胰岛素抵抗和中风的代谢得分之间的关联:来自NHANES 2007-2018年的全国代表性横截面研究
Lingtian Weng1, Yuqiu Lu2, Hanning Song1
1The First School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou, Zhejiang Province, China.
Frontiers in neurology
|January 20, 2025
概括
通过胰岛素抵抗代谢得分 (METS-IR) 测量较高的胰岛素抵抗与增加中风风险有关. 这种联系在60岁以下的人群中尤为强烈,这表明对胰岛素抵抗的早期干预可以预防中风.
科学领域:
- 心血管疾病流行病学
- 代谢综合征研究 代谢综合征研究
- 脑血管健康 脑血管健康
背景情况:
- 在全球范围内,中风是导致死亡和残疾的主要原因.
- 胰岛素抵抗是已知的中风风险因素之一.
- 胰岛素抵抗代谢评分 (METS-IR) 量化了胰岛素抵抗,但其与中风风险的联系需要进一步阐明.
研究的目的:
- 调查METS-IR与中风风险之间的关联.
- 探索这种关系中的潜在改变因素.
主要方法:
- 分析国家健康和营养检查调查 (NHANES) 数据 (2007-2018).
- 包括14794名参与者,拥有完整的METS-IR和中风数据.
- 使用了加权多变量回归和子组分析.
主要成果:
- 在METS-IR和中风风险之间发现了正相关性 (OR=1.01每单位增加).
- 较高的METS-IR水平与中风患病率的增加有关.
- 这种关联在60岁以下的参与者中明显更强.
结论:
- 升高的METS-IR与更高的中风风险有关.
- 针对胰岛素抵抗,尤其是60岁以下的人群,可能是预防中风的关键策略.
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