{"id":254334,"date":"2025-01-21T22:40:48","date_gmt":"2025-01-21T21:40:48","guid":{"rendered":"https:\/\/r3i.org\/%e3%83%95%e3%82%a9%e3%83%bc%e3%82%ab%e3%82%b9-%e9%ab%98%e3%83%aa%e3%82%b9%e3%82%af%e6%82%a3%e8%80%85%e3%81%ab%e3%81%8a%e3%81%91%e3%82%8b%e8%84%82%e8%b3%aa%e3%82%b3%e3%83%b3%e3%83%88%e3%83%ad\/"},"modified":"2025-02-16T22:21:31","modified_gmt":"2025-02-16T21:21:31","slug":"%e3%83%95%e3%82%a9%e3%83%bc%e3%82%ab%e3%82%b9-%e9%ab%98%e3%83%aa%e3%82%b9%e3%82%af%e6%82%a3%e8%80%85%e3%81%ab%e3%81%8a%e3%81%91%e3%82%8b%e8%84%82%e8%b3%aa%e3%82%b3%e3%83%b3%e3%83%88%e3%83%ad","status":"publish","type":"page","link":"https:\/\/r3i.org\/ja\/%e3%83%95%e3%82%a9%e3%83%bc%e3%82%ab%e3%82%b9-%e9%ab%98%e3%83%aa%e3%82%b9%e3%82%af%e6%82%a3%e8%80%85%e3%81%ab%e3%81%8a%e3%81%91%e3%82%8b%e8%84%82%e8%b3%aa%e3%82%b3%e3%83%b3%e3%83%88%e3%83%ad\/","title":{"rendered":"\u30d5\u30a9\u30fc\u30ab\u30b9 – \u9ad8\u30ea\u30b9\u30af\u60a3\u8005\u306b\u304a\u3051\u308b\u8102\u8cea\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\uff1a\u5973\u6027\u306f\u4f9d\u7136\u3068\u3057\u3066\u7537\u6027\u3088\u308a\u9045\u308c\u3066\u3044\u308b"},"content":{"rendered":"\n[et_pb_section fb_built=”1″ _builder_version=”4.27.4″ _module_preset=”default” custom_padding=”1px|||||” global_colors_info=”{}”][et_pb_row _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.27.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.27.4″ _module_preset=”default” header_2_text_color=”gcid-primary-color” header_5_text_color=”gcid-secondary-color” text_orientation=”center” width=”99%” custom_margin=”|-147px||||” custom_padding=”|0px||||” hover_enabled=”0″ global_colors_info=”{%22gcid-primary-color%22:%91%22quote_text_color%22,%22quote_text_color%22,%22quote_text_color%22,%22header_2_text_color%22%93,%22gcid-secondary-color%22:%91%22header_5_text_color%22%93}” sticky_enabled=”0″]

\u30d5\u30a9\u30fc\u30ab\u30b9 – \u9ad8\u30ea\u30b9\u30af\u60a3\u8005\u306b\u304a\u3051\u308b\u8102\u8cea\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\uff1a\u5973\u6027\u306f\u4f9d\u7136\u3068\u3057\u3066\u7537\u6027\u3088\u308a\u9045\u308c\u3066\u3044\u308b<\/h2>\n

6 2023\u5e747\u6708<\/span><\/h5>\n

\u7c73\u56fd\u56fd\u6c11\u5065\u5eb7\u6804\u990a\u8abf\u67fb\uff08NHANES\uff092001-2018\u306e\u30c7\u30fc\u30bf\u3067\u306f\u3001\u8133\u5352\u4e2d\u307e\u305f\u306f\u5fc3\u7b4b\u6897\u585e\uff08MI\uff09\u306e\u751f\u5b58\u8005\u306b\u304a\u3051\u308b\u8102\u8cea\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u306e\u6539\u5584\u50be\u5411\u304c\u793a\u3055\u308c\u3066\u3044\u308b\u304c\u3001\u5973\u6027\u306f\u7537\u6027\u306b\u6bd4\u3079\u3066\u8102\u8cea\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u304c\u4f9d\u7136\u3068\u3057\u3066\u4e0d\u826f\u3067\u3042\u308b\u3002<\/em><\/p>\n

