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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Prevention of cardiovascular risk factors in the first place.
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Prevention of cardiovascular risk factors in the first place.

机译:首先要预防心血管危险因素。

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摘要

Cardiovascular disease (CVD) prevention can address the major risk factors-blood lipids, blood pressure, and smoking-and their determinants throughout the lifespan, with approaches varying according to age and risk. The Task Force on Research in Epidemiology and Prevention of Cardiovascular Diseases gave new impetus to the concept of early intervention: Their highest priority in CVD prevention was "to prevent the development of CVD risk in the first place." Six issues follow: (1) the relation between "primordial prevention" of CVD and "prevention of the risk factors in the first place"; (2) the place of youth in context with older and younger age groups; (3) the importance of bridging institutional gaps between youth and adulthood; (4) the need to strengthen the scientific base linking the major risk factors (e.g., blood cholesterol concentration) with their determinants; (5) the value of rate of change in risk factors with age, and not only incidence of "treatable" levels of risk factors, as an outcome in assessing interventions; and (6) the role and appropriate design strategies for both observational and intervention studies. It is time for a radical expansion of our investment in preventing the risk factors in the first place.
机译:预防心血管疾病(CVD)可以解决整个生命周期中的主要危险因素-血脂,血压和吸烟-及其决定因素,方法随年龄和风险的不同而不同。流行病学和心血管疾病研究工作组为早期干预的概念提供了新动力:他们在CVD预防中的最高优先事项是“首先预防CVD风险的发展”。六个问题如下:(1)CVD的“原始预防”与“首先预防危险因素”之间的关系; (2)在年龄越来越大的人群中青年的位置; (3)弥合青年和成年之间的体制差距的重要性; (4)有必要加强将主要危险因素(例如血胆固醇浓度)与其决定因素联系起来的科学基础; (5)作为评估干预措施的结果,风险因素随年龄变化的价值,而不仅仅是“可治疗的”风险因素水平的发生; (6)观察和干预研究的作用和适当的设计策略。现在是我们从根本上扩大投资以预防风险因素的时候了。

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