Racial Differences in the Incidence of Cardiovascular Risk Factors in Older Black and White Adults.
Racial Differences in the Incidence of Cardiovascular Risk Factors in Older Black and White Adults.
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老年黑人和白人成年人心血管危险因素发生率的种族差异。
DOI：
10.1111/jgs.14472
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发表时间：
2017-01
影响因子：
6.3
通讯作者：
Cushman M
中科院分区：
文献类型：
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作者：
Howard G;Safford MM;Moy CS;Howard VJ;Kleindorfer DO;Unverzagt FW;Soliman EZ;Flaherty ML;McClure LA;Lackland DT;Wadley VG;Pulley L;Cushman M
很少有报告描述心血管危险因素的发病率，或与种族有关的发病率差异，在整个年龄范围的成年人。纵向队列。全国抽样。2003年至2007年招募的社区居住黑人和白色人口。在10，801名成年人中进行了10年的随访，按年龄分层为45-54岁、55-64岁、65-74岁或75岁以上。没有证据表明（p ≥ 0.68）白色男性（平均发病率为38%）、黑人男性（48%）和黑人女性（54%）的高血压发病率存在年龄相关差异;然而，对于白色女性，发病率随年龄增加（45-54岁为27%，75岁以上为40%）。白色男性中老年人糖尿病发病率较低（45-54岁为15%，75岁以上为8%），黑人男子（45-54岁占29%，75岁以上占13%）和白色女性（45-54岁为11%，75岁以上为4%）;然而，没有证据（p = 0.11）表明黑人女性的年龄相关变化（平均发生率为21%）。对于血脂异常，45-54岁的所有种族-性别组的发生率约为20%，但54-64岁和65-74岁的发生率约为30%，75岁以上的发生率约为22%。房颤的发病率在45-54岁时较低（<5%），但到75岁以上，白人约为20%，黑人约为11%。高血压、糖尿病和血脂异常的发病率在各年龄段的黑人中较高，但房颤的发病率较低。老年人的风险因素发生率仍然很高。黑人在45岁以后高血压、糖尿病和血脂异常的发病率更高，这强调了在中年到晚年预防这三种疾病的持续重要性。
Few reports describe the incidence of cardiovascular risk factors, or race-related disparities in incidence, across the age spectrum in adults. Longitudinal cohort. National sample. Community-dwelling black and white population, recruited between 2003 and 2007. Incident hypertension, diabetes, dyslipidemia and atrial fibrillation over 10 years of follow-up in 10,801 adults, stratified by age as 45–54, 55–64, 65–74 or 75+ years. There was no evidence (p ≥ 0.68) of an age-related difference in the incidence of hypertension for white men (average incidence of 38%), black men (48%), and black women (54%); however for white women incidence increased with age (27% for ages 45–54, to 40% ages 75+). Incidence of diabetes was lower at older ages for white men (15% for ages 45–54, to 8% for 75+), black men (29% age 45–54, to 13% for 75+), and white females (11% for 45–54, to 4% for 75+); however, there was no evidence (p = 0.11) of age-related changes for black women (average incidence 21%). For dyslipidemia, incidence for all race-sex groups was approximately 20% for ages 45–54, but was approximately 30% for ages 54–64 and 65–74, and approximately 22% for ages 75+. Incidence of atrial fibrillation was low at ages 45–54 (<5%), but by age 75+ was approximately 20% for whites and 11% for blacks. The incidence of hypertension, diabetes and dyslipidemia was higher in blacks across the age spectrum, but lower for atrial fibrillation. Incidence of risk factors remains high in older adults. Blacks have a higher incidence of hypertension, diabetes, and dyslipidemia after age 45, underscoring the ongoing importance of prevention of all three conditions in mid- to later-life.