家庭燃料使用与中国中老年人从高血压前期到正常血压的回归:一项队列研究。

IF 4.3 2区 医学 Q1 PERIPHERAL VASCULAR DISEASE Hypertension Research Pub Date : 2024-10-03 DOI:10.1038/s41440-024-01928-9
Jia-Min Yan, Min-Zhe Zhang, Qi-Qiang He
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引用次数: 0

摘要

为了基于中国健康与退休纵向研究(CHARLS)探讨家庭燃料使用与中老年人高血压前期回归的关系,我们共纳入了3501名基线时患有高血压前期的参与者,并从2011-2012年至2015-2016年对他们进行了血压和家庭固体燃料使用(取暖和烹饪燃料)信息的随访。我们使用 Cox 比例危险回归模型来探讨燃料使用与高血压前期回归之间的危险比 (HR) 和 95% 置信区间 (CI)。此外,我们还调查了在 4 年随访期间更换燃料(2011-2013 年)对恢复正常血压的影响。我们采用线性回归的方法来研究家庭燃料使用对血压变化的影响。与固体燃料使用者相比,基线时使用清洁燃料取暖的人对恢复高血压前期血压有积极影响(HR:1.28,95% CI:1.08-1.53)。同时使用清洁燃料取暖和做饭的参与者回归高血压前期的几率更高(HR:1.32,95% CI:1.09-1.60)。与持续使用固体燃料的人相比,持续使用清洁燃料取暖的人从高血压前期转为正常血压的几率更高(HR:1.36,95% CI:1.06-1.73),收缩压降低了 2.45 mmHg。总之,家庭使用清洁燃料取暖与高血压前期向正常血压的回归呈正相关。此外,从使用固体燃料改为使用清洁燃料取暖可降低中国中老年人患高血压前期的风险。
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Household fuel use and the regression from prehypertension to normotension among Chinese middle-aged and older adults: a cohort study.

To examine the association of household fuel use with prehypertension regression among middle-aged and older people based on the China Health and Retirement Longitudinal Study (CHARLS), we included a total of 3501 participants with prehypertension at baseline, and they were followed up from 2011-2012 to 2015-2016 with information on blood pressure and household solid fuel use (heating and cooking fuels). Cox proportional hazards regression models were used to explore the hazard ratio (HR) and 95% confidence interval (CI) between fuel use and prehypertension regression. Additionally, we investigated the impact of switching fuels (2011-2013) on the regression to normotension during the 4-year follow-up. Linear regression was used to examine the effect of household fuel use on changes in blood pressure. Compared to solid fuel users, those who used clean fuel for heating at baseline had a positive effect on the regression of prehypertension (HR: 1.28, 95% CI: 1.08-1.53). Participants who used clean fuels for both heating and cooking had increased odds for the regression of prehypertension (HR: 1.32, 95% CI: 1.09-1.60). Compared to consistent solid fuel users, those who consistently used clean fuel for heating had a higher likelihood of transitioning from prehypertension to normotension (HR: 1.36, 95% CI: 1.06-1.73) and exhibited 2.45 mmHg lower systolic blood pressure. In conclusion, household clean fuel use for heating was positively associated with the regression of prehypertension to normotension. Furthermore, switching from solid fuel to clean fuel for heating could reduce the risk of prehypertension in Chinese middle-aged and older adults.

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来源期刊
Hypertension Research
Hypertension Research 医学-外周血管病
CiteScore
7.40
自引率
16.70%
发文量
249
审稿时长
3-8 weeks
期刊介绍: Hypertension Research is the official publication of the Japanese Society of Hypertension. The journal publishes papers reporting original clinical and experimental research that contribute to the advancement of knowledge in the field of hypertension and related cardiovascular diseases. The journal publishes Review Articles, Articles, Correspondence and Comments.
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