体质指数与中风复发风险之间的关系:系统性审查和剂量反应元分析
Qiuxia Qian1, Yuting Zhao1, Xin Fan1,2
1Evidence-Based Nursing Center, School of Nursing, Lanzhou University, Lanzhou, China.
体重不足的人面临更高的中风复发风险. 相反,超重或肥胖与较低的风险有关,这表明对二次中风预防有潜在的益处.
科学领域:
- 神经学 神经学
- 心血管健康 心血管健康
- 公共卫生 公共卫生
背景情况:
- 脑卒中复发对健康造成重大负担.
- 了解可修改的风险因素,如体重指数 (BMI),对于预防至关重要.
研究的目的:
- 调查身体质量指数 (BMI) 和复发性中风风险之间的关联.
- 分析BMI和中风复发之间的剂量反应关系.
主要方法:
- 在多个数据库中进行了全面的文献搜索,截至2025年2月.
- 对18项涉及165,366名患者的研究进行了元分析.
- 统计方法包括一般化的最小平方趋势估计和受限制的立方线函数.
主要成果:
- 体重不足的患者中风复发的风险显著增加 (RR=1.59).
- 超重和肥胖患者的中风复发风险降低 (RR=0.91和RR=0.89,分别).
- 每个单位的BMI增加都与中风复发风险降低2%有关 (RR=0.98).
结论:
- 增加的BMI与中风复发风险降低有关.
- 体重不足被确定为危险因素,而超重和肥胖似乎具有保护性.
- 保持健康的体重,甚至超重/肥胖,可能有助于预防中风.
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