肥胖与患有正常功能的人的慢性病相关
Su Hyun Song1, Tae Ryom Oh1, Sang Heon Suh1
1Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.
The Korean journal of internal medicine
|August 13, 2024
概括
较高的体重指数 (BMI) 和腰比 (WHR) 预测慢性病 (CKD) 的发展. 减少肥胖是预防CKD和改善脏健康的好处.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 肥胖是慢性病 (CKD) 的不良后果的一个已知的危险因素.
- 关于肥胖对一般人群中CKD发病率的影响的研究有限.
- 了解肥胖在CKD发展中的作用对于公共卫生倡议至关重要.
研究的目的:
- 调查身体质量指数 (BMI) 和腰比 (WHR) 作为发生CKD的预测因素.
- 评估减肥在预防CKD方面的有效性.
- 在基于社区的队列中评估肥胖指标和CKD发展之间的关联.
主要方法:
- 对2711名具有正常功能参与者的前性分析.
- 使用多变量考克斯比例危险模型和卡普兰-梅尔分析.
- 在肥胖参与者中检查了WHR的变化,以评估减肥对CKD发展的影响.
主要成果:
- 事件CKD发生在7.0%的参与者,平均随访时间为11.03年.
- 增加的BMI和WHR显著与发生CKD的风险更高有关.
- 与维持肥胖相比,肥胖个体的减肥与较少的脏不良事件有关.
结论:
- 增加的BMI和WHR都是CKD发展的重要预测因素.
- 腰部至部比率与CKD发病率的关联比BMI更强.
- 建议采取减肥策略,以改善脏预后和预防CKD.
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