脂肪和高度炎症对发生的2型糖尿病的联合作用:一项前性队列研究
Dan Wu1,2,3, Yulong Lan1,4, Shuohua Chen5
1Centre for Precision Health, Edith Cowan University School of Medical and Health Sciences, Room 521, Building 21/270 Joondalup Drive, Perth, WA, 6027, Australia.
Cardiovascular diabetology
|December 21, 2023
概括
肥胖和高度炎症协同增加2型糖尿病的风险比它们的单独影响更大. 同时针对两者提供了更大的糖尿病预防益处.
科学领域:
- 代谢健康 代谢健康
- 流行病学 流行病学
- 糖尿病研究 糖尿病研究
背景情况:
- 高血糖症的特点是脂肪和炎症升高.
- 脂肪和炎症对糖尿病发展的综合影响仍然不清楚.
研究的目的:
- 研究肥胖和炎症增加对发生的2型糖尿病 (T2D) 的协同效应.
主要方法:
- 在前性队列研究中利用了来自82,172名非糖尿病中国成年人的数据.
- 通过BMI,腰围和脂肪肝评估脂肪;通过高灵敏性C反应蛋白 (hs-CRP) 进行炎症.
- 采用时间到事件生存分析来检查对T2D发病率的联合影响.
主要成果:
- 炎症增加 (HR 1.12) 和脂肪增加 (例如,超重/肥胖HR 1.76) 独立增加了T2D风险.
- 脂肪和炎症的联合效应产生了明显更高的风险 (HR 2.08),而不是单个风险的总和 (相对过度风险由于相互作用 0.17).
- 超重/肥胖,炎症和它们的相互作用分别占可归因比例的71.30%,12.96%和15.74%.
结论:
- 肥胖和高度炎症在协同作用下相互作用,大大增加了2型糖尿病的风险.
- 同时针对脂肪和炎症的干预措施在预防糖尿病方面更有效.
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