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估计的脉冲波速度和慢性病之间的非线性关系:NHANES 1999-2020年的分析
Wenshi Li1, Rui Xu1, Honghao Yan2
1Department of Nephrology, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Frontiers in medicine
|June 27, 2025
概括
估计较高的脉冲波速度 (ePWV) 与慢性病 (CKD) 患病率的增加有关. 这一发现强调了动脉硬是CKD发展的关键因素.
科学领域:
- 心血管健康 心血管健康
- 腎臟病學 (nephrology) 是一種醫學專業.
- 流行病学 流行病学
背景情况:
- 关于估计的脉冲波速度 (ePWV) 和慢性病 (CKD) 之间的相关性,数据有限.
- 需要进一步的研究,以了解动脉硬和CKD患病率之间的关联.
研究的目的:
- 探索ePWV与CKD的流行程度之间的关联.
- 调查ePWV-CKD关联中的潜在非线性关系和子组变异.
主要方法:
- 从NHANES (1999-2020) 的41,411名参与者的横截面研究.
- 使用已确定的方程计算ePWV;作为主要结果,CKD流行率.
- 权重后勤回归,线性模型和限制立方 (RCS) 进行分析;进行子组分析.
主要成果:
- 较高的ePWV始终与增加的CKD患病率有关.
- RCS分析显示,ePWV和CKD之间存在显著的正非线性关系.
- 亚组分析表明,基于性别和基于葡萄糖代谢异常的EPWV-CKD关系存在差异.
结论:
- 在ePWV和CKD患病率之间存在强烈的积极关联.
- 监测动脉硬性对于理解和潜在地管理CKD至关重要.
- RCS和子组分析为未来的研究方向提供了宝贵的见解.
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