| Objective:Incidence and mortality of cardiovascular diseases have climbed in recent years.Identifying high-risk groups and conducting secondary prevention can be a good way to control the development of cardiovascular disease.Hypertrigly ceridemic waist phenotype may be a useful and low-cost screening tool to identify the risk of cardiovascular disease.Jilin adults were taken as the objects to explore the epidemic status of hypertriglyceridemic waist phenotype,and analyze the differences in the prevalence of cardiovascular disease among normal waist-normal triglyceride group,hypertriglyceridemic-normal waist groupe,normal triglyceride-enlarged waist group,hypertriglyceridemic waist phenotype group.To discuss the predictive value of high triglyceride-waist phenotype for cardiovascular disease.Methods:The data for this study are from the 2018 China Adult Chronic Disease and Nutrition Surveillance Database.Multi-stage stratified random sampling method was used to select objects from 8 monitoring points in Jilin Province.After screening for inclusion and exclusion criteria,4752 samples were finally included.Contextual inquiry include questionnaires(general demographics,lifestyle behaviors and health status,family history of the disease,etc),physical examinations(blood pressure,height,weight and waist circumference,etc)and laboratory tests(blood glucose,blood lipids,etc).Measurement data is described in the form of?±S.Count data is described by frequency and percentage.The t-test was used to analyze the association between each measurement data and diseases,the chi-square test was used to analyze the association between each classification variable and diseases.The binary logistic regression model was used to analyze the association between hypertriglyceridemic waist phenotype and cardiovascular diseases.IBM SPSS 24.0 statistical software analysis system was used for statistical analysis.P<0.05 indicated that the results were statistically significant.Results:1.Of the 4752 study subjects in this study,there were 111 patients with myocardial infarction,a prevalence of 2.34%,315 patients with angina pectoris,a prevalence of6.63%,491 patients with ischemic stroke,a prevalence of 10.33%,and hemorrhagic Forty-four patients with stroke had a prevalence of 0.93%.2.Among the subjects,1202 cases were detected with high triglyceride-waist circumference phenotype,with a detection rate of 25.29%;764 cases with simple triglyceride elevation were detected with a rate of 16.08%;1025 cases with simple abdominal obesity were detected.21.57%;1761 cases were normal,accounting for37.06%.3.In the single factor analysis,the prevalence of myocardial infarction(χ~2=19.313),angina pectoris(χ~2=25.612),and cerebral ischemic stroke(χ~2=17.731)was statistically significant in different phenotype groups.The difference cannot be considered statistically significant.But the difference in the prevalence of heamorrhage stroke(χ~2=0.586)cannot be considered statistically significant in different phenotype groups.4.The binary logistic regression results showed that after adjusting for other influencing factors,the risk of myocardial infarction in the high triglyceride-waist phenotype group was 1.804 times that of the normal group,and the risk of angina pectoris was 1.535 times that in the normal group.The risk of cerebral ischemic stroke in the hypertriglyceridemic waist phenotype group is not considered statistically significant compared to the normal group.Conclusion:1.Among cardiovascular diseases in jilin province,the prevalence of ischemic stroke is the highest,followed by angina pectoris and myocardial infarction,the prevalence of hemorrhagic stroke is the lowest.2.The detection rate of hypertriglyceridemic waist phenotype in jilin province was higher than foreign country and other provinces in China.3.There was a positive correlation between hypertriglyceridemic waist phenotype and the prevalence of myocardial infarction and angina pectoris,which was higher than simple hypertriglyceridemia and simple abdominal obesity. |
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