Prevalence and risk factors of asymptomatic intracranial arterial stenosis in a community‐based population of Chinese adults

医学 无症状的 优势比 体质指数 人口 风险因素 内科学 逻辑回归 冲程(发动机) 心脏病学 环境卫生 机械工程 工程类
作者
S. Zhang,Yong Zhou,Yifeng Zhang,Xiang Gao,Qian Zhang,Anxin Wang,Zhao Jia,Shouling Wu,Xingquan Zhao
出处
期刊:European Journal of Neurology [Wiley]
卷期号:20 (11): 1479-1485 被引量:30
标识
DOI:10.1111/ene.12210
摘要

Background and purpose Intracranial arterial stenosis ( ICAS ) is one of the most common causes of ischaemic stroke in A sia. Knowledge of the prevalence and risk factors of asymptomatic ICAS is limited. The prevalence of ICAS was therefore investigated and its risk factors in a C hinese community‐based population were explored. Methods From 2010 to 2011, a stratified (by sex and age) random sample of 5440 participants aged 40 years or older were enrolled in the study. ICAS was assessed using t ranscranial D oppler. Logistic regression was used to evaluate potential risk factors associated with ICAS in participants. Results In total, 13.2% (95% CI 12.3–14.1) of the subjects had ICAS , and women were more likely than men to have ICAS in the 40–49 year age group. Hypertension [odds ratio (OR) = 2.23, 95% CI 1.87–2.66], diabetes (OR = 1.99, 95% CI 1.62–2.45), left ventricular hypertrophy (OR = 1.66, 95% CI 1.18–2.34) and elevated high‐sensitivity C‐reactive protein (OR = 1.55, 95% CI 1.19–2.02) were independently associated with higher prevalence of ICAS after adjusting for age, gender, body mass index, smoking status and other covariates. Of the 716 ICAS individuals, 90.6% had one or more of these risk factors. Amongst the subjects who had at least one risk factor, 15.2% had ICAS . Conclusions Intracranial artery stenosis is common in the Chinese population. Individuals who had one or more risk factors were more likely to have ICAS , suggesting more aggressive risk factor management.
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