Chinese General Practice ›› 2023, Vol. 26 ›› Issue (04): 512-518.DOI: 10.12114/j.issn.1007-9572.2022.0495
Special Issue: 高血压最新文章合集
• Evidence-based Medicine • Previous Articles
Received:
2022-07-08
Revised:
2022-10-22
Published:
2023-02-05
Online:
2022-11-24
Contact:
LI Yanhua
About author:
通讯作者:
李琰华
作者简介:
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URL: https://www.chinagp.net/EN/10.12114/j.issn.1007-9572.2022.0495
步骤 | 检索式 |
---|---|
#1 | "Postmenopause"[Mesh] OR "Postmenopausal Period"[Title/Abstract] OR "Period Postmenopausal"[Title/Abstract] OR "Post Menopause"[Title/Abstract] OR "Post Menopausal Period"[Title/Abstract] OR "Period Post Menopausal"[Title/Abstract] |
#2 | "Hypertension"[Mesh] OR "Blood Pressure High"[Title/Abstract] OR "Blood Pressures High"[Title/Abstract] OR "High Blood Pressure"[Title/Abstract] OR "High Blood Pressures"[Title/Abstract] |
#3 | "Risk Factors"[Mesh] OR Factor* Risk[Title/Abstract] OR Risk Factor*[Title/Abstract] OR Social Risk Factor*[Title/Abstract] OR Factor* Social Risk[Title/Abstract] OR Risk Factor* Social[Title/Abstract] OR Health Correlates[Title/Abstract] OR Correlates Health[Title/Abstract] OR Population* at Risk[Title/Abstract] OR Risk Score*[Title/Abstract] OR Score* Risk[Title/Abstract] OR Risk Factor Score*[Title/Abstract] |
#4 | "Heredity"[Mesh] OR Heredity[Title/Abstract] OR "Age Factors"[Mesh] OR Age Factor*[Title/Abstract] OR Factor* Age[Title/Abstract] OR Age Reporting[Title/Abstract] OR High Sodium Diet[Title/Abstract] OR Salt Intake[Title/Abstract] OR "Tobacco Smoking"[Mesh] OR Smoking Tobacco[Title/Abstract] OR "Cigarette Smoking"[Mesh] OR Smoking Cigarette[Title/Abstract] OR Smok*[Title/Abstract] OR "Overweight"[Mesh] OR "Obesity"[Mesh] OR Nutritional Obesity[Title/Abstract] OR Body Weight,Excess[Title/Abstract] OR Adiposity[Title/Abstract] OR "Exercise"[Mesh] OR Physical Exercise*[Title/Abstract] OR Physical Activit*[Title/Abstract] OR Exercise Training*[Title/Abstract] OR Fitness Workout[Title/Abstract] OR Chronic Mental Tension[Title/Abstract] OR Psychological Stress*[Title/Abstract] OR Psychologic* Stress[Title/Abstract] OR Psychological Stressor*[Title/Abstract] OR Mental Stress*[Title/Abstract] OR Mental Tension[Title/Abstract] OR Psychic Stress[Title/Abstract] OR Psychic Tension[Title/Abstract] |
#5 | #3 OR #4 |
#6 | "Cohort Studies"[Mesh] OR Cohort Stud*[Title/Abstract] OR Concurrent Stud*[Title/Abstract] OR Closed Cohort Stud*[Title/Abstract] OR Birth Cohort Stud*[Title/Abstract] OR Historical Cohort Stud*[Title/Abstract] OR Incidence Stud*[Title/Abstract] OR "Follow-Up Studies"[Mesh] OR Follow Up Stud*[Title/Abstract] OR Follow-Up Stud*[Title/Abstract] OR Followup Stud*[Title/Abstract] OR "Longitudinal Studies"[Mesh] OR Longitudinal Stud*[Title/Abstract] OR Longitudinal Survey*[Title/Abstract] OR "Prospective Studies"[Mesh] OR Prospective Stud*[Title/Abstract] OR "Retrospective Studies"[Mesh] OR Retrospective Stud*[Title/Abstract] |
