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首页> 外文期刊>Cardiology >Cardiovascular Risk Factor Control and Lifestyle Factors in Young to Middle-Aged Adults with Newly Diagnosed Obstructive Coronary Artery Disease
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Cardiovascular Risk Factor Control and Lifestyle Factors in Young to Middle-Aged Adults with Newly Diagnosed Obstructive Coronary Artery Disease

机译：新诊断障碍冠状动脉疾病的中年成年人的心血管风险因素控制和生活方式因素

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Background: While progress in the prevention of cardiovascular disease (CVD) has been noted over the past several decades, there are still those who develop CVD earlier in life than others. Objective: We investigated traditional and lifestyle CVD risk factors in young to middle-aged patients compared to older ones with obstructive coronary artery disease (CAD). Methods: A retrospective analysis of patients with a new diagnosis of obstructive CAD undergoing coronary intervention was performed. Young to middle-aged patients were defined as those in the youngest quartile (n = 281, mean age 50 +/- 6 years, 81% male) compared to the other three older quartiles combined (n = 799, mean age 69 +/- 7.5 years, 71% male). Obstructive CAD was determined by angiography. Results: Young to middle-aged patients compared to older ones were more likely to be male (p < 0.01), smokers (21 vs. 9%, p < 0.001), and have a higher body mass index (31 +/- 6 vs. 29 +/- 6 kg/m(2), p < 0.001). Younger patients were less likely to eat fruits, vegetables, and fish and had fewer controlled CVD risk factors (2.7 +/- 1.2 vs. 3.0 +/- 1.0, p < 0.001). Compared to older patients, higher levels of psychological stress (aOR 1.6, 95% CI 1.1-2.4), financial stress (aOR 1.8, 95% CI 1.3-2.5), and low functional capacity (aOR 3.3, 95% CI 2.4-4.5) were noted in the young to middle-aged population as well. Conclusion: Lifestyle in addition to traditional CVD risk factors should be taken into account when evaluating risk for development of CVD in a younger population. (C) 2019 S. Karger AG, Basel
机译：背景：虽然在过去的几十年中已经注意到预防心血管疾病（CVD）的进展情况，但仍有人在生活中仍然比其他人发展成了CVD。目的：与较旧的冠状动脉疾病（CAD）相比，我们调查了年轻对中年患者的传统和生活方式CVD危险因素。方法：对患者进行新诊断患者进行冠状动脉干预的新诊断的回顾性分析。与中年患者的年轻人被定义为最小的四分位数（n = 281，平均50 +/- 6岁，81％男性）与其他三种较旧的四分位数组合（n = 799，平均69 + / - 7.5岁，男性71％）。阻塞性CAD通过血管造影确定。结果：与老年患者相比，与较大的患者更容易是男性（P <0.01），吸烟者（21 vs.9％，P <0.001），具有更高的体重指数（31 +/- 6 vs.29 +/- 6 kg / m（2），p <0.001）。年轻的患者不太可能吃水果，蔬菜和鱼类，并且具有更少的控制CVD危险因素（2.7 +/- 1.2与3.0 +/- 1.0，P <0.001）。与老年患者相比，心理压力水平较高（AOR 1.6,95％CI 1.1-2.4），财务压力（AOR 1.8,95％CI 1.3-2.5），功能较低（AOR 3.3,95％CI 2.4-4.5 ）在年轻人身上注意到中年人口。结论：在评估年轻人口中CVD的风险时，应考虑到生活方式除了传统的CVD风险因素之外。 （c）2019年S. Karger AG，巴塞尔

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