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中国心血管健康的影响因素

Influencing Factors on Cardiovascular Health in China.

作者信息

Hu Sheng-Shou

机构信息

Fuwai Hospital Chinese Academy of Medical Sciences, Beijing, China.

出版信息

J Geriatr Cardiol. 2024 Jan 28;21(1):4-33. doi: 10.26599/1671-5411.2024.01.009.

Abstract

The (2022) intricate landscape of cardiovascular health in China. This is the first section of the report, which dissects influential factors across diverse domains. The investigation identifies tobacco use as a paramount concern, portraying China as the global epicenter of tobacco consumption. Cigarette smoking, exacerbated by second-hand smoke exposure, emerges as a critical and preventable risk factor, contributing to a surge in attributable deaths over the past three decades. In the realm of dietary nutrition, the study discerns an overall improvement, yet discerns worrisome deviations, notably an escalating fat intake surpassing recommended guidelines. The shifting dietary structure reveals diminished consumption of cereals and vegetables juxtaposed with an uptick in animal foods, while excessive intake of cooking oil and salt persists, straying substantially from endorsed levels. The exploration of physical activity patterns unfolds a nuanced narrative. Varied trends are observed among students, with concerns arising from sedentary behaviors and inadequate adherence to recommended guidelines. The analysis spans a trajectory of declining physical activity in Chinese adults, coupled with an alarming surge in sedentary leisure time, ultimately linking these factors to heightened risks of cardiovascular diseases and increased adiposity. An examination of overweight and obesity trends uncovers a relentless upward trajectory, projecting substantial prevalence by 2030. Noteworthy prevalence rates underscore the imperative for targeted interventions to curtail this burgeoning health crisis, with the anticipated prevalence extending to nearly two-thirds of the adult population. Psychological factors, notably depression, constitute an integral facet of cardiovascular health. Prevalence rates among patients with coronary artery disease and acute myocardial infarction underscore the intricate interplay between mental health and cardiovascular outcomes. Additionally, persistent depressive symptoms are shown to significantly elevate the risk of cardiovascular diseases and mortality. This first section underscores the multifaceted challenges facing cardiovascular health in China, emphasizing the imperative for tailored interventions across tobacco control, dietary habits, physical activity, obesity management, and psychological well-being to mitigate the escalating burden of cardiovascular diseases in the population.

摘要

《2022年中国心血管健康的复杂状况》。这是该报告的第一部分,剖析了各个不同领域的影响因素。调查确定烟草使用是一个至关重要的问题,将中国描绘为全球烟草消费的中心。吸烟,再加上二手烟暴露,成为一个关键且可预防的风险因素,导致过去三十年中归因死亡人数激增。在饮食营养领域,研究发现总体有所改善,但也发现了令人担忧的偏差,特别是脂肪摄入量不断上升,超过了推荐指南。饮食结构的变化显示谷物和蔬菜的消费量减少,而动物性食品的消费量增加,同时食用油和盐的摄入量仍然过高,大大偏离了推荐水平。对身体活动模式的探索呈现出一个细致入微的情况。在学生中观察到了不同的趋势,久坐行为和未充分遵守推荐指南令人担忧。分析显示中国成年人的身体活动呈下降趋势,同时久坐休闲时间惊人地增加,最终将这些因素与心血管疾病风险增加和肥胖加剧联系起来。对超重和肥胖趋势的研究发现其呈持续上升趋势,预计到2030年患病率将大幅上升。值得注意的患病率凸显了采取针对性干预措施以遏制这一迅速发展的健康危机的紧迫性,预计患病率将扩大到近三分之二的成年人口。心理因素,尤其是抑郁症,是心血管健康的一个重要方面。冠心病和急性心肌梗死患者的患病率凸显了心理健康与心血管结果之间的复杂相互作用。此外,持续的抑郁症状被证明会显著增加心血管疾病和死亡风险。第一部分强调了中国心血管健康面临的多方面挑战,强调必须在烟草控制、饮食习惯、身体活动、肥胖管理和心理健康方面采取针对性干预措施,以减轻人群中心血管疾病不断增加的负担。

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