#7 | "Case-Control Studies"[Mesh] OR Case-Control Stud*[Title/Abstract] OR Case Control Stud*[Title/Abstract] OR Case-Comparison Stud*[Title/Abstract] OR Case Comparison Stud*[Title/Abstract] OR Case-Referent Stud*[Title/Abstract] OR Case Referent Stud*[Title/Abstract] OR Nested Case-Control Stud*[Title/Abstract] OR Nested Case Control Stud*[Title/Abstract] OR Matched Case-Control Stud*[Title/Abstract] OR Matched Case Control Stud*[Title/Abstract] OR Case-Base Stud*[Title/Abstract] OR Case Base Stud*[Title/Abstract] |
#8 | #6 OR #7 |
#9 | #1 AND #2 AND #5 AND #8 |
Table 1 Strategy used for searching studies in PubMed
步骤 | 检索式 |
---|---|
#1 | "Postmenopause"[Mesh] OR "Postmenopausal Period"[Title/Abstract] OR "Period Postmenopausal"[Title/Abstract] OR "Post Menopause"[Title/Abstract] OR "Post Menopausal Period"[Title/Abstract] OR "Period Post Menopausal"[Title/Abstract] |
#2 | "Hypertension"[Mesh] OR "Blood Pressure High"[Title/Abstract] OR "Blood Pressures High"[Title/Abstract] OR "High Blood Pressure"[Title/Abstract] OR "High Blood Pressures"[Title/Abstract] |
#3 | "Risk Factors"[Mesh] OR Factor* Risk[Title/Abstract] OR Risk Factor*[Title/Abstract] OR Social Risk Factor*[Title/Abstract] OR Factor* Social Risk[Title/Abstract] OR Risk Factor* Social[Title/Abstract] OR Health Correlates[Title/Abstract] OR Correlates Health[Title/Abstract] OR Population* at Risk[Title/Abstract] OR Risk Score*[Title/Abstract] OR Score* Risk[Title/Abstract] OR Risk Factor Score*[Title/Abstract] |
#4 | "Heredity"[Mesh] OR Heredity[Title/Abstract] OR "Age Factors"[Mesh] OR Age Factor*[Title/Abstract] OR Factor* Age[Title/Abstract] OR Age Reporting[Title/Abstract] OR High Sodium Diet[Title/Abstract] OR Salt Intake[Title/Abstract] OR "Tobacco Smoking"[Mesh] OR Smoking Tobacco[Title/Abstract] OR "Cigarette Smoking"[Mesh] OR Smoking Cigarette[Title/Abstract] OR Smok*[Title/Abstract] OR "Overweight"[Mesh] OR "Obesity"[Mesh] OR Nutritional Obesity[Title/Abstract] OR Body Weight,Excess[Title/Abstract] OR Adiposity[Title/Abstract] OR "Exercise"[Mesh] OR Physical Exercise*[Title/Abstract] OR Physical Activit*[Title/Abstract] OR Exercise Training*[Title/Abstract] OR Fitness Workout[Title/Abstract] OR Chronic Mental Tension[Title/Abstract] OR Psychological Stress*[Title/Abstract] OR Psychologic* Stress[Title/Abstract] OR Psychological Stressor*[Title/Abstract] OR Mental Stress*[Title/Abstract] OR Mental Tension[Title/Abstract] OR Psychic Stress[Title/Abstract] OR Psychic Tension[Title/Abstract] |
#5 | #3 OR #4 |
