非糖尿病的老年人群:SIRI作为风险因素和PIV作为对骨异常的保护因素
Manli Yan1, Ping Gong1, Xiang Li2
1Second Clinical Medical College, Guangzhou University of Traditional Chinese Medicine, Guangzhou, China.
Frontiers in endocrinology
|November 29, 2024
概括
系统性炎症反应指数 (SIRI) 是非糖尿病老年人骨质疏松症的危险因素,而外周免疫指数 (PIV) 是保护性的. 将PIV与年龄相结合,可以改善这一群体的骨质疏松症预测.
科学领域:
- 老年学是一门学科.
- 免疫学 免疫学 免疫学
- 骨的新陈代谢 骨的新陈代谢
背景情况:
- 骨质疏松症的流行率和医疗保健成本在全球范围内不断上升.
- 免疫炎症指数有效地反映了全身炎症.
- 有限的研究存在于骨质疏松症的免疫炎症指数.
研究的目的:
- 调查免疫炎症相关指数与骨质疏松症之间的关联.
- 在非糖尿病老年人中探索这些关系.
主要方法:
- 对438名非糖尿病老年患者的临床数据进行了回顾性分析.
- 计算各种免疫炎症指数 (PLR,NLR,MLR,SII,SIRI,PIV) 的结果.
- 多因素二元物流回归和ROC分析.
主要成果:
- 骨质疏松症和正常骨密度组之间MLR,SII,SIRI和PIV的显著差异.
- 确定SIRI作为一个独立的风险因素;PIV作为一个独立的保护因素.
- 与年龄相结合的PIV显示了骨质疏松症的强有力的预测值 (AUC=0.725).
结论:
- 在非糖尿病老年人中,SIRI是风险因素,PIV是骨异常的保护因素.
- 建议在高风险人群中尽量减少有利于炎症的饮食模式.
- 基于免疫的研究为骨质疏松症提供了潜在的新治疗策略.
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