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超重和肥胖与糖尿病的STEMI患者的更好的生存率有关
Hamza Chaudhry1, Ramez Bodair1,2, Ziyad Mahfoud3
1Department of Medicine, Weill Cornell Medicine-Qatar, Doha, Qatar.
Obesity (Silver Spring, Md.)
|September 11, 2023
概括
患有ST升高心肌梗塞的2型糖尿病患者的肥胖症显示出U形的生存曲线. 患有糖尿病和STEMI的超重和肥胖个体在医院生存率更好.
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:
- 2型糖尿病 (T2DM) 和ST升高心肌梗塞 (STEMI) 是严重的健康问题.
- 肥胖对糖尿病患者心血管结果的影响需要进一步调查.
研究的目的:
- 评估T2DM和STEMI患者的肥胖和住院结果之间的关系.
- 分析BMI类别的时间趋势及其与结果的关联.
主要方法:
- 从2008年至2017年国家住院患者样本 (NIS) 的数据分析.
- 根据BMI,将STEMI患者的T2DM分为体重不足,体重正常,超重,肥胖和严重肥胖类别.
- 评估不同BMI组的时间趋势和住院结果.
主要成果:
- 总共有74,099名T2DM和STEMI患者被纳入.
- 肥胖患病率从2008年的35.8%增加到2017年的57.8%.
- 体重不足患者的死亡率下降,但在其他BMI范围内增加. 超重和肥胖患者的死亡率较低 (aOR分别为0.625和0.606).
结论:
- 在糖尿病STEMI患者的BMI和死亡率之间存在U形关联.
- 患有T2DM和STEMI的超重和肥胖个体在医院生存率更好.
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