#6 | "Cohort Studies"[Mesh] OR Cohort Stud*[Title/Abstract] OR Concurrent Stud*[Title/Abstract] OR Closed Cohort Stud*[Title/Abstract] OR Birth Cohort Stud*[Title/Abstract] OR Historical Cohort Stud*[Title/Abstract] OR Incidence Stud*[Title/Abstract] OR "Follow-Up Studies"[Mesh] OR Follow Up Stud*[Title/Abstract] OR Follow-Up Stud*[Title/Abstract] OR Followup Stud*[Title/Abstract] OR "Longitudinal Studies"[Mesh] OR Longitudinal Stud*[Title/Abstract] OR Longitudinal Survey*[Title/Abstract] OR "Prospective Studies"[Mesh] OR Prospective Stud*[Title/Abstract] OR "Retrospective Studies"[Mesh] OR Retrospective Stud*[Title/Abstract] |
#7 | "Case-Control Studies"[Mesh] OR Case-Control Stud*[Title/Abstract] OR Case Control Stud*[Title/Abstract] OR Case-Comparison Stud*[Title/Abstract] OR Case Comparison Stud*[Title/Abstract] OR Case-Referent Stud*[Title/Abstract] OR Case Referent Stud*[Title/Abstract] OR Nested Case-Control Stud*[Title/Abstract] OR Nested Case Control Stud*[Title/Abstract] OR Matched Case-Control Stud*[Title/Abstract] OR Matched Case Control Stud*[Title/Abstract] OR Case-Base Stud*[Title/Abstract] OR Case Base Stud*[Title/Abstract] |
#8 | #6 OR #7 |
#9 | #1 AND #2 AND #5 AND #8 |
作者 | 发表年份(年) | 国家 | 研究类型 | 样本量 | 危险因素 | NOS评分(分) | |||
---|---|---|---|---|---|---|---|---|---|
研究人群选择 | 组间可比性 | 暴露 | 总分 | ||||||
GORDON等[ | 2021 | 美国 | 前瞻性队列研究 | 471 | (2)(3) | 3 | 2 | 2 | 7 |
ZHANG等[ | 2020 | 中国 | 回顾性队列研究 | 15 361 | (4) | 4 | 2 | 3 | 9 |
XU等[ | 2017 | 中国 | 回顾性队列研究 | 8 046 | (4)(6)(7)(8)(9)(10)(11)(12)(14)(15) | 3 | 2 | 2 | 7 |
ZAMBRANA等[ | 2014 | 美国 | 前瞻性队列研究 | 2 706 | (5)(6)(7)(8)(11)(13)(14)(15)(16) | 3 | 2 | 3 | 8 |
LEE等[ | 2013 | 日本 | 回顾性队列研究 | 4 318 | (5)(6)(7)(10)(14)(15) | 2 | 2 | 2 | 6 |
张春雪等[ | 2016 | 中国 | 病例对照研究 | 456 | (9) | 3 | 2 | 3 | 8 |
辛佳蔚等[ | 2013 | 中国 | 病例对照研究 | 121 | (7)(13) | 3 | 0 | 3 | 6 |
WANG等[ | 2012 | 美国 | 病例对照研究 | 800 | (3) | 4 | 2 | 3 | 9 |
WANG等[ | 2012 | 美国 | 病例对照研究 | 800 | (3) | 4 | 2 | 3 | 9 |
WANG等[ | 2011 | 美国 | 病例对照研究 | 800 | (1)(2) | 4 | 2 | 3 | 9 |
WANG等[ | 2011 | 美国 | 病例对照研究 | 800 | (1)(2) | 4 | 2 | 3 | 9 |
AL-SALEH等[ | 2005 | 沙特阿拉伯 | 病例对照研究 | 185 | (5)(6)(11)(12)(16) | 3 | 2 | 3 | 8 |
Table 2 Basic characteristics and risk-of-bias assessment of included studies
作者 | 发表年份(年) | 国家 | 研究类型 | 样本量 | 危险因素 | NOS评分(分) | |||
---|---|---|---|---|---|---|---|---|---|
研究人群选择 | 组间可比性 | 暴露 | 总分 | ||||||
GORDON等[ | 2021 | 美国 | 前瞻性队列研究 | 471 | (2)(3) | 3 | 2 | 2 | 7 |
ZHANG等[ | 2020 | 中国 | 回顾性队列研究 | 15 361 | (4) | 4 | 2 | 3 | 9 |
XU等[ | 2017 | 中国 | 回顾性队列研究 | 8 046 | (4)(6)(7)(8)(9)(10)(11)(12)(14)(15) | 3 | 2 | 2 | 7 |
ZAMBRANA等[ | 2014 | 美国 | 前瞻性队列研究 | 2 706 | (5)(6)(7)(8)(11)(13)(14)(15)(16) | 3 | 2 | 3 | 8 |
LEE等[ | 2013 | 日本 | 回顾性队列研究 | 4 318 | (5)(6)(7)(10)(14)(15) | 2 | 2 | 2 | 6 |
张春雪等[ | 2016 | 中国 | 病例对照研究 | 456 | (9) | 3 | 2 | 3 | 8 |
