与功能相关的年龄相关的生理和分子生物标志物:系统性审查和元分析
Caoimhe McGarvey1,2, Kate Doyle1,2, Adam Roche2
1The Irish Longitudinal Study on Ageing (TILDA), School of Medicine, Trinity College Dublin, 152-160 Pearse Street, Dublin 2, Ireland.
概括
慢性病 (CKD) 需要更好的生物标志物. 这次审查发现,在CKD进展中神经心血管,炎症和表观遗传标记的预测能力有限,这凸显了需要更多研究的需要.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 生物标志物发现发现
- 心血管研究研究心血管研究
背景情况:
- 由于人口老龄化,慢性病 (CKD) 的患病率在全球范围内正在增加.
- 有效的预测生物标志物对于早期干预和主动治疗病至关重要.
研究的目的:
- 系统地审查和对神经心血管,炎症和表观遗传生物标志物的研究进行元分析.
- 评估它们与功能的关联以及对CKD发病率或进展的预测能力.
主要方法:
- 在Scopus,Embase,MEDLINE和CINAHL数据库中进行系统的文献搜索.
- 包括68项观察性研究,评估成人生物标志物-结局关系.
- 数据提取,质量评估 (NOS),叙事分析和相关研究的元分析.
主要成果:
- 几个与功能相关的生物标志物,但很少显示CKD发病率/进展的独立预测值.
- 分析表明心率变化 (HR 1.75) 和动脉硬 (OR 1.08-1.14) 与CKD结局有关.
结论:
- 需要进一步的纵向研究来验证CKD发病率和进展的生物标志物.
- 生理和分子生物标志物有可能改善CKD的管理和预后.
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