性激素与肥胖相关指标之间的关联:来自NHANES和门德尔随机化研究的结果
Yong Yuan1,2, Shuhao Cui3, Yingqi Hou4
1Clinical Research Unit, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
European journal of medical research
|November 28, 2025
概括
性激素对男性和女性的肥胖有不同的影响. 激素保护男性,而较高的雄激素增加女性的肥胖风险,特别是中心肥胖.
科学领域:
- 内分泌学 在内分泌学.
- 遗传学 是一个遗传学.
- 公共卫生 公共卫生
背景情况:
- 肥胖是一种复杂的代谢障碍,具有多因素的原因.
- 性激素在调节身体组成和新陈代谢方面发挥着至关重要的作用.
- 了解性激素和肥胖之间的因果关系对于有针对性的干预至关重要.
研究的目的:
- 研究性激素和肥胖标志物之间的关联.
- 使用孟德尔随机化 (MR) 评估性激素和肥胖之间的因果关系.
主要方法:
- 分析了5179名参与国家健康和营养检查调查 (NHANES) 的数据.
- 利用多变量线性回归和通用添加模型进行关联分析.
- 用两个样本的MR与反变量加权 (IVW) 来进行因果推断.
主要成果:
- 在男性中,,SHBG和T/E2比率与肥胖有负相关性. 雌激素显示出一种非线性,反向的U形关系.
- 在女性中,雌激醇和SHBG与脂肪性负面相关.
- 核磁共振分析表明,基因增加的Bio-T与男性的肥胖风险降低有关,而在女性中,Bio-T和FAI与较高的内脏脂肪组织和腰围相关.
结论:
- 性激素表现出与肥胖的性别特异性关联.
- 丸激素在男性中显示出对抗肥胖的保护作用.
- 女性高雄性异常症与肥胖的风险增加有关,特别是中心肥胖症,这表明了新的干预目标.
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