A case-control study on the risk of stroke in the elderly in Shanghai community
Journal Title: Shanghai Journal of Preventive Medicine - Year 2023, Vol 35, Issue 2
Abstract
ObjectiveTo explore the risk factors of strokeï¼ and to provide reference for the prevention and health management of stroke.MethodsFrom February 2022 to March 2022ï¼ four community residents over 60 years old with stroke in Shanghai were randomly selected as the case group ï¼n=100ï¼ï¼ and non-stroke residents were selected as the control group ï¼n=100ï¼. The survey was in the form of questionnaires to record and compare the ageï¼ body mass index ï¼BMIï¼ï¼ blood lipidsï¼ blood pressure-related indicatorsï¼ family history of other diseasesï¼ living habitsï¼ 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 ï¼ROCï¼ï¼ and the influencing factors of stroke were analyzed by logistic model.ResultsBMIï¼ hypertensionï¼ heart diseaseï¼ diabetesï¼ transient ischemic attack ï¼TIAï¼ï¼ dyslipidemiaï¼ family history of strokeï¼ smokingï¼ lack of exercise or only light physical laborï¼ SBPï¼ DBPï¼ TG levels were significantly higher in the case group ï¼P<0.05ï¼. The level of HDL-C was significantly lower than that in the control group ï¼P<0.05ï¼. BMIï¼ SBPï¼ DBPï¼ TGï¼ HDL-C predicted the incidence of stroke by ROC analysis ï¼P<0.05ï¼. Logistic regression analysis showed that BMIâ¥23.820 kg·m-2ï¼ heart diseaseï¼ diabetesï¼ TIAï¼ dyslipidemiaï¼ family history of strokeï¼ smokingï¼ lack of exercise or only light physical laborï¼ SBPâ¥139.535 mmHgï¼ DBPâ¥89.605 mmHgï¼ TGâ¥1.565 mmol·L-1 and HDL-Câ¤1.105 mmol·L-1 were risk factors for stroke ï¼P<0.05ï¼.ConclusionPhysical health status including blood lipids and blood pressureï¼ family history of certain diseasesï¼ 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.
Authors and Affiliations
LU Junwen,YAO Xuemei,ZHONG Ruoshi,WANG Xiaolan,GUO Huining,XIE Daming,WANG Yingxia,ZHANG Peng,WANG Tingting,
Keywords
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