Izifundo zibonisa ukudibanisa phakathi kweRace and Cholesterol Levels
Akukho buhlanga okanye ubuhlanga abukwazi ukuphuhlisa amazinga aphezulu e-cholesterol kodwa ezinye izifundo zibonisa ukuxhamla phakathi kohlanga kunye ne-cholesterol. Oko kukuthi, amanye amaqela angamalungu athile angabakhokelela kwizinga eliphezulu le-cholesterol.
Kubantu abadala, amazinga e-cholesterol amaninzi kufuneka abe okanye ngaphantsi kwezigidi ezingama-200 nge-deciliter (mg / dL). Amanqanaba e-LDL ama-cholesterol angaphezu kwe-130 mg / dL abonwa njengophakamileyo kwaye anxulumene nezingozi zempilo.
Kodwa amazinga e-cholesterol ahluka ngohlanga kunye nobuhlanga kunye nesini, ngokwe-CDC.
Amadoda angamaNdiya amhlophe angenawo ama-cholesterol aphezulu angama-29.4% ngelixa amadoda angama-Hispanic angama-30.7% kunye namadoda aseMexico aseMexico anesigqibo esiphezulu kwi-38.8% Kubafazi, amaxabiso alingana alinganayo angama-Hispanic amhlophe kunye Abesifazane baseMexico baseMelika bangama-32% kunye no-31.8%, ngelixa i-LDL ephakamileyo iphakamileyo kuma-black women ase-Hispanic ase-33.6%
Izingozi eziphezulu zeentliziyo zengqondo phakathi kwabase-Afrika-baseMelika
I-cholesterol ephezulu idlala indima ebalulekileyo ekuphuhliseni isifo senhliziyo kunye nesifo . I-cholesterol ingenza iiplati ezinamathele ngaphakathi kweendonga ze- artery , ezivimbela ukugeleza kwegazi kunye ne-oksijini emzimbeni. Le mihlaba ye-cholesterol ephethe iindawo ezinokuthi iphule, ikhuphe iziqhekeza ze-plaque ezingavimbela iirriyiti entliziyweni okanye kwiingqondo, ezingakhokelela ekuhlaselweni kwentliziyo okanye ngesifo.
EUnited States, iziganeko zokufa ezibangelwa zizifo zentliziyo zingama-30% aphezulu kumaAfrika aseMerika xa kuthelekiswa nomhlophe.
Uphando oluqhutywe yi-Duke Clinical Research Institute lubonise ukuba izigulane zase-Afrika-zaseMelika eziye zahlaselwa yintliziyo ziphindwe kabini kunezigulane ezimhlophe zokufa ngonyaka ongangonyango. Ukongezelela, ngokwe-CDC, abafazi base-Afrika nabamerika banomngcipheko omkhulu wokufa kwisifo senhliziyo kwanoma yiphi na inhlanga, ubuzwe, okanye isini.
Ama-American aseMelika ayenaye kuphela abantu abasengozini yokwanda kweengxaki zentliziyo. Ubuninzi bemingcipheko efana nokunyuka kwengcinezelo yegazi , ukukhuluphala, kunye nesifo sikashukela , sanda kakhulu phakathi kwabasetyhini abantu baseSpeyin. Abantu baseMelika nabo babona ukunyuka kweengxaki zentliziyo kubantu abadala.
Nangona abaphandi bafumanisa ukungafani phakathi kobuhlanga neentlanga, abaqinisekanga ukuba batyhila njani iziphumo zabo. "Kufuneka kubekho into eyenzekayo ukuba asiyiqondi ngokupheleleyo," watsho i-cardiologist Rajendra Mehta, MD, kwi-Duke University Medical Centre.
Ziziphi izinto ngaphandle kweCholesterol Ngaba ingaba yimbangela?
Ukuba "enye into" ayinakuquka i-cholesterol ngqo. Ngaphambi kokuba afinyelele kwiminyaka engama-50 ubudala, abantu abadala bazo zonke iintlanga banamazinga afana ne-cholesterol epheleleyo. Uphando lucebisa ukuba intlalo, ezoqoqosho, indlela yokuphila okanye izinto zokuzalwa zendalo zingabamba indima ekuchazeni ukuhlukahluka kweentliziyo zempilo phakathi kohlanga. Ngokomzekelo, ezinye iingcali zibhekiselele ekufikeleleni okungafaniyo kwiinkonzo zempilo okanye ukungafani kwenkcubeko kwisimo sengqondo malunga nokunyango lwezonyango njengezizathu zezi ngxaki ezichaziweyo. Abaphandi baye bafumanisa ukuba, xa kuthelekiswa nabamhlophe, ama-Afrika-aseMerika kunye nama-Hispanics banamathuba amaninzi anokufumana i-cholesterol yegazi.
Uphando lweSizwe lwezeMpilo kunye neZondlo lufumanisa ukuba malunga nesiqingatha sabo bonke abantu abafumene ukuba ne-high cholesterol yegazi empeleni bathathe imishanguzo yabo emiselweyo imihla ngemihla. Ngethuba le-2004 kwi-American Heart Association, uDkt Mehta waphawula ukuba ukungabikho kokuthotyelwa kwonyango lwexesha elide kunokuchaza ukungafani kobuhlanga kwisifo senhliziyo.
