克洛托和瘦肉质作为血液透析患者的新型心血管风险因素
Ana Rita Martins1,2, Sofia Azeredo-Lopes3,4, Sofia Azeredo Pereira5,6
1Nephrology Department, Hospital Santa Cruz, Western Lisbon Hospital Centre, Lisbon, Portugal.
Clinical kidney journal
|December 4, 2023
概括
阿尔法克洛托和瘦肉质是血液透析患者的新型心血管风险因素. 更高的α-Klotho和瘦肉量水平与降低的死亡风险有关,而ADMA与外周血管疾病有关.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 心脏病学 心脏病学
- 生物化学 生物化学
背景情况:
- 患有慢性病 (CKD) 的患者面临心血管 (CV) 风险升高.
- 传统的心脏病风险因素已经确立,但像α-Klotho,ADMA和瘦肉质这样的新型因素需要进一步调查.
研究的目的:
- 评估α-Klotho,ADMA和瘦肉与外周血管疾病 (PVD),心血管事件和全因死亡率风险之间的关联.
- 在接受血液透析的患者中识别新的CV风险因素.
主要方法:
- 观察性,前性,单中心队列研究.
- 包括200名接受血液透析 (在线血液过) 的成年患者.
- 使用后勤回归,考克斯比例危险模型和卡普兰-梅尔分析.
主要成果:
- 增加的α-Klotho水平与PVD和CV事件的几率降低相关.
- 增加的ADMA水平与增加PVD的几率显著相关.
- 较高的α-Klotho和瘦肉量水平与所有死因死亡风险的降低有关,独立于混因素.
结论:
- α-Klotho和瘦体质成为血液透析患者全因死亡率降低的重要新型预测因素.
- 这些发现支持α-Klotho和肌肉质量作为控制CKD患者心血管风险的重要因素.
关键词:
ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA ADMA was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was that was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was was that was was was was was was was was was was was was was was was was was was was was was was was was was was was was was生物阻抗是一种生物阻抗.生物标志物 生物标志物死亡率 死亡率周围血管疾病是外围血管疾病.相关概念视频
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