虚弱和发生2型糖尿病的长期变化:基于英国生物银行的一项前性队列研究
Ying Sun1, Weihao Li1, Yinuo Zhou1
1Institute and Department of Endocrinology and Metabolism, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, China.
长期的虚弱变化增加了2型糖尿病 (T2DM) 的风险,无论最初的虚弱. 预防脆弱性恶化可能会降低T2DM发病率,突出了糖尿病预防的脆弱性管理.
科学领域:
- 老年学是一门学科.
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 脆弱是一种对压力因素的脆弱性增加的状态.
- 2型糖尿病 (T2DM) 是一个日益严重的全球健康问题.
- 脆弱性进展和T2DM风险之间的关系需要进一步调查.
研究的目的:
- 确定脆弱性的长期变化与发展T2DM的风险之间的关联.
- 评估预防虚弱恶化是否可以降低T2DM风险.
主要方法:
- 利用了来自348,205名没有基线T2DM的英国生物库数据.
- 根据脆弱性表型 (FP) 评分,将参与者分为非脆弱性,脆弱性前和脆弱性组.
- 采用考克斯回归模型分析脆弱性轨迹 (ΔFP) 和T2DM发病率,平均随访时间为5.4年.
主要成果:
- 较高的基线脆弱性 (前脆弱性和脆弱性) 与增加的T2DM风险有关 (HR分别为1.38和1.69).
- 在FP得分上升1点与T2DM风险上升25%相关.
- 每年 ΔFP 的每0.5个点的增加都与T2DM 风险增加了 52%,这与基线脆弱性无关.
- 从非脆弱性恶化到脆弱性前的恶化显示T2DM风险最高 (HR 3.03).
结论:
- 脆弱状态的长期变化与发生的T2DM有显著的关联.
- 旨在防止脆弱性恶化的干预措施可能是减少T2DM风险的可行策略.
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