血红蛋白糖化指数:在看似健康的人群中发生慢性病的新型风险因素
Yasuto Nakasone1, Takahiro Miyakoshi1, Takahiro Sakuma2
1Diabetes Center, Aizawa Hospital, Matsumoto 3908510, Japan.
The Journal of clinical endocrinology and metabolism
|November 6, 2023
概括
血红蛋白糖化指数 (HGI) 是一般人群中慢性病 (CKD) 的新型风险因素. 升高的HGI预测发生的CKD,强调其在脏健康管理中的重要性.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 内分泌学 在内分泌学.
- 生物化学 生物化学
背景情况:
- 慢性病 (CKD) 构成了全球健康的重大负担.
- 新兴研究将血红蛋白糖化指数 (HGI) 与失糖症患者的CKD联系起来.
研究的目的:
- 调查HGI作为一般人群中CKD发展的预测标记物的作用.
主要方法:
- 一组23467名无CKD患者 (4.1%患有糖尿病) 被跟踪了5.1年.
- 用多变量调整的Cox比例危险模型来评估HGI对事件CKD的影响.
- 倾向性得分匹配用于比较患有CKD和没有CKD的个体的HGI水平.
主要成果:
- 在估计的膜过率 (eGFR) 之后,HGI成为CKD的第二强预测因素.
- 对预测CKD的HGI调整后危险比为1.293 (P < .0001),人口可归因风险为4.2%.
- 与对照组相比,在患有CKD的受试者中观察到显著增加的HGI水平.
结论:
- 血红蛋白糖化指数 (HGI) 被确定为CKD的新型风险因素.
- 在一般人群中,高基因显示出发生性CKD的预测价值,独立于其他风险因素.
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