系统性炎症作为肥胖和抑郁症之间联系的调解者:来自全国性队列研究的证据
Xiaoqing Wang1,2,3, Xinyue Liang2, Ming Jiang4
1Shanghai Institute of Infectious Disease and Biosecurity, Fudan University, Shanghai, China.
BMC psychiatry
|May 5, 2025
概括
系统性炎症部分解释了肥胖和抑郁症之间的联系. 像NLR,SIRI和SII这样的炎症标志物介导了这种关系的很小但很大一部分.
科学领域:
- 公共卫生 公共卫生
- 医学研究 医学研究
- 精神病学是一个精神病学.
背景情况:
- 肥胖和抑郁症是全球重要的健康问题.
- 肥胖和抑郁症之间存在着复杂的双向关系.
- 系统性炎症是这种关系的一个潜在因素.
研究的目的:
- 研究肥胖,全身炎症和抑郁症之间的关联.
- 为了确定系统性炎症是否介导肥胖和抑郁症之间的关系.
主要方法:
- 利用了来自全国健康和营养检查调查 (NHANES) 的11,324名参与者的数据.
- 通过身体质量指数 (BMI) 评估肥胖,使用患者健康问卷-9 (PHQ-9) 评估抑郁症.
- 使用中性粒细胞与淋巴细胞比率 (NLR),全身炎症反应指数 (SIRI) 和全身免疫炎症指数 (SII) 测量系统性炎症.
- 采用加权后勤和线性回归,限制立方线 (RCS) 分析和调解分析.
主要成果:
- 第三类肥胖与炎症标志物升高和抑郁症风险增加相关.
- 在肥胖与抑郁相关性中,NLR,SIRI和SII分别占5.2%,5.9%和6.1%.
- 进行了子组分析和相互作用试验.
结论:
- 系统性炎症在肥胖和抑郁症之间的联系中起着部分调解作用.
- 研究结果强调炎症是连接这两种疾病的关键途径.
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