在癌症幸存者的代谢综合征和心血管疾病
Kensuke Ueno1,2, Hidehiro Kaneko1,3, Yuta Suzuki1
1Department of Cardiovascular Medicine, University of Tokyo, Tokyo, Japan.
Journal of cachexia, sarcopenia and muscle
|March 22, 2024
概括
代谢综合征显著增加了癌症幸存者的心血管疾病 (CVD) 风险. 这一发现凸显了在这个人群中需要积极的心血管疾病预防策略.
科学领域:
- 心脏病学 心脏病学
- 在瘤学瘤学.
- 流行病学 流行病学
背景情况:
- 癌症幸存者面临着随后心血管疾病 (CVD) 的高风险.
- 代谢综合征是已知的心血管疾病风险因素,但其对癌症幸存者的影响以前尚未确定.
- 这项研究调查了癌症患者代谢综合征和心血管疾病风险之间的联系.
研究的目的:
- 确定代谢综合征是否与癌症幸存者的随后心血管疾病 (CVD) 风险增加有关.
- 利用全国范围的流行病学数据集进行可靠的分析.
主要方法:
- 对53 510名患有乳腺癌,结肠直肠癌或胃癌的患者进行了回顾性分析.
- 根据日本标准,根据代谢综合征的存在来分类患者.
- 临床结果,包括复合心血管疾病事件 (心肌梗塞,心痛,中风,心力衰竭),从2005年到2021年进行了跟踪.
主要成果:
- 代谢综合征在10.4%的患者中存在.
- 在代谢综合征和心血管疾病事件的更高风险之间发现了显著的关联 (HR=1.29).
- 这种关联在代谢综合征的不同定义中持续存在,并且在非肥胖个体中更为明显.
结论:
- 代谢综合征被证实是癌症幸存者心血管疾病的重要危险因素.
- 这些发现强调了管理代谢综合征的重要性,以减轻这个脆弱群体中心血管疾病风险.
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