内脏脂肪区域与癌症预后之间的关联:基于人口的多中心前性研究
Lingyu Li1, Wenqian Li1, Dongsheng Xu1
1Cancer Center, The First Hospital of Jilin University, Changchun, China.
The American journal of clinical nutrition
|July 8, 2023
概括
内脏脂肪区域 (VFA) 是比BMI更好的身体脂肪指标,用于预测癌症死亡率. 较低的VFA与各种癌症类型的死亡风险增加有关,特别是胃癌和结肠直肠癌.
科学领域:
- 在瘤学瘤学.
- 身体组成分析 身体成分分析
- 预测生物标志物 预测生物标志物
背景情况:
- 癌症患者体脂质的预后意义受到争论.
- 用各种指标来表示脂肪组织,导致不一致的发现.
研究的目的:
- 为了确定最佳的身体组成指标来预测与癌症相关的死亡率.
- 评估内脏脂肪区域 (VFA) 作为各种癌症类型的预后标志物.
主要方法:
- 一项前性队列研究,涉及14018名癌症患者.
- 主要组件分析,以选择代表性的身体组成指标.
- 考克斯的比例危险回归来确定死亡风险.
主要成果:
- 内脏脂肪区域 (VFA) 是比BMI (PC指数:0.961对比0.850) 更优的身体脂肪指标.
- 较低的VFA与各种癌症中较高的死亡风险相关 (HR: 1.33).
- 在胃 (HR: 2.13),结直肠 (HR: 1.81) 和非小细胞肺癌 (HR: 1.27) 中观察到显著的关联.
结论:
- 内脏脂肪区域 (VFA) 是各种癌症类型的独立预后指标.
- VFA对于胃,结肠直肠和非小细胞肺癌的预后特别重要.
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