A case-control study on the risk of stroke in the elderly in Shanghai community
10.19428/j.cnki.sjpm.2023.22319
- VernacularTitle:上海社区老年人脑卒中患病风险的病例对照研究
- Author:
Junwen LU
1
;
Xuemei YAO
1
;
Ruoshi ZHONG
2
;
Xiaolan WANG
2
;
Huining GUO
2
;
Daming XIE
2
;
Yingxia WANG
2
;
Peng ZHANG
3
;
Tingting WANG
1
Author Information
1. School of Public Health， Xinjiang Medical University，Urumqi， Xinjiang 830013， China
2. School of Nursing and Health Management， Shanghai University of Medicine and Health Sciences， Shanghai 201318， China
3. School of Clinical Medicine，Shanghai University of Medicine & Health Sciences ， Shanghai 201318， China
- Publication Type:Journal Article
- Keywords:
stroke;
incidence risk;
case-control study;
risk factor
- From:
Shanghai Journal of Preventive Medicine
2023;35(2):137-141
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo explore the risk factors of stroke， and to provide reference for the prevention and health management of stroke. MethodsFrom February 2022 to March 2022， four community residents over 60 years old with stroke in Shanghai were randomly selected as the case group （n=100）， and non-stroke residents were selected as the control group （n=100）. The survey was in the form of questionnaires to record and compare the age， body mass index （BMI）， blood lipids， blood pressure-related indicators， family history of other diseases， living habits， mood and sleep conditions of all subjects. The value of predicting the incidence of stroke among the elderly in Shanghai community was analyzed by receiver operating characteristic （ROC）， and the influencing factors of stroke were analyzed by logistic model. ResultsBMI， hypertension， heart disease， diabetes， transient ischemic attack （TIA）， dyslipidemia， family history of stroke， smoking， lack of exercise or only light physical labor， SBP， DBP， TG levels were significantly higher in the case group （P<0.05）. The level of HDL-C was significantly lower than that in the control group （P<0.05）. BMI， SBP， DBP， TG， HDL-C predicted the incidence of stroke by ROC analysis （P<0.05）. Logistic regression analysis showed that BMI≥23.820 kg·m-2， heart disease， diabetes， TIA， dyslipidemia， family history of stroke， smoking， lack of exercise or only light physical labor， SBP≥139.535 mmHg， DBP≥89.605 mmHg， TG≥1.565 mmol·L-1 and HDL-C≤1.105 mmol·L-1 were risk factors for stroke （P<0.05）. ConclusionPhysical health status including blood lipids and blood pressure， family history of certain diseases， and living habits could be important risk factors for stroke in the elderly in Shanghai community. Preventive intervention measures for the above factors have important clinical significance.
