糖尿病作为严重炎症性肠病的独立风险因素:来自炎症-代谢-肝脏合框架的证据
Bin Huang1,2, Honglin An1, Liming Chen3
1Academy of Integrative Medicine, Fujian Key Laboratory of Integrative Medicine on Geriatrics, Key Laboratory of Integrative Medicine of Fujian Province University, Fujian University of Traditional Chinese Medicine, Fuzhou, Fujian, China.
Frontiers in endocrinology
|January 1, 2026
概括
糖尿病是严重炎症性肠病 (IBD) 的重要独立风险因素. 一个新的炎症-新陈代谢-肝脏合指数 (IMLCI) 准确预测严重的IBD病例.
科学领域:
- 胃肠病学 胃肠病学
- 代谢医学是一种代谢医学.
- 临床生物标志物 临床生物标志物
背景情况:
- 炎症性肠病 (IBD) 的临床过程各不相同,需要确定严重疾病预测因素.
- 糖尿病在IBD进展和不良结果中的作用需要澄清.
研究的目的:
- 研究糖尿病作为严重IBD的独立风险因素.
- 开发和验证一个整合炎症,新陈代谢和肝功能的预测指数,用于严重的IBD.
主要方法:
- 轻度和重度IBD患者数据的回顾性分析.
- 人口,炎症,肝脏和代谢参数的比较.
- 开发和验证一个炎症-代谢-肝脏合指数 (IMLCI).
主要成果:
- 严重IBD患者表现出炎症标志物升高,肝功能受损,以及不良的代谢概况.
- 糖尿病是严重IBD的强有力的独立预测因素 (OR = 3.81,P < 0.001).
- IMLCI显示出高的预测准确性 (AUC = 0.900训练,0.891测试) 和校准.
结论:
- 糖尿病是严重IBD的强有力的独立风险因素.
- IMLCI提供了一种经过验证的,实用的工具,用于早期风险分层和严重IBD的管理.
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