心血管风险分层的内脏脂肪值:一个简化的生物标志物驱动模型
Tangmeng Guo1,2,3, Ping He1,2, Weilin Lu1,2
1Department of Geriatrics, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
心血管疾病 (CVD) 风险的内脏脂肪组织 (VAT) 体积值因性别和种族而异. 一个简单的生物标志物模型准确地预测了增值税量,有助于评估心脏代谢风险.
科学领域:
- 心脏病学 心脏病学
- 代谢健康 代谢健康
- 身体组成分析 身体成分分析
背景情况:
- 内脏脂肪组织 (VAT) 体积是心脏代谢风险的关键指标.
- 目前缺乏特定人口的增值税门和风险分层的预测工具.
- 准确的增值税评估对于识别处于更高风险的个人至关重要.
研究的目的:
- 为心血管疾病 (CVD) 风险分层建立特定于性别和种族的增值税量门.
- 开发和验证一个简化,可访问的增值税量预测模型.
- 调查增值税量,代谢失调和心脏病发病率之间的关系.
主要方法:
- 从美国国家健康和营养检查调查 (NHANES) 数据中分析双能X射线吸收计 (DXA) 衍生的增值税量.
- 用多变量回归来进行值效应和性别/种族相互作用分析.
- 使用LASSO规范化和ROC分析来开发一个预测模型.
主要成果:
- 对于CVD风险分层,确定了327.0cm3的增值税量门.
- 在风险值中观察到显著的性别差异 (男性:387.5厘米3,女性:312.0厘米3).
- 确定了特定于种族的值,风险在种族/种族群体之间呈现不同的升级.
- 一个三种生物标志物模型 (腰围,甘油三,阿波利波蛋白B) 显示出与基于DXA的增值税量化准确度相当的准确度 (AUC = 0.821对比0.819).
结论:
- 这项研究为CVD风险分层提供了第一个特定于性别和种族的增值税量门.
- 一个具有成本效益,临床可行的三生物标志物模型为内脏脂肪查提供了切实可行的替代方案.
- 这些发现提高了识别和管理与内脏脂肪相关的心脏代谢风险的能力.
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