血清N-终端Pro-B型天然尿素与中国人的胰岛素抵抗有关:丹阳研究
Ziwen Zheng1, Junya Liang2, Yun Gao2
1Department of Cardiology, Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu Province Hospital of Chinese Medicine, Nanjing, Jiangsu, China.
Journal of clinical hypertension (Greenwich, Conn.)
|September 23, 2024
概括
较高的血清NT-proBNP水平与一般中国人群中胰岛素抵抗 (IR) 风险降低有关. 这项研究澄清了NT-proBNP和HOMA-IR之间的反向关联,表明它们具有保护作用.
科学领域:
- 心血管生物标志物 心血管生物标志物
- 代谢健康 代谢健康
- 流行病学 流行病学
背景情况:
- 在一般人群中,N-终端血清B型亲尿素 (NT-proBNP) 与胰岛素抵抗 (IR) 之间的关系需要进一步研究.
- 胰岛素抵抗 (IR) 是心血管和代谢疾病的重要危险因素.
研究的目的:
- 为了研究血清NT-proBNP水平和IR之间的关联,通过HOMA-IR评估,在一个大型的社区中国人群中.
- 在不同的子组中描述NT-proBNP和IR之间的关系.
主要方法:
- 一项涉及丹阳市2945名参与者的横截面研究 (2017-2019).
- 血清NT-proBNP通过增强化学发光免疫试验测量.
- IR是由HOMA-IR的最高性别特异四分位数定义的;分析使用NT-proBNP三分位数和lnNTproBNP.
主要成果:
- 在回归分析中,血清lnNTproBNP与HOMA-IR有显著的负相关性 (β = -0.19至 -0.25; p < 0.0001).
- 血清NT-proBNP的升高与较低的IR风险相关 (ORs:0.68和0.39分别为lnNTproBNP和顶部与底部三角动物;p < 0.0001).
- 在多个子组分析中观察到一致的反向关联.
结论:
- 血清NT-proBNP水平的增加与中国人群中胰岛素耐药性风险的降低密切相关.
- 这些发现表明NT-proBNP在抗胰岛素耐药性发展方面具有潜在的保护作用.
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