effect. The analysis by age group showed that other factors were uniquely associated with each age group, such as chronic obstructive pulmonary disease at 60–74 years and polypharmacy at 75–90 years, among other factors. Conclusions: Case fatality in COVID-19 patients who could not benefit from intubation and mechanical ventilation was exceptional. Clinical manifestations such as fever, malaise, dyspnoea and atrial fibrillation helped to identify patients at higher risk of mortality, while antithrombotic treatment had a protective effect. Although some symptoms are very general regarding COVID-19, in the context of the first wave without vaccination, when not much was known about the disease, such symptoms could be useful.
背景:确定年龄≥60岁且不能从插管和机械通气中获益的COVID-19确诊患者死亡的危险因素。方法:回顾性多中心研究,包括2020年3月至6月在加泰罗尼亚四个中等住院中心住院的所有COVID-19患者。在多变量水平上,我们以95%置信区间(CI)计算风险比(HR),以确定与死亡率相关的危险因素。结果:纳入683例患者,其中死亡227例(病死率33%,90岁以上患者占42%)。平均生存期21.92(20.98 ~ 22.86)天。与死亡相关的因素有发热(风险比:1.5(1.06-2.13))、不适(风险比:1.4(1.04-1.99))、呼吸困难(风险比:1.98(1.41-2.79))和房颤(风险比:1.45(1.03-2.05)),而咳嗽(风险比:0.66(0.46 - 0.94))、腹泻(风险比:0.46(0.23-0.92))、血脂异常(风险比:0.47(0.28-0.82))和接受抗血栓治疗(风险比:0.56(0.40-0.78))具有保护作用。按年龄组进行的分析显示,其他因素与每个年龄组都有独特的相关性,例如60-74岁的慢性阻塞性肺病和75-90岁的多种药物等因素。结论:不能从插管和机械通气中获益的COVID-19患者的病死率例外。发热、不适、呼吸困难和心房颤动等临床表现有助于识别死亡风险较高的患者,而抗血栓治疗具有保护作用。虽然一些症状与COVID-19非常普遍,但在没有接种疫苗的第一波背景下,当人们对这种疾病知之甚少时,这些症状可能是有用的。
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引用次数: 2
The Effect of the FIFA 11+ on Injury Prevention and Performance in Football: A Systematic Review with Meta-Analysis 国际足联11+对足球运动损伤预防和表现的影响:一项meta分析的系统综述
Pub Date : 2022-08-10 DOI: 10.3390/biomed2030026
Theodosis Vlachas, E. Paraskevopoulos
Football is characterized as a contact sport that increases the risk of injury. For the reduction of injuries, health care providers created a warm-up program that is called the FIFA11+. This is a 20 min warm-up program that has the goal of preventing injuries. This literature review investigated the effects of FIFA11+ on injury prevention and performance in football players. A systematic search was performed in three scientific databases (Pubmed, Scopus, and Physiotherapy Evidence Database (PEDro)) and one search engine (Google Scholar) from inception to June 2022. Relevant studies published in the English language were extracted, evaluated, and independently rated for methodological quality (PEDro scale). Overall, 10 randomized controlled trials were analyzed and their outcomes are discussed. Through the analysis of the studies, it was observed that the groups which performed the FIFA 11+ warm-up program had fewer incidents of injuries. In addition, the athletes of these groups increased their performance, especially in balance, proprioception, and strength of hamstrings. After the analysis, the results and limitations of the randomized controlled trials are discussed. Finally, this review suggests the inclusion of the FIFA 11+ in training sessions, and future recommendations are provided for the next trials for the maximization of their reliability.
足球是一项身体接触的运动,会增加受伤的风险。为了减少伤害,卫生保健提供者创建了一个名为FIFA11+的热身计划。这是一个20分钟的热身计划,目的是防止受伤。本文献综述调查了FIFA11+对足球运动员损伤预防和表现的影响。系统检索3个科学数据库(Pubmed、Scopus和Physiotherapy Evidence Database (PEDro))和1个搜索引擎(Google Scholar),检索时间为成立至2022年6月。以英语发表的相关研究被提取、评估并独立评定方法学质量(PEDro量表)。总的来说,我们分析了10个随机对照试验,并讨论了它们的结果。通过对研究的分析,观察到进行FIFA 11+热身计划的小组受伤事件较少。此外,这些组的运动员提高了他们的表现,特别是在平衡、本体感觉和腿筋力量方面。分析后,讨论了随机对照试验的结果和局限性。最后,本综述建议将FIFA 11+纳入训练课程,并为下一次试验提供建议,以最大限度地提高其可靠性。
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引用次数: 2
Chemopreventive Effects of Selenium and Selenocompounds in the Treatment of Lymphoma 硒及硒化合物在淋巴瘤治疗中的化学预防作用
Pub Date : 2022-08-08 DOI: 10.3390/biomed2030025
Upendarrao Golla, Siva Dallavalasa
Lymphomas have been increasing at an alarming rate globally and causing deaths worldwide due to the lack of effective therapies. Among different pharmacological agents, selenium (Se) and selenium-related compounds are widely tested and have gained interest as anticancer agents due to their selectivity to cancer and high efficacy for lymphoma treatment over recent decades. Se is a trace non-metallic element identified as an essential micronutrient that mediates a range of biological functions after incorporation into selenoproteins (SePs), and thus affects the overall quality of human health. Specifically, low levels of Se in serum have been linked with aberrant immune functions, cancer, inflammatory diseases, and predictive of worse outcomes in patients with hematological malignancies including lymphoma. Over the past few years, a number of promising selenium compounds (SeCs) have been developed to mimic and alter the functions of SePs to achieve pharmacological interventions such as anticancer, antioxidant, and anti-inflammatory activities with minimal adverse effects by suitable chemical substitution. Here, we have reviewed various lymphoma types and their molecular characterization, along with emphasis on the potential role of Se and SeCs as anti-cancer agents for lymphoma treatment. In addition, we have discussed various pros and cons associated with the usage of Se/SeCs for selectively targeting cancers including lymphomas.
