通过估计的葡萄糖处置率来评估高尿血症的风险
Zhaoxiang Wang1, Ruoshuang Liu2, Fengyan Tang1
1Department of Endocrinology, Affiliated Kunshan Hospital of Jiangsu University, Kunshan, Jiangsu, China.
Frontiers in endocrinology
|July 3, 2025
概括
估计较高的葡萄糖处置率 (eGDR),衡量胰岛素耐药性,与美国成年人患高尿路血的风险较低有关. 这表明eGDR可能有助于预测hyperuricemia风险.
科学领域:
- 代谢健康 代谢健康
- 流行病学 流行病学
- 临床研究 临床研究
背景情况:
- 胰岛素抵抗 (IR) 是一种显著的代谢功能障碍.
- 高尿路血症与各种不良健康结果有关.
- 估计的葡萄糖处置率 (eGDR) 是IR的非侵入性标志物.
研究的目的:
- 调查eGDR与美国成年人高尿路血症风险之间的关联.
- 评估eGDR作为高尿血症风险评估的潜在流行病学工具.
主要方法:
- 对2007-2018年NHANES数据进行横截面分析.
- 超尿血症定义为血清尿酸≥7 mg/dL (男性) 或≥6 mg/dL (女性).
- 使用多变量逻辑回归和受限立方线 (RCS) 分析.
主要成果:
- 随着eGDR的增加,高尿路血症的患病率显著下降 (P <0.001).
- eGDR与高尿血症风险独立且反向相关 (OR=0.93,P <0.001).
- 观察到一种非线性关系,eGDR的转折点为7.96 mg/kg/min;女性的反向关联更强.
结论:
- eGDR与高尿血症风险相反相关.
- 作为一种流行病学工具,eGDR显示出有前途的可能性,用于评估IR对高尿血的影响.
- 研究结果强调了胰岛素敏感性和尿酸水平之间的联系.
相关概念视频
Renal Clearance
1.4K
The glomerular filtration rate (GFR) is a critical marker of kidney function, reflecting the efficiency of filtration by the glomeruli. Renal clearance of specific substances, such as inulin or creatinine, is commonly used to measure GFR.
Renal clearance refers to the volume of plasma cleared of a specific substance, such as creatinine, per unit of time. To measure clearance, urine samples are collected over a 24-hour period during each bladder voiding, followed by a single blood sample at the...
Renal clearance refers to the volume of plasma cleared of a specific substance, such as creatinine, per unit of time. To measure clearance, urine samples are collected over a 24-hour period during each bladder voiding, followed by a single blood sample at the...
1.4K
Factors Affecting Renal Clearance: Renal Impairment
165
Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...
165
Oral Hypoglycemic Agents: Biguanides and Glitazones
309
Biguanides, particularly metformin (Glucophage), are insulin sensitizers that enhance glucose uptake, thereby reducing insulin resistance. Unlike sulfonylureas, metformin doesn't prompt insulin secretion, which helps to curb hypoglycemia risk. Metformin is beneficial in treating conditions like polycystic ovary syndrome due to its insulin-resistance reduction capability. The drug's primary action involves curtailing hepatic gluconeogenesis, a significant contributor to high blood...
309
Determination of Renal Drug Clearance: Graphical and Midpoint Methods
205
Renal clearance, a crucial parameter in pharmacokinetics, can be determined using two different methods: the graphical method and the midpoint method. These methods provide insights into the rate of drug excretion by the kidneys and aid in assessing renal function.
The graphical method involves plotting the rate of drug excretion in urine against the plasma drug concentration. By analyzing the graph, the clearance can be calculated and obtained. Drugs rapidly excreted by the kidneys exhibit a...
The graphical method involves plotting the rate of drug excretion in urine against the plasma drug concentration. By analyzing the graph, the clearance can be calculated and obtained. Drugs rapidly excreted by the kidneys exhibit a...
205
Glucose Transporters
24.2K
Glucose transporters facilitate the transport of glucose across the cell membrane. In addition to glucose, some glucose transporters can also aid the movement of other hexoses such as fructose, mannose, and galactose.
Facilitated diffusion-glucose transporters (GLUTs) are encoded by the solute-linked carrier (SLC) family 2, subfamily A gene family, or SLC2A. The 14 GLUT protein members are distributed into three classes:
Facilitated diffusion-glucose transporters (GLUTs) are encoded by the solute-linked carrier (SLC) family 2, subfamily A gene family, or SLC2A. The 14 GLUT protein members are distributed into three classes:
24.2K
Diabetes Mellitus: Type 2 and Gestational
3.0K
Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
3.0K


