老年人营养风险指数和老年风湿关节炎患者的死亡风险:来自NHANES (1999-2018) 的证据
Shaoqin Zhang1, Haihong Wang1, Zexu Jin1
1The First People's Hospital of Guiyang, Guiyang, 550001, China.
Clinical rheumatology
|February 13, 2026
概括
更高的老年营养风险指数 (GNRI) 与老年类类风湿性关节炎 (RA) 患者的更好的生存率有关. 这凸显了营养状况对于降低这一群体的死亡风险的重要性.
科学领域:
- 老年学是一门学科.
- 类风湿病学 类风湿病学
- 心血管健康 心血管健康
背景情况:
- 类风湿性关节炎 (RA) 与死亡率增加有关,特别是在老年人中.
- 营养不良在RA患者中很常见,并且会对治疗结果产生负面影响.
- 老年营养风险指数 (GNRI) 是老年人营养风险的一个关键指标.
研究的目的:
- 调查老年RA患者GNRI和生存结果之间的关联.
- 确定GNRI是否可以预测这个人口群体的死亡风险.
主要方法:
- 从NHANES数据库 (1999-2018) 中分析了1473名60岁以上的RA患者.
- 分类为高GNRI和低GNRI组,基于98.8的值.
- 利用考克斯回归和卡普兰-梅尔曲线来评估死亡风险.
主要成果:
- 较高的GNRI与所有原因死亡率 (HR 0.563) 和心血管死亡率 (HR 0.571) 的降低显著相关.
- 这些发现在各种子组中是一致的.
- 限制性立方线分析表明,增加GNRI和降低死亡风险之间存在线性关系.
结论:
- 升高的GNRI是老年RA患者较低全因和心血管死亡率的独立预测因子.
- 保持足够的营养状况,正如GNRI所指出的那样,对于改善这一群体的存活率至关重要.
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