Risk Factors for Cardiovascular Disease in the Elderly in Taiwan

本研究之主要目的在於探討影響台灣老人心血管疾病之生物與行為危險因子。本研究假設特定之生物與行為危險因子與心血管疾病之盛行率有顯著相關。資料來源主要取自於 1991 年全國老人醫學調查研究，利用分層比例抽樣法完成 2,600 位社區老人招募，並進一步由台灣四大主要都市的四個醫學中心家庭醫學科家庭醫師加以評估。利用單變量與多變量對數迴歸分析檢視心血管疾病盛行率與危險因子之關係。研究結果顯示，台灣老人心血管疾病之整體盛行率為 38.31%；進一步發現罹患心血管疾病之老人中，除 HDL-C 及血糖之外，其他各項特定危險因子的數值皆較高。本研究同時發現高血壓、高血脂、低 HDL-C、先前酗酒及體重過重與老人心血管疾病盛行率有顯著關係。本研究發現不僅證實心血管疾病之危險因子，而且引起更多關注於心血管疾病生物與行為危險因子的重要性。

關鍵字

心血管疾病；危險因子；老人；盛行率

並列摘要

The major objective of the present study was to identify biologic and behavioral risk factors of cardiovascular disease (CVD) in the elderly population in Taiwan. It is hypothesized that the selected risk factors are significantly associated with the prevalence of CVD. Data came from a nationwide geriatric survey in 1991. Stratified proportional sampling was used to recruit 2,600 subjects. These were evaluated by family physicians working for the Departments of Family Medicine at four medical centers in four major cities in Taiwan. Univariate and multivariate logistic regression analyses were used to examine the associations between risk factors and the prevalence of CVD. The prevalence of CVD was 38.31%. Patients with CVD consistently had higher values for each selected risk factor except high-density lipoprotein-cholesterol (HDL-C) and glucose concentrations. The findings also indicated that hypertension, hypertriglyceridemia, low HDL-C concentration, ex-drinking status, and overweight were significantly associated with the prevalence of CVD among the elderly in Taiwan. The findings not only confirm the risk factors for CVD, but also invite more attention to be given to the importance of biologic and behavioral risk factors in CVD.

並列關鍵字

cardiovascular disease, risk factors, elderly, prevalence

國際替代計量

Risk Factors for Cardiovascular Disease in the Elderly in Taiwan

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