辛佳蔚等[ | 2013 | 中国 | 病例对照研究 | 121 | (7)(13) | 3 | 0 | 3 | 6 |
WANG等[ | 2012 | 美国 | 病例对照研究 | 800 | (3) | 4 | 2 | 3 | 9 |
WANG等[ | 2012 | 美国 | 病例对照研究 | 800 | (3) | 4 | 2 | 3 | 9 |
WANG等[ | 2011 | 美国 | 病例对照研究 | 800 | (1)(2) | 4 | 2 | 3 | 9 |
WANG等[ | 2011 | 美国 | 病例对照研究 | 800 | (1)(2) | 4 | 2 | 3 | 9 |
AL-SALEH等[ | 2005 | 沙特阿拉伯 | 病例对照研究 | 185 | (5)(6)(11)(12)(16) | 3 | 2 | 3 | 8 |
危险因素 | 研究数量(篇) | 异质性检验 | 效应模型 | RR/OR(95%CI) | 总体效应检验 | ||
---|---|---|---|---|---|---|---|
P值 | I2(%) | Z值 | P值 | ||||
高敏C反应蛋白a | 2[ | 0.13 | 57 | 随机 | 1.38(1.04,1.83) | 2.25 | 0.02 |
白介素-6a | 3[ | <0.01 | 85 | 随机 | 1.25(0.84,1.85) | 1.12 | 0.26 |
脂联素a | 3[ | 0.62 | 0 | 固定 | 0.83(0.70,0.99) | 2.05 | 0.04 |
初潮年龄 | 2[ | 0.12 | 59 | 随机 | 0.97(0.88,1.06) | 0.71 | 0.48 |
日常活动量 | 3[ | 0.70 | 0 | 固定 | 0.92(0.82,1.03) | 1.44 | 0.15 |
年龄 | 4[ | <0.01 | 96 | 随机 | 1.39(1.11,1.74) | 2.84 | <0.01 |
体质指数 | 4[ | <0.01 | 93 | 随机 | 1.61(1.19,2.18) | 3.10 | <0.01 |
胆固醇 | 2[ | 0.39 | 0 | 固定 | 1.35(1.14,1.59) | 3.47 | <0.01 |
三酰甘油 | 2[ | <0.01 | 98 | 随机 | 2.17(1.03,4.59) | 2.03 | 0.04 |
绝经年龄 | 2[ | 0.72 | 0 | 固定 | 0.90(0.82,0.98) | 2.31 | 0.02 |
受教育程度 | 3[ | <0.01 | 87 | 随机 | 0.99(0.69,1.41) | 0.06 | 0.95 |
高血压家族史 | 2[ | 0.08 | 68 | 随机 | 4.43(0.74,26.45) | 1.63 | 0.10 |
糖尿病史 | 2[ | 0.17 | 46 | 固定 | 1.70(1.27,2.27) | 3.60 | <0.01 |
当前吸烟史 | 3[ | <0.01 | 81 | 随机 | 0.85(0.59,1.24) | 0.82 | 0.41 |
当前饮酒史 | 3[ | <0.01 | 79 | 随机 | 1.11(0.80,1.53) | 0.64 | 0.52 |
心血管疾病史 | 2[ | 0.08 | 67 | 随机 | 2.76(0.63,12.10) | 1.35 | 0.18 |
Table 3 Meta-analysis of risk factors for postmenopausal hypertension
危险因素 | 研究数量(篇) | 异质性检验 | 效应模型 | RR/OR(95%CI) | 总体效应检验 | ||
---|---|---|---|---|---|---|---|
P值 | I2(%) | Z值 | P值 | ||||
高敏C反应蛋白a | 2[ | 0.13 | 57 | 随机 | 1.38(1.04,1.83) | 2.25 | 0.02 |
白介素-6a | 3[ | <0.01 | 85 | 随机 | 1.25(0.84,1.85) | 1.12 | 0.26 |
脂联素a | 3[ | 0.62 | 0 | 固定 | 0.83(0.70,0.99) | 2.05 | 0.04 |
初潮年龄 | 2[ | 0.12 | 59 | 随机 | 0.97(0.88,1.06) | 0.71 | 0.48 |
日常活动量 | 3[ | 0.70 | 0 | 固定 | 0.92(0.82,1.03) | 1.44 | 0.15 |
年龄 | 4[ | <0.01 | 96 | 随机 | 1.39(1.11,1.74) | 2.84 | <0.01 |
体质指数 | 4[ | <0.01 | 93 | 随机 | 1.61(1.19,2.18) | 3.10 | <0.01 |
胆固醇 | 2[ | 0.39 | 0 | 固定 | 1.35(1.14,1.59) | 3.47 | <0.01 |
三酰甘油 | 2[ | <0.01 | 98 | 随机 | 2.17(1.03,4.59) | 2.03 | 0.04 |
绝经年龄 | 2[ | 0.72 | 0 | 固定 | 0.90(0.82,0.98) | 2.31 | 0.02 |
受教育程度 | 3[ | <0.01 | 87 | 随机 | 0.99(0.69,1.41) | 0.06 | 0.95 |
高血压家族史 | 2[ | 0.08 | 68 | 随机 | 4.43(0.74,26.45) | 1.63 | 0.10 |
糖尿病史 | 2[ | 0.17 | 46 | 固定 | 1.70(1.27,2.27) | 3.60 | <0.01 |
当前吸烟史 | 3[ | <0.01 | 81 | 随机 | 0.85(0.59,1.24) | 0.82 | 0.41 |
当前饮酒史 | 3[ | <0.01 | 79 | 随机 | 1.11(0.80,1.53) | 0.64 | 0.52 |
心血管疾病史 | 2[ | 0.08 | 67 | 随机 | 2.76(0.63,12.10) | 1.35 | 0.18 |
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