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对代谢和炎症指标的联合暴露与成年人甲状腺结节的关联:一个嵌套的病例对照研究
Xin-Yi Zhu1,2, Xing-Chen Meng2, Bei-Jing Cheng2
1The Affiliated Zhongda Hospital, Medical School of Southeast University, Nanjing, Jiangsu 210009, China.
International journal of endocrinology
|April 4, 2024
概括
结合的代谢和炎症指标与增加甲状腺结节风险有关. 系统性血压是这种混合物的关键贡献者,显示了与甲状腺结节的剂量反应关系.
科学领域:
- 内分泌学 在内分泌学.
- 代谢健康 代谢健康
- 炎症研究 炎症研究
背景情况:
- 甲状腺结节很常见,它们与代谢和炎症因素的关联需要进一步调查.
- 了解这些联系可以为甲状腺疾病的预防策略和风险评估提供信息.
研究的目的:
- 研究代谢和炎症指标对发展甲状腺结节的风险的综合影响.
- 为了确定与甲状腺结节相关的这些指标混合中的关键贡献者.
主要方法:
- 对931名被诊断患有甲状腺结节的成年人的健康查数据进行了回顾性分析.
- 倾向性得分匹配用于控制年龄和性别混.
- 条件后勤回归和贝叶斯内核机器回归 (BKMR) 用于分析单个和混合暴露.
主要成果:
- 五个指标 (禁食血糖,静脉血压,透气血压,白细胞计数和中性粒细胞计数) 与甲状腺结节风险有关.
- 高密度脂蛋白与甲状腺结节风险有负面关联.
- 结合的代谢和炎症混合物显示出与甲状腺结节的显著剂量反应关联,静脉血压是主要的贡献者.
结论:
- 代谢和炎症指标混合物与甲状腺结节的风险之间存在线性剂量反应关系.
- 缩性血压被确定为这种关联中最重要的贡献者.
- 这些发现在男性,老年人 (≥40岁) 和BMI异常的人群中更为明显.
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