关节炎与CTI和各种甘油三-葡萄糖肥胖衍生指数之间的关联:基于NHANES数据库的横截面分析
Yibo Lin1,2, Haimei Zhong1,2, Zilong Wen3
1Dongguan Key Laboratory of Chronic Disease Prevention and Control, The First Dongguan Affiliated Hospital, School of Public Health, Guangdong Medical University, Dongguan, Guangdong, 523710, China.
European journal of medical research
|February 15, 2026
概括
卡斯特利-托马西尼指数 (CTI) 和像TyG-WHtR这样的肥胖指标与较高的关节炎风险有关. TyG-WHtR显示出对关节炎发生的强有力的预测能力.
科学领域:
- 内分泌学 在内分泌学.
- 类风湿病学 类风湿病学
- 公共卫生 公共卫生
背景情况:
- 关节炎受胰岛素抵抗 (IR) 和炎症的影响.
- 卡斯特利-托马西尼指数 (CTI) 是评估IR和炎症的新型标志物.
- 肥胖指标,包括TyG指数及其BMI,腰围和腰与身高比率衍生品,也与此有关.
研究的目的:
- 为了调查CTI和关节炎之间的关联.
- 为了比较TyG指数和关节炎发生的相关肥胖指标的预测差异.
主要方法:
- 使用NHANES数据 (2001-2010) 的横截面研究.
- 使用了加权后勤回归和受限制立方支线 (RCS) 模型.
- 分析包括值效应,子组分析,相互作用测试和ROC曲线分析.
主要成果:
- CTI显示与关节炎的积极关联 (P <0.05).
- TyG,TyG-BMI,TyG-WC和TyG-WHtR与关节炎有积极的关联.
- 泰格-WHtR显示出最好的诊断疗效 (AUC = 0.629).
结论:
- CTI,TyG-BMI,TyG-WC和TyG-WHtR与关节炎有积极的关联.
- TyG-WHtR显示了对关节炎的更强的预测能力.
- CTI可以作为早期关节炎风险识别的有效生物标志物,特别是在年轻人中.
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