肥胖指数变化的纵向模式和发生性类风湿性关节炎的风险:来自基于人口的队列队列的证据
Xuanli Zhao1, Xiaohui Sun1, Fuhua Wu1
1School of Public Health, Zhejiang Chinese Medical University, Hangzhou, China.
Arthritis research & therapy
|September 30, 2025
概括
保持健康的体重和身体构成对于降低类风湿性关节炎 (RA) 风险至关重要. 肥胖的动态变化,特别是向腹部肥胖的转变,显著增加了RA发病率.
科学领域:
- 类风湿病学 类风湿病学
- 流行病学 流行病学
- 肥胖问题研究研究
背景情况:
- 肥胖是一种已知的类风湿性关节炎 (RA) 风险因素.
- 肥胖的纵向变化对RA风险的影响尚不清楚.
- 身体组成的动态变化可能会影响RA的发展.
研究的目的:
- 调查身体质量指数 (BMI),腰比 (WHR) 和身体圆度指数 (BRI) 和RA发病率的纵向变化之间的关联.
- 为了确定特定的肥胖模式和过渡,提高RA风险.
主要方法:
- 分析了来自68,061名多重肥胖测量参与者的英国生物库数据.
- 肥胖变化模式 (稳定/过渡) 的分类和年度平均变化率 (AARC) 的计算.
- 使用考克斯回归和限制立方线 (RCS) 模型来评估危险比率 (HR) 和置信区间 (CI).
主要成果:
- 稳定的超重,腹部肥胖和高的BRI与增加的RA风险有关 (HRs从1.45到1.48).
- 从非腹部肥胖转变为腹部肥胖增加了39%的RA风险.
- 在BMI和RA风险中的AARC之间观察到非线性关联,风险高于1.106.6的AARC.
结论:
- 肥胖指数的特定动态变化与RA风险增加有关.
- 保持正常的身体组成可能是降低RA风险的关键.
- 纵向肥胖模式为RA预防策略提供了宝贵的见解.
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