Prevalence of heart failure stages in the general population and implications for heart failure prevention: reports from the China Hypertension Survey 2012–15

医学 城市化 流行病学 人口 横断面研究 阶段(地层学) 心力衰竭 人口学 流行 内科学 环境卫生 病理 社会学 古生物学 土木工程 工程类 生物
作者
Anping Cai,Congyi Zheng,Jiayuan Qiu,Gregg C. Fonarow,Gregory Y H Lip,Yingqing Feng,Zengwu Wang
出处
期刊:European Journal of Preventive Cardiology [Oxford University Press]
卷期号:30 (13): 1391-1400 被引量:16
标识
DOI:10.1093/eurjpc/zwad223
摘要

There are no nationwide epidemiological data on heart failure (HF) stages in China. Knowledge of the prevalence of HF stages is crucial for planning HF prevention and management strategies. We aimed to evaluate the prevalence of HF stages in the general Chinese population and the specific prevalence by age, sex, and urbanity.This is a cross-sectional study and national representative general population aged ≥ 35 years (n = 31 494, mean age 57.4 years, women 54.1%) were obtained from the China Hypertension Survey. Participants were divided into Stage A (at-risk for HF), Stage B (pre-HF), and Stage C (symptomatic HF). Survey weights were calculated based on the 2010 China population census data. The prevalence of Stage A was 35.8% (≈245.1 million), Stage B 42.8% (≈293.1 million), and Stage C 1.1% (≈7.5 million). The prevalence of Stages B and C increased with increasing age (P < 0.0001). Women had lower prevalence of Stage A (32.6% vs. 39.3%; P < 0.0001) but higher prevalence of Stage B (45.9% vs. 39.5%; P < 0.0001) than men. People from rural area had lower prevalence of Stage A (31.9% vs. 41.0%; P < 0.0001) but higher prevalence of Stage B (47.8% vs. 36.2%; P < 0.0001) than people from urban. The prevalence of Stage C was similar by sex and urbanity.The burdens of pre-clinical and clinical HF are high and vary by age, sex, and urbanity in China. Targeted interventions are needed to reduce the high burden of pre-clinical and clinical HF.The burden of heart failure (HF) in China is projected to increase further with population ageing. In an effort to reduce the burden, a crucial starting point is to enhance our knowledge of the burden of clinical precursors of HF in the community. Heart failure can be divided into Stage A (at-risk for HF), Stage B (pre-HF), Stage C (symptomatic HF), and Stage D (advanced HF), which is helpful for early identifying people at risk for symptomatic HF and thus implementing interventions. Despite having a high HF burden, knowledge of the prevalence of HF stages in China is limited. We therefore used the data of China Hypertension Survey 2012–15 to evaluate the prevalence of HF stages in the general Chinese population and the specific prevalence by age, sex, and urbanity. Survey weights were calculated based on the 2010 China population census data. A total of 31 494 community-dwelling adults aged ≥ 35 years were included. The prevalence of Stage A was 35.8% (≈245.1 million), Stage B 42.8% (≈293.1 million), and Stage C 1.1% (≈7.5 million). The prevalence of Stages B and C increased with increasing age. Women had lower prevalence of Stage A but higher prevalence of Stage B than men. People from rural area had lower prevalence of Stage A but higher prevalence of Stage B than people from urban. The prevalence of Stage C was similar by sex and urbanity.The burdens of both pre-clinical and clinical HF are high in China.These burdens vary by age, sex, and urbanity.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
wanci应助熊金艳采纳,获得10
1秒前
Hello应助禾晏采纳,获得10
2秒前
纪贝贝完成签到,获得积分10
2秒前
卜靖荷完成签到,获得积分10
2秒前
3秒前
3秒前
zhanghw发布了新的文献求助10
4秒前
7秒前
ElbingX发布了新的文献求助40
7秒前
7秒前
7秒前
佳佳应助科研韭菜采纳,获得10
8秒前
顾矜应助王染墨采纳,获得10
8秒前
dong应助lucy采纳,获得10
9秒前
10秒前
酷波er应助明芬采纳,获得30
10秒前
治治治发布了新的文献求助10
10秒前
10秒前
今天洗头了嚒关注了科研通微信公众号
10秒前
烟花应助阿冰采纳,获得10
10秒前
科研鸟发布了新的文献求助10
10秒前
孙佳婷完成签到 ,获得积分10
11秒前
Ava应助科yt采纳,获得10
12秒前
深情安青应助梨里采纳,获得10
13秒前
13秒前
斯文败类应助禾晏采纳,获得10
13秒前
13秒前
13秒前
Tolerate发布了新的文献求助10
14秒前
14秒前
14秒前
ycccccc完成签到 ,获得积分10
15秒前
16秒前
16秒前
熊金艳给熊金艳的求助进行了留言
16秒前
上官若男应助蔡6705采纳,获得10
17秒前
ke发布了新的文献求助10
17秒前
NexusExplorer应助cym采纳,获得10
18秒前
宁祚完成签到,获得积分10
18秒前
零零发布了新的文献求助30
19秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
Picture Books with Same-sex Parented Families: Unintentional Censorship 700
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
Nucleophilic substitution in azasydnone-modified dinitroanisoles 500
不知道标题是什么 500
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3976177
求助须知:如何正确求助?哪些是违规求助? 3520366
关于积分的说明 11202970
捐赠科研通 3256899
什么是DOI,文献DOI怎么找? 1798535
邀请新用户注册赠送积分活动 877725
科研通“疑难数据库(出版商)”最低求助积分说明 806516