The Association between Ideal Cardiovascular Health Metrics and Extracranial Carotid Artery Stenosis in a Northern Chinese Population: A Cross-Sectional Study

被引:19
作者
Hao, Zhiru [1 ]
Zhang, Yong [1 ]
Li, Yongming [1 ]
Zhao, Jinbo [2 ]
Zhou, Yong [3 ]
Qiu, Jing [4 ]
Zhao, Ruiping [1 ]
Hu, Jiang [5 ]
机构
[1] Cent Hosp Baotou, Dept Cardiol, Baotou 014040, Peoples R China
[2] Baotou Med Coll, Grad Sch, Baotou 014040, Peoples R China
[3] Capital Med Univ, Beijing Tiantan Hosp, Dept Neurol, Beijing 100050, Peoples R China
[4] Ningxia Med Univ, Sch Publ Hlth, Yinchuan 750004, Peoples R China
[5] Cent Hosp Baotou, Dept Surg, Baotou 014040, Peoples R China
关键词
RISK-FACTORS; CEREBRAL INFARCTION; CIGARETTE-SMOKING; RACE-ETHNICITY; BLOOD-PRESSURE; OLDER-ADULTS; ATHEROSCLEROSIS; PROGRESSION; PREVALENCE; DISEASE;
D O I
10.1038/srep31720
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Past epidemiologic studies have indicated that the ideal cardiovascular health (CVH) metrics are associated with a lower risk of cardiovascular diseases (CVDs) and stroke. Carotid artery stenosis (CAS) causes approximately 10% of ischemic strokes. The association between ideal CVH and extracranial CAS has not yet been assessed. In the current study, extracranial CAS was assessed by carotid duplex ultrasonography. Logistic regression was used to analyze the association between ideal CVH metrics and extracranial CAS. A total of 3297 participants (52.2% women) aged 40 years and older were selected from the Jidong community in China. After adjusting for sex, age and other potential confounds, the odds ratios (95% confidence intervals) for extracranial CAS were 0.57 (0.39-0.84), 0.46 (0.26-0.80) and 0.29 (0.15-0.54), and for those quartiles, quartile 2 (9-10), quartile 3 (11) and quartile 4 (12-14), respectively, compared with quartile 1 (<= 8). This negative correlation was particularly evident in women and the elderly (>= 60 years). This cross-sectional study showed a negative correlation between the ideal CVH metrics and the prevalence of extracranial CAS in northern Chinese adults.
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页数:7
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共 39 条
[1]  
Brott TG, 2011, CIRCULATION, V124, pE54, DOI [10.1161/CIR.0b013e31820d8c98, 10.1161/CIR.0b0113e31820d8c98]
[2]   EVALUATION OF THE ASSOCIATIONS BETWEEN CAROTID-ARTERY ATHEROSCLEROSIS AND CORONARY-ARTERY STENOSIS - A CASE-CONTROL STUDY [J].
CRAVEN, TE ;
RYU, JE ;
ESPELAND, MA ;
KAHL, FR ;
MCKINNEY, WM ;
TOOLE, JF ;
MCMAHAN, MR ;
THOMPSON, CJ ;
HEISS, G ;
CROUSE, JR .
CIRCULATION, 1990, 82 (04) :1230-1242
[3]   Ideal Cardiovascular Health Predicts Lower Risks of Myocardial Infarction, Stroke, and Vascular Death Across Whites, Blacks, and Hispanics The Northern Manhattan Study [J].
Dong, Chuanhui ;
Rundek, Tatjana ;
Wright, Clinton B. ;
Anwar, Zane ;
Elkind, Mitchell S. V. ;
Sacco, Ralph L. .
CIRCULATION, 2012, 125 (24) :2975-+
[4]   Genetic basis of variation in carotid artery wall thickness [J].
Duggirala, R ;
Villalpando, CG ;
OLeary, DH ;
Stern, MP ;
Blangero, J .
STROKE, 1996, 27 (05) :833-837
[5]   CHINESE-WHITE DIFFERENCES IN THE DISTRIBUTION OF OCCLUSIVE CEREBROVASCULAR-DISEASE [J].
FELDMANN, E ;
DANEAULT, N ;
KWAN, E ;
HO, KJ ;
PESSIN, MS ;
LANGENBERG, P ;
CAPLAN, LR .
NEUROLOGY, 1990, 40 (10) :1541-1545
[6]   PRECURSORS OF EXTRACRANIAL CAROTID ATHEROSCLEROSIS IN THE FRAMINGHAM-STUDY [J].
FINEEDELSTEIN, JS ;
WOLF, PA ;
OLEARY, DH ;
POEHLMAN, H ;
BELANGER, AJ ;
KASE, CS ;
DAGOSTINO, RB .
NEUROLOGY, 1994, 44 (06) :1046-1050
[7]   Community Prevalence of Ideal Cardiovascular Health, by the American Heart Association Definition, and Relationship With Cardiovascular Disease Incidence [J].
Folsom, Aaron R. ;
Yatsuya, Hiroshi ;
Nettleton, Jennifer A. ;
Lutsey, Pamela L. ;
Cushman, Mary ;
Rosamond, Wayne D. .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2011, 57 (16) :1690-1696
[8]   Guidelines for the Primary Prevention of Stroke A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association [J].
Goldstein, Larry B. ;
Bushnell, Chair Cheryl D. ;
Adams, Robert J. ;
Appel, Lawrence J. ;
Braun, Lynne T. ;
Chaturvedi, Seemant ;
Creager, Mark A. ;
Culebras, Antonio ;
Eckel, Robert H. ;
Hart, Robert G. ;
Hinchey, Judith A. ;
Howard, Virginia J. ;
Jauch, Edward C. ;
Levine, Steven R. ;
Meschia, James F. ;
Moore, Wesley S. ;
Nixon, J. V. ;
Pearson, Thomas A. .
STROKE, 2011, 42 (02) :517-584
[9]  
Grant Edward G, 2003, Ultrasound Q, V19, P190, DOI 10.1097/00013644-200312000-00005
[10]   Cigarette smoking and other risk factors for silent cerebral infarction in the general population [J].
Howard, G ;
Wagenknecht, LE ;
Cai, JW ;
Cooper, L ;
Kraut, MA ;
Toole, JF .
STROKE, 1998, 29 (05) :913-917