女性的体重指数和乳腺癌结果之间的关系是U形的
Wensong Wei1, Suosu Wei2, Zhen Huang1
1Department of Breast and Thyroid Surgery, Guangxi Academy of Medical Sciences, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi, China.
Frontiers in oncology
|June 12, 2023
概括
体重指数 (BMI) 影响乳腺癌 (BC) 存活率不同,取决于水平. 存在一个U形关系,表明低体重和超重患者的风险.
科学领域:
- 在瘤学瘤学.
- 流行病学 流行病学
- 生物统计学 生物统计学
背景情况:
- 以前的研究探讨了身体质量指数 (BMI) 和乳腺癌 (BC) 预后之间的联系,但这种关系的性质仍然不清楚.
- 不同的BMI水平与BC结果之间的准确关联需要进一步阐明.
研究的目的:
- 研究身体质量指数 (BMI) 和乳腺癌 (BC) 预后之间的特定关系.
- 确定BMI和BC结局之间的关联是线性的还是曲线性的.
主要方法:
- 对1049名BC患者进行了回顾性队列研究.
- 使用了卡普兰-梅尔曲线,多变量考克斯比例模型和受限立方斜线 (RCS) 分析.
- 研究了BMI与整体存活率 (OS) 和乳腺癌特定存活率 (BCSS) 之间的关联.
主要成果:
- 在BMI和OS和BCSS之间观察到U形关系.
- 最佳的BMI转折点在23kg/m2时被确定.
- 较低的BMI (<23 kg/m2) 与风险增加有关,而较高的BMI (>23 kg/m2) 也与OS和BCSS风险增加相关.
结论:
- 体重指数 (BMI) 是乳腺癌 (BC) 的独立预后因素.
- 体重指数和BC生存率 (OS和BCSS) 之间的关系是U形的.
- 临床干预应考虑患者的BMI以优化结果.
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