代谢综合征与死亡率之间的关联:前性队列研究
Wenzhen Li1, Dajie Chen2, Ying Peng3
1Jockey Club School of Public Health and Primary Care, The Chinese University of Hong Kong, Hong Kong, China (Hong Kong).
JMIR public health and surveillance
|September 5, 2023
概括
代谢综合征 (MetS) 显著增加了所有原因,心脏病和糖尿病死亡的风险. 这项研究强调了解决MetS及其组件对于更好的健康结果的重要性.
科学领域:
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 代谢综合征 (MetS) 是与肥胖相关的日益严重的公共卫生问题.
- 之前关于MetS和死亡率的研究使用了各种定义,需要更新研究.
- 国家胆固醇教育计划 (NCEP) 成人治疗小组 (ATP) III在2005年更新了MetS定义,自那以后被广泛采用.
研究的目的:
- 为了调查MetS和全因死亡率之间的关联.
- 检查MetS与特定原因死亡率 (包括心脏病,糖尿病和癌症) 之间的联系.
主要方法:
- 利用了美国国家健康和营养检查调查 (NHANES) III和连续NHANES (1999-2014) 中36414名成年人的数据.
- 使用NCEP ATP III-2005标准定义的MetS,并连接到2015年12月的国家死亡指数记录.
- 采用Cox比例危险模型,考虑复杂的调查设计,以估计死亡风险.
主要成果:
- 平均随访时间为16.71年,共有8494例死亡.
- 患有MetS的个体显示所有原因的死亡风险显著增加 (HR 1.24),心脏病 (HR 1.44) 和糖尿病 (HR 5.15).
- 在MetS和癌症死亡率之间没有发现显著的关联 (HR 1.17).
结论:
- MetS及其成分与增加全因,心脏病和糖尿病死亡率有显著的关联.
- 该研究发现MetS和癌症死亡率之间没有显著联系.
- 医疗保健专业人员应该更多地关注MetS及其患者护理的个别组件.
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