代谢综合征及其组分与脑卒中发病关系的前瞻性队列研究
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1.常州市武进区疾病预防控制中心;2.南京医科大学公共卫生学院

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]南京医科大学常州公共卫生高等研究院开放课题(CPHN202303);2021年度常州市卫健委科技项目(青年人才科技项目)(QN202141);江苏省预防医学科研课题面上项目(Ym2023014);常州市卫健委科技项目(QN202382);2022年武进区科技创新发展专项资金


A prospective cohort study on the relationship between metabolic syndrome and its components and the incidence of stroke
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Wujin District Center for Disease Control and Prevention in Changzhou

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    摘要:

    目的:探讨代谢综合征(metabolic syndrome, MS)及其组分与脑卒中发病风险的关联。方法:采用前瞻性队列研究方法比较脑卒中发病与未发病人群人口统计学信息、行为生活方式、饮食习惯、疾病史、MS相关指标之间差异。采用Cox比例风险回归分析模型分析MS组分及其交互作用与脑卒中发病的关联。结果:脑卒中发病人群的年龄、腰围(waist circumference, WC)、体质指数(body mass index,BMI)、血压(blood pressure, BP)、总胆固醇(total cholesterol, TC)、甘油三酯(triglycerides, TG)、空腹血糖(fasting plasma glucose, FPG)均高于未发病人群。校正混杂因素后,MS、WC、TG、BP、FPG均与脑卒中发病风险增加相关,且BP异常与脑卒中发病的联系最强。WC、TG、BP、FPG两两之间均不存在相乘交互作用及相加交互作用。结论:MS与脑卒中发病风险增加相关。WC、TG、BP和FPG是脑卒中发病的独立危险因素。BP异常对脑卒中发病的影响最大。

    Abstract:

    Objective: To investigate the association between MS(metabolic syndrome) and its components and the risk of stroke. Methods: Prospective cohort study was used to compare the differences in demographic information, behavioral lifestyle, eating habits, disease history and MS-related indicators between people with and without stroke. The Cox proportional hazards regression analysis model was used to analyze the association between MS components and their interactions and the incidence of stroke. Results: The age, WC (waist circumference), BMI (Body mass index), BP (blood pressure), TC (Total cholesterol), TG (Triglycerides), and FPG (Fasting plasma glucose) of people with stroke onset were all higher than those without stroke. After adjusting for confounding factors, MS, WC, TG, BP, and FPG were all associated with an increased risk of stroke, and abnormal BP had the strongest association with stroke. There was no multiplicative interaction or additive interaction between WC, TG, BP and FPG. Conclusion: MS was related to increased risk of stroke. WC, TG, BP and FPG were independent risk factors for stroke. Abnormal BP had the greatest impact on the incidence of stroke.

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  • 收稿日期:2024-04-30
  • 最后修改日期:2024-07-30
  • 录用日期:2024-08-30
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