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在患有MASLD的患者中,骨肌肉强度和慢性病之间的关联
Xin-Lei Zhang1,2, Yeqing Gu3, Jing Zhao4,5
1MAFLD Research Center, Department of Hepatology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Communications medicine
|April 16, 2025
概括
较高的骨肌肉强度 (SMS) 与代谢功能障碍相关的脂肪性肝病 (MASLD) 患者慢性病 (CKD) 的风险降低有关. 保持肌肉强度可能对这一群体的脏健康至关重要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 肝病学 肝病学是一种肝病学.
- 代谢疾病 代谢疾病
- 肌肉骨健康 肌肉骨健康
背景情况:
- 骨肌肉力量 (SMS) 的下降与代谢疾病有关.
- 在与代谢功能障碍相关的脂肪性肝病 (MASLD) 患者中,SMS和慢性病 (CKD) 之间的关系尚不清楚.
研究的目的:
- 研究MSS与MASLD群体中CKD风险之间的关联.
- 为了确定较高的肌肉强度是否与较低的CKD和异常白膜尿病发病率相关.
主要方法:
- 用了四个大的队列 (PERSONS,NHANES,TCLSIH,英国生物库) 进行横截面和纵向分析.
- 通过手握动力计测量手握强度来评估整体SMS.
- 根据CKD状态分层参与者 (非CKD与CKD阶段1-5).
主要成果:
- 患有CKD的人与没有CKD的人相比,手握强度显著降低.
- 较高的手握强度独立地与减少异常白膜尿和CKD的几率有关.
- 手握强度的最高三位数显示出发展异常白蛋白尿或CKD的风险最低.
结论:
- 骨肌肉强度升高与MASLD患者中CKD和异常白尿风险降低独立相关.
- 维持或改善肌肉力量可能在MASLD患者群体中起到保护性作用,防止脏疾病的进展.
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