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患有早发性脱发的芬兰年轻男性中的肥胖与低度炎症

Obesity and low-grade inflammation among young Finnish men with early-onset alopecia.

作者信息

Hirsso Päivi, Rajala Ulla, Hiltunen Liisa, Jokelainen Jari, Keinänen-Kiukaanniemi Sirkka, Näyhä Simo

机构信息

University of Oulu, Department of Public Health Science and General Practice, Oulu, Finland.

出版信息

Dermatology. 2007;214(2):125-9. doi: 10.1159/000098570.

Abstract

BACKGROUND

Previous investigations have revealed an association of androgenetic alopecia (AGA), especially in younger subjects with severe early-onset AGA, with ischemic heart disease.

OBJECTIVE

To examine the possible association between early-onset alopecia and low-grade inflammation measured by high-sensitivity C-reactive protein (hs-CRP) that has been recommended for the assessment of the cardiovascular disease (CVD) risk.

METHODS

The study population consisted of young men (n = 727, aged 25-34 years) participating in a national survey. The grade of alopecia was assessed by a trained nurse using the Norwood/Hamilton Classification Scale.

RESULTS

Men with moderate to extensive alopecia (17%) had a higher body mass index and larger waist, upper arm, hip and waist circumference than those with little to no alopecia (p < 0.05), and statistically insignificant differences were seen in the waist-to-hip circumference ratio (WHR), diastolic blood pressure and hs-CRP. With increasing hs-CRP, the mean WHR increased, but only among men with moderate to extensive alopecia (p = 0.043).

CONCLUSION

Our findings show a relation between moderate to extensive alopecia and low-grade inflammation--a predictor of a future CVD--especially combined with central obesity, among men younger than 35 years.

摘要

背景

先前的调查显示雄激素性脱发(AGA),尤其是早发型严重AGA的年轻患者,与缺血性心脏病有关。

目的

研究早发性脱发与通过高敏C反应蛋白(hs-CRP)测量的低度炎症之间的可能关联,hs-CRP已被推荐用于评估心血管疾病(CVD)风险。

方法

研究人群包括参与一项全国性调查的年轻男性(n = 727,年龄25 - 34岁)。脱发程度由一名经过培训的护士使用诺伍德/汉密尔顿分类量表进行评估。

结果

中度至重度脱发的男性(17%)比几乎没有脱发的男性体重指数更高,腰围、上臂围、臀围更大(p < 0.05),而腰臀比(WHR)、舒张压和hs-CRP在统计学上无显著差异。随着hs-CRP升高,平均WHR增加,但仅在中度至重度脱发的男性中如此(p = 0.043)。

结论

我们的研究结果表明,在35岁以下男性中,中度至重度脱发与低度炎症(未来CVD的一个预测指标)之间存在关联,尤其是与中心性肥胖并存时。

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