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成年期体重变化与COPD风险的关系
Entong Gong1,2, Ziwei Kou3, Yinan Li4
1Graduate School, Dalian Medical University.
稳定的肥胖和成人体重增加增加了慢性阻塞性肺病 (COPD) 的风险. 体重增加和COPD发病率之间的关联在从不吸烟者中更为强烈.
科学领域:
- 肺部医学 肺部医学
- 肥胖问题研究研究
- 流行病学 流行病学
背景情况:
- 之前关于肥胖和慢性阻塞性肺病 (COPD) 风险的研究尚未完全解释随着时间的推移动态的体重变化.
- 这种限制导致了关于肥胖-COPD关联的不一致的发现.
研究的目的:
- 研究成年人体重变化模式与患上COPD的风险之间的关系.
- 调整体重变化和COPD风险分析中的潜在混因素.
主要方法:
- 从十个国家健康和营养检查调查 (NHANES) 周期 (1999-2018) 的数据进行回顾性分析.
- 包括40-74岁的成年人,在三个时间点使用BMI评估体重变化.
- 采用采样权重的多变量逻辑回归模型来分析关联,控制人口和生活方式共变量.
主要成果:
- 与保持正常体重相比,稳定的肥胖与多个时间框架的慢性肺炎风险增加有关.
- 成年期的体重增加,特别是显著的体重增加 (>20公斤),与COPD的更高风险有关.
- 体重变化与COPD风险之间的关联在从未吸烟者中比在前吸烟者中更为明显.
结论:
- 稳定的肥胖和成人体重增加是COPD的重要危险因素.
- 体重增加和COPD发病率之间的相关性在从未吸烟的人群中更为强烈.
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