第一个三个月的甘油三糖糖体质指数是不利妊娠结果的有价值的预测指标
Zhaoran Meng1,2,3, Minhuan Lin1,2, Lizhu Song1,2
1Department of Obstetrics & Gynecology, The First Affiliated Hospital of Sun Yat-Sen University, No.58, Zhong Shan Er Road, Guangzhou, China.
BMC pregnancy and childbirth
|February 11, 2025
概括
在怀孕早期,较高的甘油三糖-体重指数 (TyG-BMI) 水平与妊娠期糖尿病和高血压疾病等不良结果的风险增加有关. 第一季度的TyG-BMI指数显示了这些条件的强大预测价值.
科学领域:
- 生殖内分泌学 生殖内分泌学
- 孕期代谢健康 在怀孕期间代谢健康
- 发现生物标志物的发现.
背景情况:
- 胰岛素耐药性与不良妊娠结果有关.
- 不基于胰岛素的胰岛素抵抗指标的预测能力需要进一步了解.
- 三糖糖体质量指数 (TyG-BMI) 是一种潜在的非胰岛素生物标志物.
研究的目的:
- 调查TyG-BMI轨迹与不良妊娠结果之间的关联.
- 评估第一季度TyG-BMI指数对不良妊娠结果的可预测性.
主要方法:
- 这是一项对1136名受试者的回顾性研究.
- 基于组的轨迹建模 (GBTM) 来识别TyG-BMI轨迹.
- 使用了物流回归,RCS回归,ROC曲线分析和DeLong测试.
主要成果:
- 一个"高度稳定的"TyG-BMI轨迹与GDM,HDP和LGA的风险增加有关.
- 第一季度TyG-BMI指数的最高四分位数独立预测了GDM,HDP和LGA的风险增加.
- 第一季度的TyG-BMI指数在预测HDP,LGA和GDM方面表现优于TyG指数和TG/HDL-c比率.
结论:
- 第一个三个月的高TyG-BMI和"高稳定"轨迹与更高的不良妊娠结果风险相关.
- 第一季度的TyG-BMI指数是HDP,GDM和LGA的有价值预测指标,超过了其他标记.
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