三甲糖-葡萄糖指数与妊娠年龄大风险的关联:前性队列研究
Lihua Lin1, Juan Lin2, Fang Yang2
1Department of Healthcare, Fujian Maternity and Child Health Hospital, College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, Fujian Province, People's Republic of China.
Diabetes, metabolic syndrome and obesity : targets and therapy
|December 4, 2023
概括
怀孕早期高的甘油三糖 (TyG) 指数与妊娠年龄大 (LGA) 出生的风险增加有关. 该指数可以作为LGA的早期预测指标,有助于在产前护理期间进行风险评估.
科学领域:
- 产科和妇科 产科和妇科
- 内分泌学 在内分泌学.
- 围产儿医学 围产儿医学
背景情况:
- 怀孕的结果受到代谢因素的影响.
- 怀孕早期的代谢标记可以预测并发症.
- 怀孕年龄大 (LGA) 对母亲和孩子都有风险.
研究的目的:
- 调查第一季度基线甘油三糖指数 (TyG) 与LGA风险之间的关联.
- 评估TyG指数对中国东南地区孕妇LGA的预测能力.
主要方法:
- 一项前性分娩队列研究包括12108名孕妇.
- TyG指数是使用甘油和第一季度血液样本的禁食血葡萄糖水平来计算的.
- 使用后勤回归和ROC曲线分析来确定关联和预测值.
主要成果:
- LGA的发病率为11.4%,并且随着基线TyG指数的提高而增加.
- 泰格指数的每一个单位增加都与LGA风险增加2.05倍有关.
- 与最低四分位数相比,最高的TyG指数四分位数显示LGA风险增加1.86倍.
结论:
- 第一个三个月的TyG指数升高与LGA的风险更高独立相关.
- 泰格指数显示了作为早期预测因素的潜力,用于识别患有LGA风险的怀孕.
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