在患有原发性副甲状腺炎症的患者中,发生糖尿病的风险更高
Yingchai Zhang1, Hongjiang Wu1, Aimin Yang1
1Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong, SAR, P. R. China.
患有原发性偏甲状腺症 (PHPT) 的人面临患糖尿病的风险更高. 在PHPT患者中血清水平升高进一步增加了这种糖尿病风险,显示出正线性关联.
科学领域:
- 内分泌学 在内分泌学.
- 代谢疾病 代谢疾病
背景情况:
- 原发性偏甲状腺症 (PHPT) 是一种常见的内分泌疾病.
- 有限的大规模纵向数据存在于PHPT和发病糖尿病之间的关联.
- 了解这种联系对于管理PHPT并发症至关重要.
研究的目的:
- 为了评估患有和没有PHPT的个体患糖尿病的风险.
- 研究PHPT患者血清水平与糖尿病风险之间的关系.
主要方法:
- 一项基于人口的队列研究包括2749名PHPT患者和13745名匹配的对照 (2000-2019).
- 考克斯回归模型被用来比较糖尿病发病率.
- 限制性立方脊柱分析检查了PHPT患者血清和糖尿病风险之间的关联.
主要成果:
- 在PHPT患者中,糖尿病发病率较高 (每1000人年为27.60人,每1000人年为23.90人).
- PHPT与15%的发病糖尿病风险增加有关 (HR 1.15).
- 在PHPT患者中,血清度超过中位数 (2.63 mmol/L) 与糖尿病风险增加44% (HR 1.44) 相相关.
结论:
- 与普通人群相比,PHPT患者患糖尿病的风险较高.
- 血清度与PHPT患者发生糖尿病的风险之间存在正线性关联.
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