Ελληνικά
English
Abstract
Background and Purpose-Many respected reports enjoys shown a poor relationship anywhere between mortality away from aerobic or cerebrovascular illness and you will water stiffness. It statement explores if or not calcium and you can magnesium from inside the drinking water is actually defensive up against cerebrovascular problem.
Actions-All qualified cerebrovascular deaths (17 133 cases) away from Taiwan owners off 1989 using 1993 was basically compared with deaths from other reasons (17 133 regulation), and degrees of calcium and you can magnesium inside liquid of these people was calculated. Data into calcium and you can magnesium accounts when you look at the h2o throughout the Taiwan was indeed obtained from the latest Taiwan Water supply Firm. This new control class contained individuals who died from other explanations, as well as the regulation was couples matched up to your circumstances of the intercourse, year from birth, and you may 12 months out-of demise.
Results-The fresh adjusted opportunity rates (95% count on interval) was in fact 0.75 (0.65 so you’re able to 0.85) on the group which have liquid magnesium accounts between eight.cuatro and you can 13.4 milligrams/L and you may 0.60 (0.52 to help you 0.70) into class which have magnesium levels of thirteen.5 mg/L or even more. Immediately following modifications having magnesium membership for the drinking water, there can be no difference in the new communities with assorted degrees of calcium supplements.
Conclusions-The outcome of your establish investigation reveal that there can be a beneficial significant protective effectation of magnesium consumption out of liquid into danger of cerebrovascular problem. This is an important seeking on Taiwan water world and people health.
The connection ranging from liquid hardness and you may mortality from heart problems possess started read for more than forty years. The brand new connection was initially discussed in Japan, 1 where a critical correlation anywhere between h2o top quality and you may death regarding cerebrovascular problem was discover. Next, a lot of education conducted in different nations has presented an effective bad association ranging from heart disease death and you can water firmness. dos step three cuatro 5 6 seven 8 nine 10 11
In Taiwan, cerebrovascular problem is the third top factor in fatalities for males and the next for females. a dozen This-adjusted mortality price getting cerebrovascular disease is per one hundred 100000 certainly one of people and you will one of women in 1995. Simultaneously, you will find reasonable geographical variation inside cerebrovascular mortality for the country. Including a geographic distribution may suggest an environmental exposure basis.
The brand new stiffness out-of water is determined mostly of the its posts of calcium supplements and you will magnesium. It is indicated once the same amount of calcium carbonate one could well be formed on the calcium and you can magnesium from inside the services.
A couple of concepts were considering in regards to the causative representative responsible for the relationship ranging from dying from cardio otherwise cerebrovascular disease and drinking water firmness. Soft-water is more corrosive rencontres en ligne internationales than simply tough liquid and you can encourages the dissolution away from cadmium, direct, or any other toxins on the plumbing towards drinking liquid. thirteen Other principle is that there can be a safety effect from magnesium in water. 14 fifteen sixteen
The former theory cannot be examined in the data because the amount out-of direct and cadmium when you look at the water were not available. The reason for this research was to studies the connection anywhere between the amount from calcium supplements and you can magnesium from inside the water and demise regarding cerebrovascular disease in Taiwan.
Methods
Taiwan is split up into 361 administrative districts, which can be regarded inside declaration due to the fact municipalities. These are the units in fact it is confronted with mathematical studies. Excluded regarding the investigation had been 31 aboriginal townships and 9 islets which had additional life-style and you can life style environment. Which elimination of unsuitable municipalities left 322 municipalities on investigation.
Studies on all of the fatalities of Taiwan residents of 1989 due to 1993 was in fact taken from this new Agency from Essential Analytics of your own Taiwan Provincial Service of Fitness, that’s accountable for the dying subscription program inside the Taiwan. For each and every death, detail by detail demographic suggestions, including intercourse, season off delivery, year out-of passing, cause of dying, host to dying (municipality), and residential district (municipality) were recorded towards pc tapes. Happening category contains the qualified cerebrovascular situation fatalities taking place inside the some one anywhere between 50 and you will 69 years of age (In the world Classification out-of Disorder, 9th Revision [ICD-9] requirements 430 to 438). A handling class are formed that contained all other deaths into the exemption of these fatalities that have been in the aerobic condition. The fresh deaths omitted was in fact those for the reason that hypertensive condition (ICD rules 401 to 405), ischemic cardiovascular illnesses (ICD rules 410 in order to 414), disease off pulmonary circulation (ICD codes 415 to help you 417), other forms away from cardiovascular illnesses (ICD requirements 420 in order to 429), cerebrovascular problem (ICD requirements 430 in order to 438), and you can problems of your bloodstream, arterioles, and you may capillary vessel (ICD codes 440 so you’re able to 448). Sufferers which died regarding gastric cancers (ICD password 151) was in fact in addition to excluded from the manage class due to a previously advertised bad correlation which have firmness (calcium supplements or magnesium) accounts in drinking water. 17 Manage victims were couples matched up with the cases because of the sex, season off birth, and you can season away from passing. Per paired control is actually chosen at random about selection of you are able to control each instance. For every single situation and its own paired handle got residence and put out-of passing in the same municipality. To own controls, the most common factors that cause demise was basically all forms of diabetes mellitus (9.5%), the liver cancer tumors (9.3%), disorder of your own respiratory tract (8.3%), cancer of the lung (8.0%), chronic liver state and cirrhosis (eight.8%), and you may sickness of the genitourinary area (4.7%).
