高密度胆固醇-C/低密度胆固醇和大脑白质过强度的风险:一个横截面研究
Cunsheng Wei1, Yuan Chen1, Xiaorong Yu1
1Department of Neurology, The Affiliated Jiangning Hospital with Nanjing Medical University, Nanjing, Jiangsu, 211100, People's Republic of China.
International journal of general medicine
|November 13, 2023
概括
高密度脂蛋白胆固醇 (HDL-C) 与低密度脂蛋白胆固醇 (LDL-C) 的比率可以预测白质超强度 (WMHs). 较高的HDL-C/LDL-C比率似乎可以防止WMH的严重程度.
科学领域:
- 神经学 神经学
- 代谢健康 代谢健康
- 生物标志物 生物标志物
背景情况:
- 白质过强度 (WMHs) 与各种慢性疾病有关.
- 目前用于预测WMHs的代谢指数有限.
研究的目的:
- 调查高密度脂蛋白胆固醇 (HDL-C) /低密度脂蛋白胆固醇 (LDL-C) 的比率与WMHs风险之间的关联.
- 探索HDL-C/LDL-C比率作为WMH严重程度的预测代谢指数的潜力.
主要方法:
- 对1162名患有慢性疾病的住院患者进行了回顾性分析.
- 使用Fazekas分数评估WMH严重程度.
- 后勤回归分析以确定相关性并为混因素进行调整.
主要成果:
- 在HDL-C/LDL-C比率和WMH严重程度之间发现了显著的关联.
- 较高的HDL-C/LDL-C比率与中度至重度WMH风险降低有关 (OR=0.23,P=0.012在模型1;OR=2.03,P=0.019在模型2).
结论:
- 高脂-C/低脂-C比率是WMH严重程度的重要预测指标.
- 高高的HDL-C/LDL-C比率可以作为对WMHs的保护因素.
- 这一比率可能是评估WMH风险的有价值的代谢指数.
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