RAR与骨关节炎风险之间的关系:基于NHANES数据 (1999-2018) 的综合分析
Qifan Chen1,2, Jiaxing Zeng3, Hanhua Wu2
1Department of Spinal Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, 510280, PR China.
Journal of orthopaedics
|August 13, 2025
概括
红细胞分布宽度与白蛋白比率 (RAR) 与骨关节炎 (OA) 风险增加有关. 较高的RAR水平可以作为评估临床环境中OA风险的潜在生物标志物.
科学领域:
- 生物标志物 生物标志物
- 流行病学 流行病学
- 临床研究 临床研究
背景情况:
- 骨关节炎 (OA) 是一种广泛的退行性关节疾病,具有重大公共卫生影响.
- 目前在识别可靠的生物标志物以进行早期的OA风险评估方面存在局限性.
- 了解新的风险因素对于主动的OA管理至关重要.
研究的目的:
- 为了研究红细胞分布宽度与白蛋白比率 (RAR) 与患骨关节炎的风险之间的联系.
- 评估RAR作为OA风险预测生物标志物的潜力.
主要方法:
- 分析了35902名参与国家健康和营养检查调查 (NHANES) 的数据.
- 使用加权后勤回归模型来评估RAR四分位数与OA风险之间的关联,控制混因素.
- 限制立方线 (RCS) 模型探索了非线性关系和剂量反应效应.
主要成果:
- 在RAR和OA风险之间发现了显著的积极关联 (OR=1.91最高四分位数,P < 10−9).
- RAR和OA风险之间的关系显示出非线性模式.
- 在不同的人口亚组中观察到RAR效应的异质性.
结论:
- 较高的RAR水平与骨关节炎的风险增加正相关.
- 罕见的AR显示了作为一种新生物标志物的潜力,用于OA风险分层.
- 需要进一步的纵向研究来确认因果关系和临床效用.
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