Effect of the number of unhealthy lifestyles in middle-aged and elderly people on hypertension and the first occurrence of ischemic stroke after the disease

BackgroundTo determine the relationship between the number of controllable unhealthy lifestyles on the risk of the first occurrence of ischemic stroke after the disease in middle-aged and elderly people in the community, and to provide data support and basis for community physicians to guide hyperte...

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Main Authors: Xiaopeng Zhu, Fang Zhang, Zhongyan Luo, He Liu, Xia Lai, Xiaotong Hu, Qian Xie, Xia Gao, Yan Long
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-05-01
Series:Frontiers in Cardiovascular Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fcvm.2023.1152423/full
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author Xiaopeng Zhu
Xiaopeng Zhu
Fang Zhang
Zhongyan Luo
Zhongyan Luo
He Liu
He Liu
Xia Lai
Xia Lai
Xiaotong Hu
Xiaotong Hu
Qian Xie
Qian Xie
Xia Gao
Xia Gao
Yan Long
Yan Long
author_facet Xiaopeng Zhu
Xiaopeng Zhu
Fang Zhang
Zhongyan Luo
Zhongyan Luo
He Liu
He Liu
Xia Lai
Xia Lai
Xiaotong Hu
Xiaotong Hu
Qian Xie
Qian Xie
Xia Gao
Xia Gao
Yan Long
Yan Long
author_sort Xiaopeng Zhu
collection DOAJ
description BackgroundTo determine the relationship between the number of controllable unhealthy lifestyles on the risk of the first occurrence of ischemic stroke after the disease in middle-aged and elderly people in the community, and to provide data support and basis for community physicians to guide hypertensive patients to control modifiable risk factors to prevent the first occurrence of ischemic stroke.MethodsThe relationship between the number of unhealthy lifestyles and the risk of hypertension was analyzed by binary logistic regression in 584 subjects using a medical record control study. A retrospective cohort study of 629 hypertensive patients was used to analyze the relationship between the number of unhealthy lifestyles and the risk of the first occurrence of ischemic stroke within 5 years of developing hypertensive disease using Cox proportional risk regression models.ResultsLogistic regression model analysis showed that taking an unhealthy lifestyle as a reference, the OR (95% CI) values of, 2, 3, 4 and 5 unhealthy lifestyle were 4.050 (2.595–6.324), 4 (2.251–7.108), 9.297 (3.81–22.686), and 16.806 (4.388–64.365), respectively. Cox Proportional risk regression model analysis showed that the risk of ischemic stroke within 5 years after developing hypertension was referenced to 5 unhealthy lifestyles, and the HR (95% CI) for 3, 2, and 1 unhealthy lifestyle were 0.134 (0.023–0.793), 0.118 (0.025–0.564), and 0.046 (0.008–0.256), respectively.ConclusionThe number of controllable unhealthy lifestyles in middle-aged and elderly people was positively associated with the risk of hypertension and first ischemic stroke after hypertension, and there was a dose-effect relationship between them. The risk of hypertension and first ischemic stroke within 5 years after hypertension onset increased with the number of unhealthy lifestyles.
