尿液微量元素在糖尿病病中的作用:横截面分析
Tianrui Gao1, Jia Lv1, Lizhen Lu2
1Department of Toxicology, School of Public Health, Anhui Medical University, Hefei, Anhui, China.
BMJ open diabetes research & care
|December 20, 2024
概括
像铜和这样的尿液微量元素在糖尿病病 (DKD) 中较高,而铁和的含量较低. 这些元素显示了与DKD进展的各种关联,为营养策略提供了洞察力.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 环境健康 环境健康
- 营养科学 营养科学
背景情况:
- 微量元素平衡对于糖尿病病患者至关重要.
- 有限的研究存在于尿路微量元素的差异跨DKD阶段.
- 这项研究调查了九种基本微量元素与DKD之间的关联.
研究的目的:
- 探索九种微量元素与糖尿病病 (DKD) 之间的关联.
- 分析非DKD,中期DKD和末期DKD尿道微量元素的差异.
- 提供对DKD病原体和个性化营养管理的见解.
主要方法:
- 对830名糖尿病患者的横截面分析.
- 根据eGFR将其分为非DKD (NDKD),中级DKD和终端DKD.
- 尿液中微量元素度用感应合血质谱法测量.
主要成果:
- 与NDKD相比,DKD患者的尿铜 (Cu) 和 (Mn) 含量较高.
- 尿中的铁 (Fe),,和 (Ni) 在DKD患者中较低.
- /与中期/末期DKD风险的正相关性;对Fe和Ni的负相关性.
- 混合效应模型在DKD中期没有显著的趋势,但在DKD末期有负面的关联.
结论:
- 尿液微量元素的配置不同在DKD阶段.
- 特定的微量元素 (Mn,Cu,Fe,Ni) 与DKD风险和进展有明显的关联.
- 这些发现支持DKD病变的微量元素不平衡,并为营养策略提供信息.
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