杆菌根除对体重的影响:韩国的一项多中心倾向得分匹配分析
Jong Wook Kim1, Myong Ki Baeg2, Chang Seok Bang3
1Division of Gastroenterology, Department of Internal Medicine, Inje University Ilsan Paik Hospital, Goyang, Gyeonggi-do, Korea.
根除Helicobacter pylori (HPE) 并没有显著改变整体体重指数 (BMI). 然而,基线BMI较低的个体在HPE后表现出体重增加的趋势,甘油三酸略有增加.
科学领域:
- 胃肠病学 胃肠病学
- 代谢健康 代谢健康
- 微生物组研究 微生物组研究
背景情况:
- 关于 Helicobacter pylori 根除 (HPE) 对患者体重的影响,临床兴趣越来越大.
- 了解HPE后潜在的代谢转变对于全面的患者护理至关重要.
研究的目的:
- 以回顾分析HPE对体重指数 (BMI) 和脂质概况的影响.
- 为了比较HPE治疗患者的体重变化与没有进行根除的患者.
主要方法:
- 对5所大学 (2013-2019) 的数据进行了回顾性分析.
- 包括至少两次体重测量 (间隔≥3个月) 的H. pylori阳性受试者.
- HPE和非HPE组之间的BMI和脂质谱的倾向分数 (PS) 匹配比较.
主要成果:
- 131名HPE患者与131名非HPE对照进行了匹配.
- 两组之间的整体BMI变化没有显著差异 (P=0.921).
- 最低基线BMI四分位数的患者在HPE后呈现体重增加趋势 (P=0.060),与非HPE组不同.
- 在HPE后,甘油三水平显著增加 (组间P=0.053).
结论:
- HPE不会显著影响整体BMI.
- 在HPE后,在基线BMI较低的患者中观察到体重增加的趋势.
- HPE与甘油三水平的边际增加有关.
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