糖尿病,糖尿病前期和心房动 - - 一项基于国家和区域注册的基于人口的队列研究
Cecilia Johansson1, Lina Örtendahl1, Marcus M Lind1
1Department of Public Health and Clinical Medicine, Umeå University, Umeå, Sweden.
糖尿病和糖尿病前期似乎没有独立增加心房动 (AF) 的风险. 在考虑了其他心血管风险因素后,血糖状况和AF发作之间的联系不再显著.
科学领域:
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
- 流行病学 流行病学
背景情况:
- 之前的研究表明,在2型糖尿病和糖尿病前期患者中,心房的风险较高.
- 这种增加的AF风险与其他已知的心血管风险因素的独立性仍然不确定.
研究的目的:
- 确定糖尿病和各种糖尿病前期状态是否是AF发展的独立风险因素.
- 研究血糖状况与AF发作之间的关联.
主要方法:
- 瑞典北部的一项以人口为基础的队列研究利用了血糖状况 (禁食血葡萄糖,口服葡萄糖耐受性测试),心血管风险因素和生活方式的数据.
- 参与者被分为六个血糖状况组,并使用国家注册表对AF诊断进行跟踪.
- 考克斯的比例危险模型评估了血糖状况和AF之间的关联,以正常血糖为参考组.
主要成果:
- 根据年龄和性别进行调整的初步分析显示,大多数群体的血糖状况和AF发展之间存在显著的关联,尤其是已知的糖尿病.
- 然而,在对包括年龄,性别,血压,BMI,胆固醇和生活方式因素在内的综合性混因素进行调整后,血糖状况和AF之间的关联变得无意义.
结论:
- 血糖状况和AF之间的观察到的关联可能会被其他心血管风险因素所混.
- 糖尿病和糖尿病前期似乎不是心房的独立风险因素.
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