慢性炎症和胰岛素抵抗之间的时间关系及其对癌症风险的综合累积影响:一项纵向队列研究
Xin Zheng1,2,3, Yiming Wang4, Yue Chen1,2,3
1Department of Gastrointestinal Surgery/Department of Clinical Nutrition, Beijing Shijitan Hospital, Capital Medical University, Beijing, 100038, China.
BMC public health
|April 24, 2025
概括
慢性炎症显著影响未来的胰岛素耐药性. 炎症和胰岛素耐药性协同增加癌症风险,特别是对于消化系统癌症.
科学领域:
- 代谢健康 代谢健康
- 在瘤学瘤学.
- 流行病学 流行病学
背景情况:
- 癌症是一个重大的公共卫生挑战.
- 炎症和胰岛素抵抗是癌症发展的公认因素.
- 精确的时间关系和对癌症风险的综合影响需要进一步研究.
研究的目的:
- 调查慢性炎症和胰岛素抵抗之间的时间关联.
- 为了检查结合慢性炎症和胰岛素抵抗与癌症发病率之间的关系.
- 探索对消化系统癌症和全因死亡率的影响.
主要方法:
- 交叉滞后建模用于评估甘油三指数 (TyG) 和高灵敏性C反应蛋白 (hsCRP) 之间的时间关系.
- COX比例风险回归模拟了累积TyG (CumTyG) 和累积hsCRP (CumhsCRP) 与癌症风险的关联.
- 为了验证发现,进行了分层分析和灵敏度分析.
主要成果:
- 发现炎症 (hsCRP) 在未来抗胰岛素 (TyG) 变化中起着更为突出的作用.
- 慢性炎症和胰岛素抵抗协同增加了71%的癌症风险.
- 高水平的炎症和胰岛素耐药性与消化系统癌症密切相关.
结论:
- 炎症可能先发并影响未来的胰岛素耐药性.
- 慢性炎症和胰岛素抵抗之间的协同相互作用显著提高了癌症风险.
- 这些发现强调了控制炎症和胰岛素耐药性对预防癌症的重要性.
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