内脏肥胖指数与糖尿病之间的关联:系统性审查和元分析
Ruixue Deng1, Weijie Chen2, Zepeng Zhang3
1College of Traditional Chinese Medicine, Changchun University of Chinese Medicine, Changchun 130000, Jilin, China.
高内脏肥胖指数 (VAI) 是男性和女性糖尿病风险的独立预测指标,尽管其用于早期预测的准确性有限. 需要进一步的研究来提高预测能力.
科学领域:
- 内分泌学和新陈代谢学
- 公共卫生 公共卫生
- 临床诊断 临床诊断 临床诊断
背景情况:
- 内脏肥胖指数 (VAI) 和糖尿病之间的关联仍然是正在进行的研究和辩论的主题.
- 在糖尿病早期预测中VAI的实用性需要进一步澄清.
研究的目的:
- 系统地审查VAI升高和糖尿病之间的关系.
- 评估VAI对糖尿病风险的早期预测价值.
主要方法:
- 进行了全面的元分析,搜索了PubMed,Cochrane,Embase和Web of Science数据库.
- 分析了53项涉及595,946名参与者的研究数据,经过调整以考虑混因素.
- 提取了VAI和糖尿病的几率比率,以及早期预测的灵敏度和特异性.
主要成果:
- 高VAI显著增加了男性 (OR = 2.83) 和女性 (OR = 3.32) 糖尿病的风险.
- 糖尿病的VAI早期预测准确性表现中等,男性AUC值为0.64,女性AUC值为0.67.
- 在预测糖尿病时对VAI的敏感性和特异性在两种性别中都得到报道.
结论:
- 视觉肥胖指数 (VAI) 已被确立为糖尿病风险的独立预测指标.
- 目前VAI对糖尿病的预测准确性有限.
- 未来的研究应该探索将VAI与其他指标结合起来,以提高早期糖尿病风险预测的准确性.
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