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目的综合评价世界人群理想心血管健康行为和因素的流行趋势,为心血管疾病的预防提供基础参考资料。方法系统检索Pub Med、Springer、Elsevier、EMBase、SSCI、中国生物医学文献服务系统(CBM)、中国期刊全文数据库(CJFD)、万方数据库、中国优秀硕士学位论文全文数据库(CMFD)及中国重要会议论文全文数据库(CPFD)中关于理想心血管健康行为和因素、相关心血管事件的文献。检索时间为2010年1月—2014年3月。采用Rev Man 3.1.0软件对符合纳入及排除标准的文献采用随机效应模型进行Meta分析。结果共纳入文献10篇,总样本量为519 052人。世界人群具有7项理想心血管健康行为和因素的人数发生率为0.47%〔95%CI(0.22%,1.03%)〕,具有5~7项理想心血管健康行为和因素的人数发生率为16.26%〔95%CI(11.18%,23.05%)〕。亚组分析显示,女性人群具有5~7项理想心血管健康行为和因素的人数发生率为23.25%〔95%CI(19.34%,27.69%)〕,男性人群具有5~7项理想心血管健康行为和因素的人数发生率为8.08%〔95%CI(4.56%,13.92%)〕,不同性别间理想心血管健康行为和因素的人数发生率比较,差异有统计学意义(Z=-2.67,P=0.008)。结论世界人群理想心血管健康行为和因素的发生率较低,女性优于男性。建议关注并采取积极干预措施,提高人群理想心血管健康水平。
Objective To comprehensively evaluate the prevalence of ideal cardiovascular health behaviors and factors in the world population and provide basic information for the prevention of cardiovascular diseases. Methods PubMed, Springer, Elsevier, EMBase, SSCI, CBM, CJFD, Wanfang Database, CMFD and China’s major conferences were searched systematically. Papers Full-text Database (CPFD) on Cardiovascular Health Behavior and Factors, Related Cardiovascular Events. Retrieved from January 2010 to March 2014. Rev Man 3.1.0 software was used to perform meta-analysis of randomized effects models for inclusion and exclusion criteria. Results A total of 10 articles were included, with a total sample size of 519,052. The incidence of people with seven desirable cardiovascular health behaviors and factors in the world population was 0.47% [95% CI (0.22%, 1.03%)] with a prevalence rate of 16.26 with 5-7 ideal cardiovascular health behaviors and factors % [95% CI (11.18%, 23.05%)]. Subgroup analyzes showed that the incidence of the population with 5 to 7 desirable cardiovascular health behaviors and factors in female population was 23.25% [95% CI (19.34%, 27.69%)], and the male population had 5 to 7 ideal cardiovascular health The incidence of behavioral and behavioral factors was 8.08% [95% CI (4.56%, 13.92%)]. There was significant difference in the incidence of ideal cardiovascular health behaviors and factors among different sexes (Z = -2.67, P = 0.008). Conclusions The incidence of cardiovascular health behaviors and factors in the world population is low, with females superior to males. It is recommended to pay attention to and take active interventions to improve the population’s ideal cardiovascular health.