Study on the correlation of waist-to-height ratio and triglyceride with cerebrovascular hemodynamics and stroke
10.3969/j.issn.1006-2483.2020.02.032
- VernacularTitle:腰高比、甘油三酯与脑血管血流动力学及脑卒中发生的关系研究
- Author:
Hui YU
1
;
Wei YAN
1
;
Dan HAN
1
;
Xiaoqin GUO
1
;
Jumei FANG
1
;
Guo WEI
1
Author Information
1. Ezhou Central Hospital, Ezhou, Hubei 436000, China
- Publication Type:Journal Article
- Keywords:
Waist-to-height ratio;
Triglyceride;
Hemodynamics;
Stroke
- From:
Journal of Public Health and Preventive Medicine
2020;31(2):131-134
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the correlation of waist-to-height ratio (WHtR) and triglycerides (TG) with changes in cerebral hemodynamic index (CVHI) and the risk of stroke. Methods From March 2018 to March 2019, a total of 500 medical examinees were selected from the civil servants who underwent a physical examination in the physical examination department of our hospital. According to the TG level, the subjects were divided into two groups: HTG group (208 cases) and normal group (292 cases). According to WHtR value, the subjects were divided into an abnormal group (216 cases) and a normal group (284 cases). According to the test results, CVHI and other information the stroke risk was analyzed among the 4 groups. Results The right Vmax and bilateral Qmean, Vmean, Vmin, and Dp in the HTG group were significantly lower than those in the normal group (P<0.05), while the bilateral Wv, Zcv, Rv, DR, and Cp were higher than those in the normal group (P<0.05). The parameters of bilateral Vmax, Qmean, Vmean, Vmin, and Dp in the abnormal group were significantly lower than those in the normal group (P<0.05), while the bilateral Wv, Zcv, Rv, DR, and Cp were higher than those in the normal group (P<0.05). The CVHI scores of the HTG group and the abnormal group were lower than those of the normal group (P<0.05), and the FSP scores were higher than those of the normal group (P<0.05). The proportion of high-risk strokes with CVHI<75 and FSP score ≥10 in the HTG group were both higher than that in the normal group (P<0.05). There were 4 predictors including HTG, WHtR, CVHI score, and FSP score. There was a statistically significant difference in the etiology of stroke between CVHI and FSP (P<0.05). The risk of stroke in patients with abnormal WHtR increased by 2.746 times, and the relative risk of stroke in patients with CVHI<75 increased by 3.298 times. Conclusion WHtR abnormality and CVHI<75 were two independent predictors of stroke risk. HTG may increase the risk of stroke by affecting cerebral hemodynamic indicators.
