2型糖尿病多基因风险和身体活动对心血管结果的相互作用
Chia-Lin Lee1,2,3,4, Tomohide Yamada5,6,7, Wei-Ju Liu1
1Intelligent Data Mining Laboratory, Department of Medical Research, Taichung Veterans General Hospital, 1650 Taiwan Boulevard Sect. 4, Taichung 407219, Taiwan.
European journal of preventive cardiology
|February 22, 2024
概括
身体活动对心血管健康有好处,但这种效果在患2型糖尿病的基因风险较高的人群中减弱. 在这个群体中,强烈的运动甚至可能会增加心血管风险.
科学领域:
- 心脏病学 心脏病学
- 遗传学 是一个遗传学.
- 内分泌学 在内分泌学.
背景情况:
- 运动对心血管疾病 (CVD) 风险降低的确定的益处.
- 对2型糖尿病 (T2D) 的遗传风险与身体活动对心血管结果的相互作用的理解有限.
研究的目的:
- 调查T2D遗传风险与有关糖尿病患者心血管结果的身体活动之间的相互作用.
主要方法:
- 利用英国生物银行对25701名糖尿病参与者的队列.
- 使用多基因T2D风险评分 (PRS_T2D) 来量化遗传风险.
- 分析了三点和四点主要不良心血管事件 (MACE).
主要成果:
- 在MACE上发现PRS_T2D和身体活动之间的显著相互作用 (P <0.01).
- 身体活动只能在具有较低PRS_T2D (第一/第二季度) 的参与者中降低MACE风险.
- 强烈的体力活动 (>80MET小时/周) 增加了高PRS_T2D (第四季度) 患者的MACE风险,特别是非胰岛素使用者.
结论:
- 身体活动对心血管结果的保护作用在具有高遗传倾向于T2D的个体中被否定.
- 患T2D的高遗传风险可能会改变心血管对体力活动的反应.
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