Dong W, Yang Z. \u7c73\u56fd\u6210\u4eba\u306e\u8133\u5352\u4e2d\u307e\u305f\u306f\u5fc3\u7b4b\u6897\u585e\u751f\u5b58\u8005\u306b\u304a\u3051\u308b\u8102\u8cea\u30d7\u30ed\u30d5\u30a1\u30a4\u30eb\u3068\u8102\u8cea\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u306e\u50be\u5411\u30012001-2018\u5e74\u3002Front Endocrinol 2023;14:1128878 <\/em><\/p>\n

\u7814\u7a76\u6982\u8981<\/b><\/p>\n\n\n\n\n\n\n\n
\u76ee\u7684<\/strong><\/td>\n2001\uff5e2018\u5e74\u306e\u7c73\u56fd\u6210\u4eba\u306b\u304a\u3051\u308b\u8133\u5352\u4e2d\u304a\u3088\u3073\/\u307e\u305f\u306f\u5fc3\u7b4b\u6897\u585e\u751f\u5b58\u8005\u306e\u8102\u8cea\u30d7\u30ed\u30d5\u30a1\u30a4\u30eb\u3068\u8102\u8cea\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u306e\u5909\u5316\u3092\u8abf\u67fb\u3059\u308b\u3053\u3068\u3002<\/td>\n<\/tr>\n
\u7814\u7a76\u30c7\u30b6\u30a4\u30f3\uff1a<\/strong><\/td>\nNHANES\u30c7\u30fc\u30bf\u30d9\u30fc\u30b92001-2018\u306e\u89e3\u6790<\/td>\n<\/tr>\n
\u7814\u7a76\u96c6\u56e3\uff1a<\/strong><\/td>\n18\u6b73\u4ee5\u4e0a\u306eNHANES\u96c6\u56e3\u304b\u3089\u306e\u8133\u5352\u4e2d\/MI\u751f\u5b58\u8005\u3002<\/td>\n<\/tr>\n
\u7814\u7a76\u7d50\u679c<\/strong><\/td>\n– \u7dcf\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u3001\u9ad8\u6bd4\u91cd\u30ea\u30dd\u86cb\u767d\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\uff08HDL-C\uff09\u3001\u4f4e\u6bd4\u91cd\u30ea\u30dd\u86cb\u767d\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\uff08LDL-C\uff09\u3001\u30c8\u30ea\u30b0\u30ea\u30bb\u30ea\u30c9\u306e\u8102\u8cea\u30ec\u30d9\u30eb<\/td>\n<\/tr>\n
\u65b9\u6cd5\uff1a<\/strong><\/td>\n\u30c7\u30fc\u30bf\u306f\u8abf\u67fb\u52a0\u91cd\u30d1\u30fc\u30bb\u30f3\u30c6\u30fc\u30b8\uff08\u30ab\u30c6\u30b4\u30ea\u30fc\u30c7\u30fc\u30bf\uff09\u307e\u305f\u306f\u5e73\u5747\u5024\uff08\u9023\u7d9a\u30c7\u30fc\u30bf\uff09\u306895\uff05\u4fe1\u983c\u533a\u9593\uff08CI\uff09\u3067\u793a\u3057\u305f\u3002\u30c8\u30ea\u30b0\u30ea\u30bb\u30ea\u30c9\u306e\u30c7\u30fc\u30bf\u306f\u5bfe\u6570\u5909\u63db\u3057\u305f\u3002\u8102\u8cea\u6fc3\u5ea6\u304a\u3088\u3073\u8102\u8cea\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u7387\u306e\u5168\u4f53\u7684\u306a\u7d4c\u6642\u7684\u50be\u5411\u306f\u4e00\u822c\u7dda\u5f62\u56de\u5e30\u5206\u6790\u3092\u7528\u3044\u3066\u8a55\u4fa1\u3057\u3001\u6027\u304a\u3088\u3073\u4eba\u7a2e\u306e\u30b5\u30d6\u30b0\u30eb\u30fc\u30d7\u9593\u306e\u8102\u8cea\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u306e\u5909\u5316\u306b\u3064\u3044\u3066\u306f\u6a2a\u65ad\u7684\u306b\u8a55\u4fa1\u3057\u305f\u3002 <\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

