早期发现心脏代谢性肾病的全球社区健康检查和教育干预。

IF 2.6 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Annals of Global Health Pub Date : 2024-08-21 eCollection Date: 2024-01-01 DOI:10.5334/aogh.4497
Natalie L Nabaty, Tushar Menon, Garrett Trang, Aditya Vijay, Lama Chogyal, Renzo Cataldo, Navin Govind, Pankaj Jain, Priti Singh, Navaz Dolasa, Mandeep Sahani, Prakash Deedwania, Krishnaswami Vijayaraghavan
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引用次数: 0

摘要

全球心血管代谢性肾病的负担日益加重,尤其是在服务不足的社区。双流行病学公司的 Galvanize 健康生活计划在全球范围内开展社区筛查、风险评估和教育干预活动。我们对 1209 名受试者进行了心血管-肾脏-代谢综合征筛查,评估了他们的疾病知识和自信心。平均年龄为 50 岁,其中女性占 65%,男性占 35%。风险评估后的影像学检查显示存在异常:心电图(16%)、超声心动图(10%)、颈动脉斑块(9%)、ABI(2.5%)和眼科检查(3.6%,包括 8 例视网膜病变和 14 例白内障)。发现新发糖尿病的占 8%,糖尿病前期的占 18.5%,高低密度脂蛋白的占 4.2%,低高密度脂蛋白的占 40.2%,高甘油三酯的占 13.1%,血压异常的占 38%。此外,18.2%的人在成像后被重新归类为更高风险等级。经过教育干预后,患者的知识水平和自我赋权能力都有了显著提高(P 均小于 0.001)。这项研究强调了早期风险评估在全球范围内改善服务不足人群健康状况的潜力,验证了 POC 成像技术,并强调了无障碍护理和教育在患者参与和赋权方面的作用。
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Global Community Health Screening and Educational Intervention for Early Detection of Cardiometabolic Renal Disease.

The global burden of cardiometabolic renal disease is increasing, particularly in underserved communities. Twinepidemic Inc.'s Galvanize Healthy Living program conducts community screenings, risk assessments, and educational interventions globally. We screened 1209 subjects for cardiovascular-kidney-metabolic syndrome, assessing their disease knowledge and self-confidence. Mean age was 50, with 65% females and 35% males. Imaging post-risk assessment revealed abnormalities: EKG (16%), echocardiogram (10%), carotid plaque (9%), ABI (2.5%), and eye exam (3.6%, including 8 retinopathies, 14 cataracts). New onset DM was found in 8%, prediabetes in 18.5%, High LDL in 4.2%, low HDL in 40.2%, high triglycerides in 13.1%, and abnormal BP in 38%. In addition, 18.2% were reclassified to a higher category of risk levels after imaging. Significant improvements in knowledge and self-empowerment (all p < 0.001) were seen after educational interventions. This study underscores early risk assessment's potential to enhance health outcomes globally for underserved populations, validating POC imaging and emphasizing the role of accessible care and education in patient engagement and empowerment.

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来源期刊
Annals of Global Health
Annals of Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
5.30
自引率
3.40%
发文量
95
审稿时长
11 weeks
期刊介绍: ANNALS OF GLOBAL HEALTH is a peer-reviewed, open access journal focused on global health. The journal’s mission is to advance and disseminate knowledge of global health. Its goals are improve the health and well-being of all people, advance health equity and promote wise stewardship of the earth’s environment. The journal is published by the Boston College Global Public Health Program. It was founded in 1934 by the Icahn School of Medicine at Mount Sinai as the Mount Sinai Journal of Medicine. It is a partner journal of the Consortium of Universities for Global Health.
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