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SCI REP:中国农村人群静息心率和脉压对2型糖尿病的独立和累积效应影响!

2017-06-02 xing.T MedSci原创

这项研究表明,升高的RHR和PP各自独立地与T2DM的风险相关,也影响了传统的混杂因素,RHR较快PP较高可能累积地增加T2DM的风险。然而,潜在的临床应用仍有待进一步明确。

近日,Scientific reports 杂志上发表了一篇研究文章,研究人员旨在通过横断面研究和荟萃分析来探讨静息心率(RHR)和脉压(PP)对2型糖尿病(T2DM)风险的独立效应以及它们的累积效应。

该研究共纳入了8276名来自于农村糖尿病、肥胖和生活方式研究(RuralDiab研究)中的年龄在35岁至74岁的受试者。同时,进行了两项荟萃分析以验证流行病学研究的结果。

研究人员发现RHR和PP与T2DM的风险增高有关,而每个四分位数相应的调整后比值比(95%可信区间)分别为1.0、0.99(0.68-1.42)、1.58(1.13-2.20)、2.93(2.15–3.98)和1、1.06(0.75-1.48)、1.11(0.79-1.56)、1.45(1.03-2.03)。累积效应分析表明相比于缓慢RHR低PP人群、男性、女性,快速RHR高PP受试者调整后的比值比(95%可信区间)在分别为3.36(2.26-4.99)、2.60(1.47-4.59)和3.60(2.09-6.20)。Meta分析结果显示RHR和PP合并效应值分别为1.94(1.64-2.31)和1.25(1.04-1.51)。

这项研究表明,升高的RHR和PP各自独立地与T2DM的风险相关,也影响了传统的混杂因素,RHR较快PP较高可能累积地增加T2DM的风险。然而,潜在的临床应用仍有待进一步明确。

原始出处:


Panpan Wang,et al. Independent and cumulative effects of resting heart rate and pulse pressure with type 2 diabetes mellitus in Chinese rural population. Scientific reports. 2017. https://www.nature.com/articles/s41598-017-02758-1

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    2017-06-04 daviiliu
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