血清含量与所有原因和特定原因死亡率之间的关系:一项追溯和基于人口的横截面研究
Jianyun Ou1, Yunfei Sun1, Jie Tong1
1Department of Cardiology, Zhongda Hospital, Southeast University, 87 Dingjiaqiao, Nanjing, 210009, P.R. China.
BMC cardiovascular disorders
|April 27, 2024
概括
高含量与美国成年人因所有原因和心血管疾病增加的死亡率有关. 保持血清在8.67-9.23μg/L范围内可能有助于公共健康.
科学领域:
- 环境健康 环境健康
- 毒理学 毒理学 毒理学
- 流行病学 流行病学
背景情况:
- 是必不可少的微量元素,但高暴露可能有毒.
- 了解度与死亡率之间的关联对于公共卫生至关重要.
- 之前的研究对和死亡风险产生了不一致的结果.
研究的目的:
- 研究血清含量与全因,心血管疾病 (CVD) 相关和癌症相关死亡率之间的关系.
- 分析美国一般人口中的这种关联.
- 为了确定潜在的最佳血清含量对公共健康.
主要方法:
- 利用了来自全国健康和营养检查调查 (2011-2018) 的数据,其中有9,207名参与者.
- 采用Cox比例危险回归模型和限制立方线 (RCS) 图表来分析死亡风险.
- 根据各种人口统计和临床因素进行了子组分析.
主要成果:
- 血清含量升高与全因死亡率增加有关 (P趋势=0.041).
- 在度与全因和心血管疾病相关死亡率 (P-非线性<0.05) 之间观察到U形关联.
- 暴露与性别有正相关性,与年龄和血清肌素有负相关性.
结论:
- 血清含量升高与美国人口中较高的全因和心血管疾病相关死亡率有关.
- 血清含量范围为8.67-9.23μg/L可能对公众健康有益.
- 需要进一步的研究来证实这些发现,并阐明潜在的机制.
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