Isifo sikashukela kunye noTyhutyana kuphakamisa iingozi zezeMpilo
Iinkalo zempilo ezongezelelweyo, ezifana nesifo sikashukela kunye nokukhuluphala, zichaphazela amathuba okuba umntu ahlakulele amanqanaba e-cholesterol aphezulu.
Isifo sikashukela - imeko ephawulwe ngamanqanaba aphezulu ngokungasifanelanga kwishukela egazini - ixhaphake kakhulu phakathi kwama-Afrika aseMelika, echaphazela ngaphezu kwama-13% abo bangaphezu kweminyaka engama-20.
Isifo sikashukela senzeke xa umzimba unqanda ukuvelisa okanye ungagxininiswa kwi-insulin, ihomoni eveliswa yi-pancreas kwaye inceda ukulawula izinga lokushukela. Amanqanaba eshukela ongaqhelekanga angonakalisa amaninzi amaninzi, kuquka nentliziyo.
Isifo se-Cardiovascular isisusa esibangela ukufa kwabantu abaneesifo seswekile. I-Hispanics, amaMerika aseMerika, ama-Asiya aseMelika kunye ne-Pacific Islanders bonke basengozini enkulu yokuphuhlisa uhlobo lwe-2 lwesifo sikashukela, esivame ukukhula kubantu abadala abangaphezu kweminyaka engama-40 ubudala (kodwa iya kuba yinto eqhelekileyo kubantwana nakwishumi elivisayo).
Abaphengululi bakholelwa ukuba iinjongo ze-genetic zinokunceda i-akhawunti ngokuhlukahluka kwengozi yesifo sikashukela phakathi kwezizwe. Enye imfundiso ithi abantu abathile beentlanga banokuthi bafumane ilifa elibizwa ngokuthi "i-genetic gel", eyabancedisa ookhokho ukuba bagcine amandla okutya ngokufanelekileyo. Njengoko uninzi lwaba bantu lusekho ukujongana nexesha elide lokutya, i-griffe ye-thrifty inendima eyingozi ngokubangela isifo sikashukela.
Ukunyuka kokutya kuye kwabangela ukuba abantu baseMerika banzima. Ukunyaniseka kubangela ukuba abantu bakwazi ukuhlakulela isifo sesifo nesifo sikashukela. Ukunyanya ubukhulu kunemiphumo ebalulekileyo kubantu abanezinga eliphezulu le-cholesterol esele likhona, ukwandisa amathuba okuba aba bantu baya kuhlakulela iingxaki zentliziyo.
EUnited States, abaphandi baye bafumanisa ukuba ukuxhaphaka kokunyanya kuninzi kuninzi ngokobuhlanga nakubantu abancinci (ngaphandle kwabase-Asiya baseMerika) xa kuthelekiswa nabantu abamhlophe.
Ukongezelela, ukukhuluphala kunxulumene kakhulu ne-cholesterol ephakamileyo, uxinzelelo lwegazi oluphezulu, nesifo sikashukela, nangona amandla okudibanisa ahluka ngohlanga, ubuhlanga kunye nesini.
Imithombo:
I-Carroll MD, i-Kit BK, i-Lacher DA, i-Yoon SS. I-Total and High-density Ipoprotein i-Cholesterol kuBantu abadala: I-National Health and Nutrition Examination Survey, ngo-2011-2012. I-NCHS Data Brief, No. 132. I-Hyattsville, MD, iZiko leSizwe leeNkcukacha zezeMpilo; 2013.
UNelson, K. "Ukungafani kwi-Diagnosis nokuPhathwa kwe-High Blood Cholesterol ngo-Race kunye nohlanga." I-Abstr Acad Health Health Res I-Policy Serv I-18 (2001) 8. 28 Feb 2008.
"Iintsholongwane zeentliziyo." Amacandelo okuLawula nokuKhuselwa kwezifo. 15 Novemba 2007. Iziko zoLawulo lweZifo. 28 Feyi 2008.
"Isifo se-Cardiovascular Disease kwi-Module yabasetyhini I: Epidemiology." Women's Health.gov. 2004. UMnyango wezeMpilo kunye neeNkonzo zoLuntu. 28 Feyi 2008.
I-Paeratakul, S. "Ulwalamano lweGender, Race, ne-Socioeconomic Status to Obesity and obesityity Comorbidities in Example of Adult US." I-International Journal ye-Obesity 26.9Sep 2002 1205-1210. 28 Feyi 2008.
"Isibalo soTyhubela noPhando." Isiko lesiZwe seZifo esingapheliyo Ukukhusela nokuKhuthazwa kwezeMpilo. 14 Disemba 2007. Iziko zoLawulo lweZifo. 28 Feyi 2008.
"Isifo soSifo sikashukela phakathi kwamaAfrika-aseMerika." Inkqubo kaZwelonke yeSifundo seSwekile. Novemba 2005. ISiko leSizwe lezeMpilo. 28 Feyi 2008.
Merritt, uRichard. "I-African-American Heart Attack Izigulane Ziba nexesha elide." Dukehealth.org. 9 Novemba 2004. I-Duke Clinical Research Institute. 28 Feyi 2008.