Clinical risk model assessment for cardiovascular autonomic dysfunction in the general Chinese population.
J Endocrinol Invest
; 38(6): 615-22, 2015 Jun.
Article
em En
| MEDLINE
| ID: mdl-25555369
ABSTRACT
BACKGROUND:
The aim of this study was to evaluate the prevalence of cardiovascular autonomic (CA) dysfunction in the general Chinese population (instead of focusing on only patients with diabetes) and to develop a clinical risk model for the disease. METHODS AND MATERIALS We evaluated CA dysfunction prevalence in a dataset based on a population sample consisting of 2,092 individuals. Clinical risk models were derived from exploratory sets using multiple logistic regression analysis. The performance of the clinical risk models was tested in the validation sets.RESULTS:
CA dysfunction prevalence was 18.50% in the general Chinese population, while the prevalence was 24.14% in individuals aged ≥60 years. Its prevalence was 31.17, 24.69, and 21.26% in patients with diabetes, and hypertensive, and metabolic syndrome populations, respectively. Finally, we developed clinical risk models involving seven risk factors. The mean area under the receiver-operating curve was 0.758 (95% CI 0.724-0.793) for these models. The mean sensitivity and specificity of the clinical risk models was 75.0 and 66.2%, respectively.CONCLUSION:
CA dysfunction prevalence was high in the general Chinese population, and its prevalence was more frequent in individuals with diabetes, and hypertensive, and metabolic syndrome. Clinical risk models with a high value for predicting CA dysfunction were developed. CA dysfunction has become a major public health problem in China that requires strategies aimed at the prevention and treatment of the disease.Palavras-chave
Texto completo:
1
Temas:
ECOS
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Aspectos_gerais
Bases de dados:
MEDLINE
Assunto principal:
Sistema Nervoso Autônomo
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Doenças do Sistema Nervoso Autônomo
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Doenças Cardiovasculares
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Modelos Teóricos
Tipo de estudo:
Diagnostic_studies
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Etiology_studies
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Prevalence_studies
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Prognostic_studies
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Risk_factors_studies
Limite:
Aged
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Female
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Humans
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Male
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Middle aged
País/Região como assunto:
Asia
Idioma:
En
Revista:
J Endocrinol Invest
Ano de publicação:
2015
Tipo de documento:
Article
País de afiliação:
China