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炎症性肠病和1型糖尿病之间的双向关联:全国匹配的队列和病例对照研究
Jiangwei Sun1, Jialu Yao1, Ola Olén2,3,4
1Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
The Lancet regional health. Europe
|September 17, 2024
概括
患有炎症性肠病 (IBD) 的人面临患1型糖尿病 (T1D) 的风险更高. 这项研究证实IBD和T1D之间存在双向联系,这表明除了家族病史之外还有共同因素.
科学领域:
- 胃肠道学和免疫学
- 内分泌学和自身免疫性疾病
背景情况:
- 炎症性肠病 (IBD) 和1型糖尿病 (T1D) 的同时发生与不良的临床结果有关.
- 关于IBD和T1D之间的双向关系的证据有限.
研究的目的:
- 调查IBD和T1D之间的双向关联.
- 要确定IBD是否会增加患T1D的风险,反之亦然.
主要方法:
- 一个全国性匹配的队列和病例控制研究.
- 包括超过20,000名IBD患者和匹配的对照,随访数据直到2021年12月.
- 利用灵活的参数生存模型和条件后勤回归来估计危险和赔率比率.
主要成果:
- 患有IBD的患者患T1D的风险增加了1.58倍 (aHR=1.58,95%CI=1.27-1.95).
- 性结肠炎 (UC) 显示T1D风险显著增加 (aHR=2.02,95% CI=1.51-2.70).
- 在所有亚型中,IBD患者有更高的T1D诊断率 (aOR=1.36,95%CI=1.26-1.46).
结论:
- 患有IBD的患者患有T1D的风险中等增加,并且患有T1D诊断的可能性更高.
- IBD和T1D之间的双向关联可能部分独立于共同的家族因素.
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