体重变化对2型糖尿病风险的影响:一项针对日本人口的前性研究
Takuya Kagisaki1, Megu Y Baden1,2, Asuka Oyama3
1Department of Metabolic Medicine, Graduate School of Medicine, The University of Osaka Suita, Osaka, Japan.
The Journal of clinical endocrinology and metabolism
|October 8, 2025
概括
预防体重增加和减肥对于降低2型糖尿病风险至关重要. 即使是轻微的体重变化也会影响糖尿病的风险,特别是对于BMI超过22kg/m2的个体.
科学领域:
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 已知减肥可以降低2型糖尿病的风险.
- 与2型糖尿病风险相关的体重变化 (增加和减少) 的具体门尚未确定.
研究的目的:
- 研究体重变化与患2型糖尿病的风险之间的关联.
主要方法:
- 在日本高知,一组41539名非糖尿病成年人被跟踪平均5.7年.
- 考克斯的比例危险模型被用来分析1年体重变化和新发型2型糖尿病之间的关系.
主要成果:
- 体重减少1.0%-4.9%和≥5.0%与16%-26%的2型糖尿病风险降低有关.
- 体重增加1.0%-4.9%和≥5.0%与15%-51%的2型糖尿病风险增加有关.
- 这些关联在BMI≥25 kg/m2或从20岁起增加≥10 kg的人群中更为明显.
结论:
- 预防体重增加和减肥对于降低日本人口2型糖尿病风险至关重要.
- 体重指数≥22kg/m2的个体似乎特别容易受到与体重变化相关的风险.
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