\u7d50\u679c<\/p>\n

<\/strong><\/p>\n\n\n\n\n
\u7d50\u679c<\/strong><\/td>\n\u89e3\u6790\u5bfe\u8c61\u306f\u3001\u8133\u5352\u4e2d\/MI\u751f\u5b58\u80053,736\u4eba\uff08\u5e73\u5747\u5e74\u9f6265.0\u6b73\u3001\u7537\u602754\uff05\u3001\u975e\u30d2\u30b9\u30d1\u30cb\u30c3\u30af\u7cfb\u767d\u4eba74\uff05\uff09\u3002\u8102\u8cea\u7570\u5e38\u75c7\u306e\u6cbb\u7642\u85ac\u3092\u670d\u7528\u3057\u3066\u3044\u308b\u3068\u5831\u544a\u3057\u305f\u88ab\u9a13\u8005\u306e\u5272\u5408\u306f\u30012001\u5e74\u304b\u30892002\u5e74\u306e36.1\uff05\u304b\u3089\u30012017\u5e74\u304b\u30892018\u5e74\u306e57.1\uff05\u306b\u5897\u52a0\u3057\u305f\u3002HDL-C\u3092\u9664\u304d\u30012001\uff5e2002\u5e74\u304b\u30892017\uff5e2018\u5e74\u306b\u304b\u3051\u3066\u8102\u8cea\u5024\u306f\u6e1b\u5c11\u50be\u5411\u306b\u3042\u3063\u305f\u3002\u5168\u4f53\u7684\u306a\u8102\u8cea\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\uff08\u7dcf\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u2266200mg\/dL\u3068\u5b9a\u7fa9\uff09\u306f\u30012001\uff5e2002\u5e74\u306e56.2\uff05\uff0895\uff05\u4fe1\u983c\u533a\u959343.9\uff05\uff5e67.7\uff05\uff09\u304b\u30892017\uff5e2018\u5e74\u306e73.2\uff05\uff0864.8\uff05\uff5e80.2\uff05\uff09\u306b\u6539\u5584\u3057\u305f\u3002\u3057\u304b\u3057\u3001\u5973\u6027\u306e\u8133\u5352\u4e2d\/MI\u30b5\u30d0\u30a4\u30d0\u30fc\u306f\u7537\u6027\u3088\u308a\u3082\u8102\u8cea\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u304c\u4e0d\u826f\u3067\u3042\u308b\u53ef\u80fd\u6027\u304c\u9ad8\u304f\u3001\u5973\u6027\u5bfe\u7537\u6027\u306e\u30aa\u30c3\u30ba\u6bd4\uff08\u8102\u8cea\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u4e0d\u826f\u306e\u5272\u5408\u304c\u9ad8\u3044\u3053\u3068\u3092\u793a\u3059\uff09\u306f2001\uff5e2004\u5e74\u3067\u306f2.7\u30012015\uff5e2016\u5e74\u3067\u306f1.4\u3067\u3042\u3063\u305f\u3002 <\/td>\n<\/tr>\n
\u8457\u8005\u306e\u7d50\u8ad6<\/strong><\/td>\n\u3053\u306e\u6a2a\u65ad\u7814\u7a76\u3067\u306f\u3001\u8133\u5352\u4e2d\u304a\u3088\u3073\/\u307e\u305f\u306f\u5fc3\u7b4b\u6897\u585e\u751f\u5b58\u8005\u306b\u304a\u3044\u3066\u8102\u8cea\u6fc3\u5ea6\u304c\u4f4e\u4e0b\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u89b3\u5bdf\u3055\u308c\u305f\u3002\u751f\u5b58\u8005\u3067\u306f\u8102\u8cea\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u304c\u6539\u5584\u3057\u305f\u304c\u3001\u6027\u304a\u3088\u3073\u4eba\u7a2e\u306b\u3088\u308b\u4e0d\u5747\u4e00\u6027\u304c\u307f\u3089\u308c\u305f\u3002 <\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n
\n

