炎症和胰岛素抵抗之间的密切关系:从新的角度来看,一个比较的视角
Xiaoyan Wang1, Run Yang1, Jingxiang Li1
1Department of Endocrinology and Metabolism, Nanfang Hospital, Southern Medical University, 1838 Guangzhou Road North, Guangzhou, 510515, China.
TyG-hsCRP指数有效地识别了代谢功能障碍相关的脂肪肝疾病 (MAFLD) 和超重,活跃个体的死亡风险. 这一发现突出了炎症代谢的发现.
科学领域:
- 代谢健康 代谢健康
- 炎症研究的研究.
- 临床风险分层化临床风险分层化
背景情况:
- 超重是一个不断增长的代谢流行病,其中炎症是关键.
- 胰岛素抵抗 (IR) 在肥胖中很常见,但并不能完全捕捉全身炎症.
- 缺乏有效的工具,用于对活跃的超重个体进行早期风险评估.
研究的目的:
- 评估代谢功能障碍相关的脂肪肝疾病 (MAFLD) 和全因死亡率的综合指数的预测能力.
- 确定超重,体育活跃人群中风险分层的优质临床工具.
主要方法:
- 对72,262名超重,活跃的英国生物库参与者的前性队列研究.
- 结合TyG指数与hsCRP,腰围 (WC) 或BMI来评估IR.
- 使用考克斯回归,限制立方线 (RCS) 和哈雷尔的C指数进行分析.
主要成果:
- 在12.7年的时间里,1477名参与者患上了MAFLD.
- 与其他TyG组合相比,TyG-hsCRP表现出对MAFLD和全因死亡率的优异预测能力.
- 较高的TyG-hsCRP四分位数与增加的MAFLD风险 (HR 1.94) 和死亡率显著相关.
结论:
- TyG-hsCRP指数是识别超重,活跃个体中MAFLD和死亡风险的更有效工具.
- 强调炎症代谢在疾病进展中的作用.
- 支持风险人群的早期抗炎干预措施.
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