长期的血糖变化和心力衰竭风险:一个元分析
Yong-Chao Li1,2, Ke-Er Mo1, Li-Shuai Zhang1
1Jinan University, Guangzhou, China.
PeerJ
|December 2, 2025
概括
长期高的血糖变化 (GV) 显著增加心力衰竭 (HF) 的风险. 监测GV对于心血管风险评估和HF预防策略至关重要.
科学领域:
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
- 代谢健康 代谢健康
背景情况:
- 长期的血糖变化 (GV) 是潜在的心血管风险因素.
- 目前尚不清楚GV与心力衰竭 (HF) 风险之间的关联.
- 这一元分析研究了长期GV和事件HF之间的联系.
研究的目的:
- 评估长期血糖变化与成人心力衰竭发病率之间的关系.
- 为了确定GV是否是一个独立的风险因素,HF超出平均血糖水平.
主要方法:
- 在PubMed,Embase和Web of Science的系统文献搜索.
- 包括10项观察性研究,涉及4,229,377名成年人.
- 使用随机效应模型计算的聚合危险比率 (HRs).
主要成果:
- 长期高GV与发生HF的风险显著增加有关 (HR = 1.69).
- 在敏感性分析中,包括2型糖尿病患者的敏感性分析中,这种关联仍然显著.
- 在各种子组和GV指标中观察到一致的结果.
结论:
- 长期高的血糖变化独立地与心力衰竭的风险增加有关.
- 在临床上,GV监测对心血管风险评估和HF风险分层具有重要意义.
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