铜摄入量与慢性病/糖尿病病之间的关系:来自NHANES数据 (2011-2018) 的见解
Shasha Hu1, Xiao Tian2, Zhenzhen Wang3
1Department of Nephrology, Zibo Central Hospital, Zibo, China.
Frontiers in endocrinology
|November 12, 2025
概括
较高的铜摄入量显示出对慢性病 (CKD) 和糖尿病病 (DKD) 的保护作用. 这种反向关联在研究人口中的各种子组中得到了一致的观察.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 营养科学 营养科学
- 流行病学 流行病学
背景情况:
- 饮食中的铜摄入量与病,特别是慢性病 (CKD) 和糖尿病病 (DKD) 之间的关系仍然不完全理解.
- 研究这种关联对于理解影响脏健康的饮食因素至关重要.
研究的目的:
- 检查铜消费与CKD和DKD患病率之间的关联.
- 探索铜摄入量与病结果之间的潜在非线性关系.
主要方法:
- 利用了2011-2018年国家健康和营养检查调查 (NHANES) 的16,948名参与者的数据.
- 使用加权t测试和千平方测试进行变量比较,以及多变量逻辑回归来建模关联.
- 应用限制立方线 (RCS) 分析,以调查铜摄入量与病之间的非线性关联.
主要成果:
- 在铜摄入量和CKD (OR > 0.80) 和DKD (OR > 0.5) 之间发现了显著的负相关性.
- 这种保护性关联在所有被检查的人口子组中都存在.
- RCS分析表明非线性,反向的关联,特别是在较低的摄入水平 (例如,OR = 0.51的CKD摄入量≤1.47毫克;OR = 0.40的DKD摄入量≤0.98毫克).
结论:
- 饮食中的铜摄入量与CKD和DKD有显著和反向的相关性.
- 这些发现表明,在病的背景下,充足的铜消费可能起着保护作用.
- 进一步研究最佳的铜摄入水平,以改善脏健康是有必要的.
相关概念视频
Chronic Kidney Disease I: Introduction
552
Chronic Kidney Disease (CKD) arises when the kidneys progressively lose their ability to function, ultimately leading to end-stage renal disease. At this advanced stage, the kidneys can no longer filter waste or maintain essential body functions, requiring renal replacement therapy (RRT) through dialysis or a kidney transplant for survival.Early-stage chronic kidney disease and detection challengesIn CKD's early stages, symptoms often remain absent because healthy nephrons compensate for...
552
Chronic Kidney Disease III: Interprofessional Care
331
Chronic kidney disease (CKD) requires collaborative and comprehensive management. CKD progresses through stages and can lead to end-stage kidney disease (ESKD) if untreated. Interprofessional collaboration and patient education are crucial, enabling patients to manage their health and improve their quality of life.Diagnostic approach for chronic kidney diseaseThe diagnosis of CKD primarily focuses on the glomerular filtration rate (GFR), which assesses kidney function by measuring how well...
331
Chronic Kidney Disease IV: Nursing Management
308
Nursing management is essential for preventing complications, maintaining stability, and improving patients' quality of life in chronic kidney disease (CKD). By using a structured approach, nurses help slow CKD progression and support effective patient care.1. Comprehensive patient assessmentEffective management begins with nurses reviewing the patient’s medical history, and identifying key risk factors like diabetes, hypertension, and nephrotoxic drug use. Nurses assess signs of...
308
Chronic Kidney Disease II: Clinical Manifestations
537
Chronic Kidney Disease (CKD) progressively impairs multiple body systems due to the accumulation of uremic toxins, which disrupt cellular functions across various organs.Neurologic symptomsNeurologic symptoms often arise early in CKD, as uremic toxin buildup drives changes in cognitive and motor functions. Patients frequently experience fatigue, headache, confusion, difficulty concentrating, and, in severe cases, seizures. Peripheral neuropathy commonly manifests as burning sensations in the...
537
Drug Dosing in Renal Diseases: Estimation of Glomerular Filtration Rate Based on Serum Creatinine Concentration
178
Glomerular filtration rate (GFR) can be estimated from serum creatinine using the modification of diet in renal disease (MDRD) formula or the chronic kidney disease–epidemiology collaboration (CKD–EPI) equation. Both methods are widely used in clinical practice to assess kidney function and guide treatment decisions.The MDRD equation does not require weight or height measurements and is normalized to the body surface area of 1.73 m², considered the average adult surface area.
178
Acute Kidney Injury IV: Diagnostic Studies and Prevention
254
Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
254


