相对脂肪量 (RFM) 和慢性病 (CKD) 之间的关联:来自NHANES 2005-2018年的数据
Zhendong Wang1,2, Wenxuan Li1, Lina Lv2
1Department of Nephrology, Qilu Hospital, Shandong University, Jinan, China.
Scientific reports
|July 15, 2025
概括
较高的相对脂肪量 (RFM) 与慢性病 (CKD) 风险增加有关. 这种联系表明RFM可能是CKD研究和患者监测的有价值指标.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 代谢健康 代谢健康
- 生物统计学 生物统计学
背景情况:
- 相对脂肪量 (RFM) 是一种新兴的体脂成分指标.
- 慢性病 (CKD) 是一个重要的全球健康问题.
- 了解CKD的新风险因素对于预防和管理至关重要.
研究的目的:
- 调查相对脂肪量 (RFM) 和慢性病 (CKD) 之间的关联.
- 探索RFM-CKD关系中的潜在调解因素.
主要方法:
- 使用了国家健康和营养检查调查 (NHANES) 数据 (2005-2018).
- 采用后勤回归,子组分析,限制立方线 (RCS) 建模和调解分析.
- 评估了RFM,体重指数 (BMI),腰围 (WC) 和CKD患病率之间的关系.
主要成果:
- 在更高的RFM和增加的CKD风险之间观察到正相关性.
- 在最高的RFM四分位数中的个人显示显著增加了CKD风险 (OR = 1.82).
- 中性细胞对淋巴细胞的比率,血红蛋白,糖化血红蛋白和尿酸被确定为调解剂,血红蛋白显示出保护作用.
结论:
- 相对脂肪量 (RFM) 与慢性病 (CKD) 独立相关.
- 在CKD研究和临床实践中,RFM可以作为一个有用的指标.
- 进一步研究调解途径,特别是血红蛋白的作用是有必要的.
相关概念视频
Chronic Kidney Disease I: Introduction
75
Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
75
Chronic Kidney Disease III: Interprofessional Care
81
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
81
Chronic Kidney Disease II: Clinical Manifestations
103
Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
103
External Anatomy of the Kidney
1.7K
The kidneys are a pair of bean-shaped organs in the human body that play a critical role in maintaining overall health. They filter out waste products from the blood, regulate blood pressure, maintain electrolyte balance, and stimulate the production of red blood cells.
The kidneys are located in the retroperitoneal space on either side of the vertebral column, protected posteriorly by the 11th and 12th ribs. The right kidney sits slightly lower than the left owing to the presence of the liver...
The kidneys are located in the retroperitoneal space on either side of the vertebral column, protected posteriorly by the 11th and 12th ribs. The right kidney sits slightly lower than the left owing to the presence of the liver...
1.7K
Chronic Kidney Disease IV: Nursing Management
59
Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
59
Factors Affecting Renal Clearance: Renal Impairment
164
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...
164


