从学龄到成年期的肺功能轨迹及其与心血管疾病风险标志物的关系
Raquel Granell1, Sadia Haider2, Matea Deliu2
1Department of Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK raquel.granell@bristol.ac.uk.
Thorax
|May 2, 2024
概括
儿童时期的肺功能轨迹预测了未来的肺和心血管疾病. 早期识别这些模式可以帮助预测和管理成人健康风险,包括心脏病.
科学领域:
- 肺部医学 肺部医学
- 心血管健康 心血管健康
- 流行病学 流行病学
背景情况:
- 成年早期的肺功能与以后的不良健康结果有关.
- 了解肺功能轨迹对于预测长期健康至关重要.
- 早期的肺部健康影响成年人的幸福感.
研究的目的:
- 在不同人群中确定稳定的肺功能轨迹.
- 研究肺功能轨迹与心血管健康之间的关联.
- 探索肺功能模式的早期预测因素.
主要方法:
- 来自三个出生队伍 (N=6377) 的螺旋计数据的潜形状建模.
- 从童年到成年早期的1秒 (FEV1) /强迫生命能力 (FVC) 轨迹中的强迫呼气体积的分析.
- 24岁时预测因素的多项逻辑回归和与心血管标志物 (血压,心声) 的关联.
主要成果:
- 确定了四种不同的FEV1/FVC轨迹,在所有队列中一致:平均以上,平均,平均以下和持续低.
- 男性,喘息,喘和过敏敏感性与肺功能减弱的轨迹有关.
- 观察到FEV1/FVC轨迹下降与心血管风险标志物增加之间存在分级关联,包括左心室质量和心血管内膜介质厚度 (p<0.001).
结论:
- 儿童时期建立的肺功能轨迹可以预测未来的肺部疾病.
- 这些轨迹也可以作为成人心血管疾病发展的指标.
- 早期识别肺功能模式可能有助于预防多病症.
关键词:
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