体重轨迹影响10种不同的心脏代谢疾病的风险
Alison Z Swartz1, Kathryn Wood2, Eric Farber-Eger3
1Vanderbilt University, School of Medicine, Nashville, TN.
The Journal of clinical endocrinology and metabolism
|June 11, 2025
概括
重量循环,或重复减肥,显著增加了严重的心脏代谢疾病的风险,如心力衰竭和2型糖尿病,即使在高BMI的个体.
科学领域:
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
- 代谢健康 代谢健康
背景情况:
- 重复的体重减轻和恢复 (体重循环) 可能会增加心脏代谢疾病的风险.
- 体重循环者经常有现有的疾病,如高血压,脂质失调和糖尿病.
研究的目的:
- 为了比较纵向体重轨迹 (稳定,获得者,失败者,循环) 与特定心脏代谢疾病之间的关联.
- 在具有类似高基准体重指数 (BMI) 的个体中调查这些关联.
主要方法:
- 使用了来自范德比尔特大学医学中心 (1997-2020) 的非识别电子健康记录.
- 采用了具有里程碑意义的方法,使用多变量考克斯比例危险回归.
- 分析了体重轨迹与十种流行心脏代谢疾病的风险之间的关系.
主要成果:
- 体重循环增加了阻塞性睡眠呼吸暂停 (~30%),MASLD (~30%) 和2型糖尿病 (T2DM) (~23%) 的风险.
- 重量循环显著增加了超过50%的心力衰竭风险.
- 体重增加和体重减轻也独立地增加了心力衰竭风险.
结论:
- 体重循环和心脏代谢疾病风险之间的联系不管基线BMI高,仍然存在.
- 保持体重稳定或实现可持续的减肥对于预防心脏代谢疾病至关重要.
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