中华心血管病杂志
中華心血管病雜誌
중화심혈관병잡지
Chinese Journal of Cardiology
2014年
9期
778-783
,共6页
高竞生%梁欣%施继红%黄喆%魏晓明%李慧英%林黎明%邢爱君%杜鑫
高競生%樑訢%施繼紅%黃喆%魏曉明%李慧英%林黎明%邢愛君%杜鑫
고경생%량흔%시계홍%황철%위효명%리혜영%림려명%형애군%두흠
健康行为%心率%横断面研究
健康行為%心率%橫斷麵研究
건강행위%심솔%횡단면연구
Health behavior%Heart rate%Cross-sectional studies
目的 探讨理想心血管健康行为和因素对静息心率(RHR)的影响.方法 采用横断面研究方法,以2006至2007年度开滦集团公司健康体检职工为研究对象,排除心律失常、血红蛋白≤90 g/L、服用影响心率药物、既往有卒中、心肌梗死、恶性肿瘤病史者,最终纳入统计的职工共83 824名.对研究对象进行统一问卷调查和血液生化检查,采用多因素logistic回归分析理想心血管健康行为和因素对RHR的影响.结果 (1)理想心血管健康行为和因素数量为0、1、2、3、4、5和≥6项职工的RHR分别为(76.4±10.3)、(75.2±10.3)、(74.3±9.9)、(73.6±10.0)、(72.6±9.9)、(72.1±9.7)和(71.8±9.2)次/min(P ＜0.01).(2)多因素logistic回归分析显示,校正性别、年龄、甘油三酯、高密度脂蛋白胆固醇、高敏C反应蛋白、经常饮茶和饮酒后,与具有0项者比较,具有1、2、3、4、5和≥6项理想心血管健康行为和因素者RHR≥80次/min的风险逐渐降低,OR(95％ CI)分别为0.79(0.71 ～0.87)、0.68(0.62 ～0.75)、0.61(0.55 ～0.67)、0.52(0.47 ～0.58)、0.50(0.44 ～0.56)、0.49(0.40 ～0.60).结论 理想心血管健康行为和因素与较低RHR有关.
目的 探討理想心血管健康行為和因素對靜息心率(RHR)的影響.方法 採用橫斷麵研究方法,以2006至2007年度開灤集糰公司健康體檢職工為研究對象,排除心律失常、血紅蛋白≤90 g/L、服用影響心率藥物、既往有卒中、心肌梗死、噁性腫瘤病史者,最終納入統計的職工共83 824名.對研究對象進行統一問捲調查和血液生化檢查,採用多因素logistic迴歸分析理想心血管健康行為和因素對RHR的影響.結果 (1)理想心血管健康行為和因素數量為0、1、2、3、4、5和≥6項職工的RHR分彆為(76.4±10.3)、(75.2±10.3)、(74.3±9.9)、(73.6±10.0)、(72.6±9.9)、(72.1±9.7)和(71.8±9.2)次/min(P ＜0.01).(2)多因素logistic迴歸分析顯示,校正性彆、年齡、甘油三酯、高密度脂蛋白膽固醇、高敏C反應蛋白、經常飲茶和飲酒後,與具有0項者比較,具有1、2、3、4、5和≥6項理想心血管健康行為和因素者RHR≥80次/min的風險逐漸降低,OR(95％ CI)分彆為0.79(0.71 ～0.87)、0.68(0.62 ～0.75)、0.61(0.55 ～0.67)、0.52(0.47 ～0.58)、0.50(0.44 ～0.56)、0.49(0.40 ～0.60).結論 理想心血管健康行為和因素與較低RHR有關.
목적 탐토이상심혈관건강행위화인소대정식심솔(RHR)적영향.방법 채용횡단면연구방법,이2006지2007년도개란집단공사건강체검직공위연구대상,배제심률실상、혈홍단백≤90 g/L、복용영향심솔약물、기왕유졸중、심기경사、악성종류병사자,최종납입통계적직공공83 824명.대연구대상진행통일문권조사화혈액생화검사,채용다인소logistic회귀분석이상심혈관건강행위화인소대RHR적영향.결과 (1)이상심혈관건강행위화인소수량위0、1、2、3、4、5화≥6항직공적RHR분별위(76.4±10.3)、(75.2±10.3)、(74.3±9.9)、(73.6±10.0)、(72.6±9.9)、(72.1±9.7)화(71.8±9.2)차/min(P ＜0.01).(2)다인소logistic회귀분석현시,교정성별、년령、감유삼지、고밀도지단백담고순、고민C반응단백、경상음다화음주후,여구유0항자비교,구유1、2、3、4、5화≥6항이상심혈관건강행위화인소자RHR≥80차/min적풍험축점강저,OR(95％ CI)분별위0.79(0.71 ～0.87)、0.68(0.62 ～0.75)、0.61(0.55 ～0.67)、0.52(0.47 ～0.58)、0.50(0.44 ～0.56)、0.49(0.40 ～0.60).결론 이상심혈관건강행위화인소여교저RHR유관.
Objective To investigate the impact of ideal cardiovascular health behaviors and factors on resting heart rate (RHR).Methods A cross-sectional study method was used in our study.83 824 workers who had participated in the 2006-2007 Kailuan health examination were included,individuals with arrhythmia,hemoglobin ≤ 90 g/L,taking drugs which might affect RHR,history of cerebral infarction or myocardial infarction or cancer were excluded.Related information was obtained from the unified questionnaire,blood biochemistry was performed.Multivariate logistic regression was used to analyze the impact of ideal cardiovascular health behaviors and factors on the RHR.Results (1) The RHR was (76.4 ±10.3),(75.2 ±10.3),(74.3±9.9),(73.6±10.0),(72.6±9.9),(72.1 ±9.7) and (71.8 ±9.2)beats/min in workers whose number of ideal cardiovascular health behaviors and factors was 1,2,3,4,5 and≥ 6 respectively(P ＜ 0.01).(2) Multivariate logistic regression showed that,after adjusted by gender,age,triglyceride,high density lipoprotein cholesterol,high-sensitive C-reactive protein,tea drinking,alcohol drinking,the risk of RHR ≥ 80 beats/min gradually reduces along with the increasing of number of ideal cardiovascular health behaviors and factors (1,2,3,4,5 and ≥ 6) compared with those who did not have ideal cardiovascular health behaviors and factors,the value of OR (95 ％ CI) was 0.79 (0.71-0.87),0.68(0.62-0.75),0.61(0.55-0.67),0.52(0.47-0.58),0.50(0.44-0.56),0.49(0.40-0.60)respectively.Conclusion Ideal cardiovascular health behavior and factors is related to lower RHR in individuals without cardiovascular diseases.
