估计的葡萄糖处置率调解了生命关键9和充血性心力衰竭之间的关联:基于人口的研究
Liping Wang1, Yaying Xu2, Lele Chen3
1Department of Cardiovascular, The First Affiliated Hospital, and College of Clinical Medicine of Henan University of Science and Technology, Luoyang, China.
Frontiers in endocrinology
|April 18, 2025
概括
更高的生命关键9 (LC9) 评分和估计的葡萄糖处置率 (eGDR) 与较低的充血性心力衰竭 (CHF) 风险有关. eGDR显著调解了这种关联,这表明改善的胰岛素抵抗有助于心血管健康.
科学领域:
- 心脏病学 心脏病学
- 代谢健康 代谢健康
- 公共卫生 公共卫生
背景情况:
- 生命的关键9 (LC9) 是一个新兴的心血管健康 (CVH) 指标.
- 估计的葡萄糖处置率 (eGDR) 反映了胰岛素抵抗 (IR).
- 以前,LC9,eGDR和充血性心力衰竭 (CHF) 之间的关系尚未确定.
研究的目的:
- 调查LC9,eGDR和CHF患病率之间的关联.
- 探索eGDR在LC9-CHF关系中的调解作用.
主要方法:
- 从NHANES (2005-2018) 中对22699名美国成年人的横截面分析.
- 使用了加权线性和逻辑回归模型.
- 调解分析评估了LC9通过eGDR对CHF的间接影响.
主要成果:
- LC9与eGDR (β:1.11,P < 0.0001) 有积极的关联.
- 无论LC9 (OR:0.76,P < 0.001) 和eGDR (OR:0.81,P < 0.0001) 都与CHF患病率有负相关性.
- 在LC9和CHF之间的关联中,eGDR调解了66%.
结论:
- 较高的LC9和eGDR与降低CHF风险有关.
- eGDR起着重要的调解作用,这表明改善胰岛素敏感性是关键.
- 这些发现凸显了LC9和eGDR在管理心血管健康和预防CHF方面的潜力.
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