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| Analysis of the risk factors of elderly community with heart failure with preserved ejection fraction in Gaohang Community in Shanghai |
| WU Hong1 ZHENG Liang2 TIAN Cailin3 ZHU Chengying1 JIANG Xiaolan1 YUE Aixue2 FAN Huimin2▲ |
1.General Practice, Gaohang Community Health Service Center, Shanghai 201208, China;
2.Heart Failure Institute, Shanghai East Hospital Dongfang Hospital Affiliated to Tongji University, Shanghai 200120, China;
3.Department of Cardiology, the Second People＇s Hospital of Pinghu, Zhejiang Province, Pinghu 314201, China |
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Abstract Objectives To estimate the prevalence of heart failure with preserved ejection fraction (HFpEF) in elderly community, and to discuss the risk factors. Methods All target individuals were included in Gaohang communities from June to October in 2013. And they were divided into HFpEF group and control group. Step-wise Logistic regression was used to explore risk factors of HFpEF. Results A total of 4000 questionnaires were distributed to the community elderly. There were 3950 valid questionnaires and the effectives rate of 98.75%. There were 1312 patients with HFpEF and 2638 control individuals. There were significant difference between two groups in composition ratio of normal weight, overweight and obesity (P < 0.05). The regression model indicated that elderly age, female gender and lower HDL-C level were risk factors of HFpEF (P < 0.05), when adjusted variables included gender, age, SBP, obese, HDL-C, LDL-C and hs-CRP. Conclusion The prevalence of HFpEF is higher in elderly community population in Shanghai. Elderly age, female gender and lower HDL-C level are risk factors of HFpEF.
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Fund:上海市浦东新区卫生局行业科研专项（PW2013 E-1）；
上海市浦东新区卫生和计生委科技发展专项基金资助项目（PW2014C-5）。
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