三甘油糖指数及其与老年人抑郁症状的关联:纵向分析
Malcolm Forbes1, Mohammadreza Mohebbi1, Robyn L Woods2
1The Institute for Mental and Physical Health and Clinical Translation (IMPACT), School of Medicine, Deakin University, Geelong, Victoria, Australia.
Journal of affective disorders
|May 7, 2025
概括
在一项大型的长期研究中,胰岛素抵抗的标志物甘油三指数 (TyG) 与抑郁症的发展无关. 这一发现表明,TyG可能不是未来抑郁症状的可靠预测指标.
科学领域:
- 代谢健康和心理健康
- 慢性病的流行病学 慢性病的流行病学
背景情况:
- 胰岛素耐药性,由甘油三糖指数 (TyG) 表示,与抑郁症风险有关.
- 没有先前的纵向研究检查过TyG指数和随后的抑郁症状.
研究的目的:
- 为了研究高高的甘油三指数 (TyG) 与抑郁症状的发展之间的纵向关联.
- 为了确定TyG是否是未来抑郁症的预测标志物.
主要方法:
- 澳大利亚和美国的19,114名成年人 (平均年龄75岁) 接受了长达11年的随访.
- 甘油三指数-葡萄糖指数 (TyG) 从禁食甘油三和葡萄糖水平计算出来.
- 使用CES-D-10评估的抑郁症状;如果得分≥8.0,则诊断出抑郁症.
- 用于分析的概括估计方程 (GEE) 和考克斯比例危险模型,对许多共同变量进行调整.
主要成果:
- 在GEE分析中,TyG的最高四分位数一年后与抑郁症没有显著相关.
- 经过调整后,考克斯的比例危险模型也显示,在11年内,最高和最低的TyG组之间抑郁症发病率没有显著差异.
结论:
- 高甘油三糖指数 (TyG) 与晚期抑郁症的发展没有关联.
- 在老年人中,TyG可能不会作为未来抑郁症状的预测生物标志物.
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