多器官系统代谢压力和性别不同的血管协会
medRxiv : the preprint server for health sciences
|May 20, 2024
概括
女性对代谢应激的血管敏感性比男性更强,其静脉血压较早升高. 早期干预对于减轻两性血管风险至关重要.
科学领域:
- 心血管健康 心血管健康
- 代谢综合征是代谢综合征的一种.
- 医学中的性别差异.
背景情况:
- 女性面临的心血管风险高于男性,即使代谢疾病负担相似.
- 这种差异可能源于特定于性别的血管对代谢压力的反应.
研究的目的:
- 研究系统性和器官特异性代谢压力与女性和男性血管健康之间的关联.
- 为了确定血管对代谢应激反应的性别差异.
主要方法:
- 对NHANES (n=4,299) 和CSMC (n=110,225) 队列的观察研究.
- 利用自然线索来分析BMI,HbA1c,FIB-4和eGFR与缩血压 (SBP) 的关联.
- 采用了带有正常值值的零碎线性模型来近似断点.
主要成果:
- 与男性相比,女性的SBP每单位代谢压力增加的幅度和早期发病率更大.
- 在所有代谢指标中,在女性中观察到SBP增加的明显更的斜坡.
- 这些发现在NHANES和CSMC队列中一致.
结论:
- 女性对代谢压力的血管敏感性增加,尤其是在从代谢健康过渡到疾病期间.
- 研究结果强调了早期代谢健康干预的必要性,以减少女性和男性的血管风险.
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