Current Status and Influencing Factors of Subclinical Carotid Atherosclerosis and Unstable Plaque in Military Commanders Aged 50 to 60

JIANG Lingjie; ZHU Siyue; LIU Huijun; LIN Xielun; WU You; LI Zhengqiang; WANG Xiaoyuan

doi:10.13730/j.issn.2097-2148.2025.10.013

Abstract：Objective To investigate the occurrence and influencing factors of subclinical carotid atherosclerosis(SCAS)and unstable plaque(UP)in military commanders aged 50 to 60,so as to provide reference for preventing cardio-vascular and cerebrovascular diseases.Methods Carotid ultrasound and examination data of 1 170 military commanders aged 50 to 60 who underwent physical examination in author's hospital in 2024 were collected,according to the diagnosis results of SCAS,the subjects were divided into control group(n=510)and SCAS group(n=660);according to the cri-teria of UP,they were divided into observation group(n=798)and UP group(n=372).The incidence of SCAS and UP and related influencing factors were analyzed.Results Among 1 170 military commanders aged 50 to 60,there were 660 cases of SCAS(56.41％)and 372 cases of UP(31.79％).Compared with the control group,the proportion of males,age,proportion of overweight/obesity,levels of creatinine,glycosylated hemoglobin,fasting blood glucose,homocys-teine,proportion of smoking and drinking significantly increased in the SCAS group(all P＜0.05).Compared with the observation group,the proportion of males,age,creatinine,fasting blood glucose,homocysteine levels and proportion of smoking in the UP group significantly increased(all P＜0.05).Logistic regression analysis showed that male,50-60 years old,smoking,overweight/obesity and elevated homocysteine were risk factors for SCAS;50-60 years old and elevated creatinine were risk factors for UP.Conclu-sion Carotid atherosclerosis and plaque in the elderly are chronic process involving multiple factors,single factor intervention cannot comprehensively control the disease,compre-hensive measures to control body weight and other multi-factor full-dimensional management should be taken to effectively reduce and delay the occurrence and development of atherosclerosis,so as to effectively avoid the risk of cardiovascular and cerebrovascular events.