由于缺乏有效的治疗方法,淋巴瘤在全球范围内以惊人的速度增长,并在世界范围内造成死亡。在不同的药物中,硒(Se)和硒相关化合物由于其对癌症的选择性和对淋巴瘤的高疗效,近几十年来被广泛测试并作为抗癌药物引起了人们的兴趣。硒是一种微量非金属元素,被认为是一种必需的微量营养素,在与硒蛋白(SePs)结合后介导一系列生物功能,从而影响人体的整体健康质量。具体来说,血清低硒水平与异常免疫功能、癌症、炎症性疾病以及血液系统恶性肿瘤(包括淋巴瘤)患者预后较差有关。在过去的几年里,许多有前途的硒化合物(SeCs)已经被开发出来,通过适当的化学替代来模拟和改变sep的功能,以达到抗癌、抗氧化和抗炎等药理干预作用,同时最小化不良反应。在这里,我们回顾了各种淋巴瘤类型及其分子特征,并重点介绍了硒和sec作为淋巴瘤治疗的抗癌药物的潜在作用。此外,我们还讨论了与使用Se/ sec选择性靶向癌症(包括淋巴瘤)相关的各种利弊。
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引用次数: 2
Association between Height and Hypertension: A Retrospective Study 身高与高血压的关系:一项回顾性研究
Pub Date : 2022-07-25 DOI: 10.3390/biomed2030024
Y. Shimizu, Hidenobu Hayakawa, Nagisa Sasaki, Midori Takada, T. Okada, M. Kiyama
Height loss starting in middle age is reported to be an independent risk factor for cardiovascular mortality. Recent studies have revealed an inverse association between height and hypertension, but the influence of hypertension on height loss is unknown. Since hypertension is an established cardiovascular risk factor, clarifying the association between baseline hypertension and height loss could lead to an efficient tool to estimate the risk of mortality. A retrospective study of 11,154 Japanese aged 40–74 years was conducted. Height loss was defined as being in the highest quintile of annual height decrease (≥2.015 mm/year for men and ≥1.756 mm/year). Baseline height was significantly inversely associated with incident hypertension for men only. The adjusted odds ratio (OR) and 95% confidence interval (CI) for incident hypertension for each 1 standard deviation increment of height (5.9 cm for men and 5.6 cm for women) was 0.90 (0.84, 0.97) for men and 1.07 (0.91, 1.26) for women, respectively. We also found that baseline hypertension is independently positively associated with height loss for men only. The adjusted OR was 1.25 (1.11, 1.42) for men and 0.93 (0.71, 1.21) for women. These results might lead to an efficient tool for estimating the risk of height loss, which has been reported to be associated with a higher risk of mortality in adults.
据报道,中年开始的身高下降是心血管疾病死亡的独立危险因素。最近的研究表明身高与高血压呈负相关,但高血压对身高下降的影响尚不清楚。由于高血压是一种确定的心血管危险因素,阐明基线高血压和身高下降之间的关系可能会成为估计死亡风险的有效工具。对11154名年龄在40-74岁之间的日本人进行了回顾性研究。身高损失被定义为年身高下降幅度最大的五分位数(男性≥2.015 mm/年,男性≥1.756 mm/年)。基线身高与男性高血压发病率呈显著负相关。身高每增加1个标准差(男性5.9 cm,女性5.6 cm),高血压发生率的调整优势比(OR)和95%置信区间(CI)分别为男性0.90(0.84,0.97)和女性1.07(0.91,1.26)。我们还发现,基线高血压与男性身高下降独立正相关。调整后的OR为男性1.25(1.11,1.42),女性0.93(0.71,1.21)。这些结果可能会导致一种有效的工具来估计身高下降的风险,据报道,身高下降与成人较高的死亡率风险有关。
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引用次数: 5
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SPG biomed
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