代谢风险概况:一种潜在类分析,涉及与血糖和胰岛素抵抗相关的变量
Mauro Fernandes Teles1, Icaro José Santos Ribeiro2, Mikhail Santos Cerqueira3,4
1Postgraduate Program in Nursing & Health, State University of Southwest Bahia, Jequié, BA, Brazil.
Journal of nursing measurement
|April 25, 2025
概括
潜在类分析在老年人中确定了三个代谢风险组:低,中等和高. 高风险组显示HbA1c升高,禁食葡萄糖和高血压,为有针对性的公共卫生干预提供信息.
科学领域:
- 老年学是一门学科.
- 代谢健康 代谢健康
- 公共卫生 公共卫生
背景情况:
- 老年人面临2型糖尿病 (T2DM) 的风险增加,原因是与衰老相关的胰岛素变化.
- 代谢障碍是多因素的,需要多变量模型来探索危险因素.
研究的目的:
- 在老年人中使用隐性类分析 (LCA) 识别不同的代谢概况.
- 根据心血管风险因素和代谢指标对个人进行集群.
主要方法:
- 隐性类分析 (LCA) 适用于社区居住的老年人 (≥60岁).
- 通过问卷,临床检查和血液采样收集的数据.
- 基于AIC,BIC,G2,日志概率和的模型选择.
主要成果:
- 确定了三个潜伏类别:低代谢风险,中等代谢风险和高代谢风险.
- 高风险类别:高概率的改变HbA1c,甘油三糖 (TyG) 指数,高血压,和受损的HOMA-IR,与以前的T2DM诊断.
- 中等风险类:高血压的可能性较高,TyG指数变化和HOMA-IR受损.
结论:
- 在公共卫生方面,LCA有效地识别了异质人群中的同质子组.
- 研究结果支持根据老年人特定的代谢风险概况制定有针对性的预防策略.
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