随着时间的推移,代谢性超重现象型的变化和结石病的风险:一个队列研究
Yang Cheng1, Hui Zheng1, Hongli Yin1
1Center for Health Management, Jiangsu Province Geriatric Hospital, 2 Yi-He Road, Nanjing, 210009, China.
BMC public health
|July 16, 2024
概括
超重的个体,无论是代谢健康还是异常,都面临患结石的风险更高. 管理新陈代谢健康可能有助于预防大量结石病例.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 代谢健康 代谢健康
- 流行病学 流行病学
背景情况:
- 超重和肥胖是结石 (结石) 的已知的危险因素.
- 代谢健康状况对这种关联的影响仍未得到充分探索.
研究的目的:
- 调查不同代谢超重表型与质石病发病率之间的联系.
- 为了确定随着时间的推移,代谢表型的变化是否会影响石风险.
主要方法:
- 一项前性队列研究,对10,315名没有先前结石病的参与者进行了前性研究.
- 分类为新陈代谢健康的正常体重,新陈代谢健康的超重体重和新陈代谢异常的超重体重组.
- 多变量考克斯分析用于评估发生性结病的风险因素,平均随访时间为4.02年.
主要成果:
- 在5年内,14.23%的参与者出现了结石.
- 代谢上健康的超重和代谢上异常超重的个体表现出结石病风险增加 (HRs 1.19-1.32 与代谢上健康的正常体重相比).
- 持续的新陈代谢健康超重状态显著增加风险 (HR 1.42);从异常转变为健康的表型降低了风险.
结论:
- 无论是代谢上健康的超重体型还是代谢上异常的超重体型,都与发生性质石病的风险更高有关.
- 对超重个体的代谢风险因素的有效管理可能为预防大量结石病例提供一种策略.
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