糖尿病:多环芳暴露和中风之间的关联的潜在媒介
Aikai Zhang1, Hongda Zhang1, Lijie Mi1
1Department of Cardiology, State Key Laboratory of Cardiovascular Disease, Cardiovascular Institute, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences, and Peking Union Medical College, Beijing, 100037, China.
Environmental science and pollution research international
|February 9, 2024
概括
对多环芳 (PAH) 的高暴露增加了中风和糖尿病的风险. 糖尿病在调解这种联系方面发挥着作用,这表明对高暴露个体的葡萄糖代谢监测是关键.
科学领域:
- 环境健康 环境健康
- 流行病学 流行病学
- 代谢疾病 代谢疾病
背景情况:
- 多环芳 (PAH) 是与心血管疾病 (CVD) 相关的环境污染物.
- 糖尿病是心血管疾病的重要危险因素.
- 在一般人群中,PAH暴露,糖尿病和中风之间的关系需要进一步澄清.
研究的目的:
- 调查暴露于PAHs与糖尿病和中风的患病率之间的关联.
- 评估糖尿病在PAH暴露和中风之间的联系中的潜在调解作用.
主要方法:
- 从国家健康和营养检查调查 (2007-2016) 中分析了7849名成年人 (20岁以上) 的数据.
- 后勤回归建模用于评估尿液PAH水平与糖尿病/中风之间的关联.
- 调解效应分析以确定糖尿病的作用.
主要成果:
- 尿道PAH总数较高的四分位数与中风 (OR=1.97) 和糖尿病 (OR=1.56) 的几率增加显著相关.
- 暴露于2-氨乙烯显示了与中风 (OR=2.23) 和糖尿病 (OR=1.40) 的显著关联.
- 糖尿病中介于尿路PAH和中风患病率之间的关系的5.00%.
结论:
- 尿路PAH代谢物与中风和糖尿病风险的增加有关.
- 糖尿病显著调解了PAH暴露和中风风险之间的关系.
- 监测高PAH暴露的个体的葡萄糖代谢可能有助于减少中风的患病率.
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