美国中风人口中的体重指数和全因死亡率:一项队列研究
Chenyan Yue1,2, Huisheng Dong3, Anmu Xie1
1Department of Neurology, Qingdao University Affiliated Hospital, No. 16 Jiangsu Road, Shinan District, Qingdao City, 266003, Shandong, China.
BMC neurology
|July 2, 2025
概括
在中风幸存者中,较高的BMI与较低的死亡率有关. 与正常体重患者相比,超重和肥胖患者的全因死亡率有所降低,这表明有保护作用.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 肥胖和超重是全球重要的健康问题.
- 这些疾病与中风发病率和死亡率的增加有关.
研究的目的:
- 为了检查身体质量指数 (BMI) 与美国中风幸存者的全因死亡率之间的关联.
- 了解体重类别对中风后生存率的影响.
主要方法:
- 利用了来自NHANES (1999-2018) 的1,603名中风幸存者的数据,与国家死亡指数联系在一起.
- 将BMI分为正常体重 (<25 kg/m2),超重 (2529.9 kg/m2) 和肥胖 (≥30 kg/m2) 的类别.
主要成果:
- 较高的BMI与全因死亡率相反相关.
- 超重和肥胖的中风幸存者与正常体重的幸存者相比,死亡率明显较低 (HRs <1,p<0.001).
- 观察到一种非线性关系,保护效应在BMI为30.26kg/m2左右停滞不前.
结论:
- 与正常BMI患者相比,超重或肥胖的中风幸存者具有较低的全因死亡风险.
- 这种"肥胖悖论"背后的机制需要进一步研究.
- 结果可能会为中风幸存者提供临床建议.
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