Relationship Between Improved Cardiovascular Health Behavior Score and Short-time Systemic Blood Pressure Variability in Elder Population
10.3969/j.issn.1000-3614.2015.10.012
- VernacularTitle:改良的心血管健康行为和因素评分与老年人短时收缩压变异性的关系
- Author:
Yang WANG
;
Ming GAO
;
Zhifang LI
;
Shasha AN
;
Wenyan ZHANG
;
Shuohua CHEN
;
Yanxiu WANG
;
Yuyan SUN
;
Ying LIU
;
Yanhong QI
;
Shuting KAN
;
Shouling WU
- Publication Type:Journal Article
- Keywords:
Improved cardiovascular health score;
Short-time blood pressure variability;
24-hour systolic blood pressure variability;
Day-time systolic blood pressure variability;
Night-time systolic blood pressure variability
- From:
Chinese Circulation Journal
2015;(10):976-980
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To investigate the impact of improved AHA cardiovascular health behavior score (CHS) on short-time systemic blood pressure variability (SBPV) in elder population.
Methods: A total of 2464 participants ≥ 60 years from 3 hospitals of Kailuan area were taken for cohort study. The participants had no cardiovascular disease, not taking anti-psychotic drug, Parkinson treatment drug, anti-depression drug and analgesic drug within 2 weeks. All participants received 24-hour ambulatory blood pressure monitoring (ABPM) and the 24-hour, day-time, night-time SBPV were deifned by the standard deviation of 24-hour, day-time, night-time systolic blood pressure. The influence of CHS on SBPV was studied by multi-linear regression analysis. Improved cardiovascular health behavior and factors implied as changing the vegetable intake amount to salt amount by American Humane Association, 2010; boundary of BMI based on《Guidelines for prevention of overweight and obesity in Chinese adults》; status of exercise was deifed as the ideal status: ≥80 min/week, general status: < 80 min/week and bad status: no exercise.
Results: Finally, 1812 participants were recruited for survey and they were divided into 3 groups according to improved CHS: Group①, CHS (0-4) points,n=56, Group②, CHS (5-9) pointsn=1600 and Group③, CHS (10-14) points,n=156. The 24-hour SBPV in Groups①,②and③were 16.02 mmHg, 14.91 mmHg and 13.18 mmHg; day-time SBPV were 15.42 mmHg, 14.50 mmHg and 13.22 mmHg; night-time SBPV were 12.68 mmHg, 11.44 mmHg and 10.16 mmHg, allP<0.05. Multi-linear regression analysis indicated that with adjusted confounding factors, with 1 point of CHS elevation, the 24 hour-, day-time, night-time SBPV would reduce for 0.20 mmHg, 0.19 mmHg and 0.37 mmHg respectively, allP<0.05.
Conclusion: CHS was negatively related to short-time SBPV in elder population.