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spelling doaj.art-53deed4b5b7e44cab7252465b0656adf2023-05-30T09:27:58ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2023-05-011010.3389/fcvm.2023.11524231152423Effect of the number of unhealthy lifestyles in middle-aged and elderly people on hypertension and the first occurrence of ischemic stroke after the diseaseXiaopeng Zhu0Xiaopeng Zhu1Fang Zhang2Zhongyan Luo3Zhongyan Luo4He Liu5He Liu6Xia Lai7Xia Lai8Xiaotong Hu9Xiaotong Hu10Qian Xie11Qian Xie12Xia Gao13Xia Gao14Yan Long15Yan Long16Department of Geriatric Medicine, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, ChinaDepartment of Health Management, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, ChinaDepartment of Family Medicine, Community Health Center of Daping Street, Yuzhong District, Chongqing, ChinaDepartment of Geriatric Medicine, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, ChinaDepartment of Health Management, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, ChinaDepartment of Geriatric Medicine, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, ChinaDepartment of Health Management, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, ChinaDepartment of Geriatric Medicine, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, ChinaDepartment of Health Management, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, ChinaDepartment of Geriatric Medicine, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, ChinaDepartment of Health Management, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, ChinaDepartment of Geriatric Medicine, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, ChinaDepartment of Health Management, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, ChinaDepartment of Geriatric Medicine, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, ChinaDepartment of Health Management, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, ChinaDepartment of Geriatric Medicine, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, ChinaDepartment of Health Management, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, ChinaBackgroundTo determine the relationship between the number of controllable unhealthy lifestyles on the risk of the first occurrence of ischemic stroke after the disease in middle-aged and elderly people in the community, and to provide data support and basis for community physicians to guide hypertensive patients to control modifiable risk factors to prevent the first occurrence of ischemic stroke.MethodsThe relationship between the number of unhealthy lifestyles and the risk of hypertension was analyzed by binary logistic regression in 584 subjects using a medical record control study. A retrospective cohort study of 629 hypertensive patients was used to analyze the relationship between the number of unhealthy lifestyles and the risk of the first occurrence of ischemic stroke within 5 years of developing hypertensive disease using Cox proportional risk regression models.ResultsLogistic regression model analysis showed that taking an unhealthy lifestyle as a reference, the OR (95% CI) values of, 2, 3, 4 and 5 unhealthy lifestyle were 4.050 (2.595–6.324), 4 (2.251–7.108), 9.297 (3.81–22.686), and 16.806 (4.388–64.365), respectively. Cox Proportional risk regression model analysis showed that the risk of ischemic stroke within 5 years after developing hypertension was referenced to 5 unhealthy lifestyles, and the HR (95% CI) for 3, 2, and 1 unhealthy lifestyle were 0.134 (0.023–0.793), 0.118 (0.025–0.564), and 0.046 (0.008–0.256), respectively.ConclusionThe number of controllable unhealthy lifestyles in middle-aged and elderly people was positively associated with the risk of hypertension and first ischemic stroke after hypertension, and there was a dose-effect relationship between them. The risk of hypertension and first ischemic stroke within 5 years after hypertension onset increased with the number of unhealthy lifestyles.https://www.frontiersin.org/articles/10.3389/fcvm.2023.1152423/fullhypertensionunhealthy lifestyleischemic strokemiddle-aged and elderly peoplenumber of unhealthy lifestyles
spellingShingle Xiaopeng Zhu
Xiaopeng Zhu
Fang Zhang
Zhongyan Luo
Zhongyan Luo
He Liu
He Liu
Xia Lai
Xia Lai
Xiaotong Hu
Xiaotong Hu
Qian Xie
Qian Xie
Xia Gao
Xia Gao
Yan Long
Yan Long
Effect of the number of unhealthy lifestyles in middle-aged and elderly people on hypertension and the first occurrence of ischemic stroke after the disease
Frontiers in Cardiovascular Medicine
hypertension
unhealthy lifestyle
ischemic stroke
middle-aged and elderly people
number of unhealthy lifestyles
title Effect of the number of unhealthy lifestyles in middle-aged and elderly people on hypertension and the first occurrence of ischemic stroke after the disease
title_full Effect of the number of unhealthy lifestyles in middle-aged and elderly people on hypertension and the first occurrence of ischemic stroke after the disease
title_fullStr Effect of the number of unhealthy lifestyles in middle-aged and elderly people on hypertension and the first occurrence of ischemic stroke after the disease
title_full_unstemmed Effect of the number of unhealthy lifestyles in middle-aged and elderly people on hypertension and the first occurrence of ischemic stroke after the disease
title_short Effect of the number of unhealthy lifestyles in middle-aged and elderly people on hypertension and the first occurrence of ischemic stroke after the disease
title_sort effect of the number of unhealthy lifestyles in middle aged and elderly people on hypertension and the first occurrence of ischemic stroke after the disease
topic hypertension
unhealthy lifestyle
ischemic stroke
middle-aged and elderly people
number of unhealthy lifestyles
url https://www.frontiersin.org/articles/10.3389/fcvm.2023.1152423/full
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