\u30b3\u30e1\u30f3\u30c8<\/strong><\/p>\n

NHANES\u306e\u4eca\u56de\u306e\u5831\u544a\u306f\u3001\u904e\u53bb18\u5e74\u9593\u3067\u8102\u8cea\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u304c\u6539\u5584\u3057\u305f\u3053\u3068\u3092\u793a\u3057\u3066\u304a\u308a\u3001\u4ed6\u306e\u5831\u544a\u3068\u3082\u4e00\u81f4\u3057\u3001\u8102\u8cea\u7ba1\u7406\u306b\u95a2\u3059\u308b\u81e8\u5e8a\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306e\u66f4\u65b0\u306e\u5f71\u97ff\u3092\u53cd\u6620\u3057\u3066\u304a\u308a\u3001\u6982\u306d\u80af\u5b9a\u7684\u3067\u3042\u308b(1,2)\u3002\u3057\u304b\u3057\u3001\u5973\u6027\u306e\u8102\u8cea\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\uff08\u7dcf\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u5024\u3067\u5b9a\u7fa9\uff09\u306e\u6539\u5584\u304c\u7537\u6027\u306b\u6bd4\u3079\u3066\u9045\u308c\u3066\u3044\u308b\u3068\u3044\u3046\u6182\u616e\u3059\u3079\u304d\u30cb\u30e5\u30fc\u30b9\u3082\u3042\u308b\u3002\u540c\u69d8\u306e\u6240\u898b\u306f\u4ee5\u524d\u306b\u3082\u5831\u544a\u3055\u308c\u3066\u304a\u308a(3)\u3001\u9ad8\u30ea\u30b9\u30af\u306e\u5973\u6027\u306f\u7537\u6027\u306b\u6bd4\u3079\u3066\u8102\u8cea\u7570\u5e38\u75c7\u306e\u7ba1\u7406\u304c\u4e0d\u5341\u5206\u3067\u3042\u308b\u3053\u3068\u304c\u518d\u78ba\u8a8d\u3055\u308c\u3066\u3044\u308b\u304c\u3001\u305d\u306e\u4e3b\u306a\u7406\u7531\u306f\u3001\u9ad8\u5f37\u5ea6\u30b9\u30bf\u30c1\u30f3\u6cbb\u7642\u306a\u3069\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u63a8\u5968\u3055\u308c\u3066\u3044\u308b\u6cbb\u7642\u3092\u53d7\u3051\u306b\u304f\u3044\u304b\u3089\u3067\u3042\u308b(4,5)\u3002\u3053\u306e\u3088\u3046\u306b\u3001\u5fc3\u8840\u7ba1\u7cfb\u30a4\u30d9\u30f3\u30c8\u306e\u751f\u5b58\u8005\u306b\u304a\u3044\u3066\u3001\u5973\u6027\u306f\u6cbb\u7642\u304c\u4e0d\u5341\u5206\u3067\u3042\u308b\u305f\u3081\u3001\u7537\u6027\u3088\u308a\u3082\u5fc3\u8840\u7ba1\u7cfb\u306e\u6b8b\u5b58\u30ea\u30b9\u30af\u304c\u9ad8\u3044\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u3002 <\/p>\n<\/div>\n\n\n\n\n
\u53c2\u8003\u6587\u732e<\/strong><\/td>\n1.Grundy SM, Stone NJ, Bailey AL, et al. 2018 AHA\/ACC\/AACVPR\/AAPA\/ABC\/ACPM\/ADA\/AGS\/APhA\/ASPC\/NLA\/PCNA guideline on the management of blood cholesterol: a report of the American College of Cardiology\/American Heart Association Task Force on clinical practice guidelines.Circulation 2019; 139: e1082-e1143.
2.Mach F, Baigent C, Catapano AL, et al. 2019 ESC\/EAS Guidelines for the management of dyslipidaemias: lipid modification to reduce cardiovascular risk.Eur Heart J 2020;41:111-188.
3.Peters SAE, Muntner P, Woodward M. Sex differences in the prevalence of, and trends in, cardiovascular risk factors, treatment, and control in the United States, 2001 to 2016.Circulation 2019;139:1025-1035.
4.Peters SAE, Colantonio LD, Zhao H, et al. Sex differences in high-intensity statin use after myocardial infarction in the United States.J Am Coll Cardiol 2018;71:1729-1737.
5.Rosenson RS, Farkouh ME, Mefford M et al. \u5fc3\u7b4b\u6897\u585e\u5f8c\u306e\u9ad8\u5f37\u5ea6\u30b9\u30bf\u30c1\u30f3\u7642\u6cd5\u4f7f\u7528\u306e\u50be\u5411\u30012011\u5e74\u304b\u30892014\u5e74\u3002J Am Coll Cardiol 2017;69:2696-2706. <\/td>\n<\/tr>\n
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