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无气流受限的普通人群中第一秒用力呼气容积(FEV1)与心血管危险因素的关系。

Relationship between FEV1 and Cardiovascular Risk Factors in General Population without Airflow Limitation.

作者信息

Lee Jeong Hyeon, Kang Yun-Seong, Jeong Yun-Jeong, Yoon Young-Soon, Kwack Won Gun, Oh Jin Young

机构信息

Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Dongguk University Ilsan Hospital, Goyang, Republic of Korea.

Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea.

出版信息

Can Respir J. 2016;2016:8319849. doi: 10.1155/2016/8319849. Epub 2016 Nov 28.

Abstract

We aimed to determine the value of lung function measurement for predicting cardiovascular (CV) disease by evaluating the association between FEV1 (%) and CV risk factors in general population. This was a cross-sectional, retrospective study of subjects above 18 years of age who underwent health examinations. The relationship between FEV1 (%) and presence of carotid plaque and thickened carotid IMT (≥0.8 mm) was analyzed by multiple logistic regression, and the relationship between FEV1 (%) and PWV (%), and serum uric acid was analyzed by multiple linear regression. Various factors were adjusted by using Model 1 and Model 2. 1,003 subjects were enrolled in this study and 96.7% ( = 970) of the subjects were men. In both models, the odds ratio of the presence of carotid plaque and thickened carotid IMT had no consistent trend and statistical significance. In the analysis of the PWV (%) and uric acid, there was no significant relationship with FEV1 (%) in both models. FEV1 had no significant relationship with CV risk factors. The result suggests that FEV1 may have no association with CV risk factors or may be insensitive to detecting the association in general population without airflow limitation.

摘要

我们旨在通过评估一般人群中第一秒用力呼气容积(FEV1,%)与心血管(CV)危险因素之间的关联,来确定肺功能测量对预测心血管疾病的价值。这是一项对18岁以上接受健康检查的受试者进行的横断面回顾性研究。通过多因素逻辑回归分析FEV1(%)与颈动脉斑块及颈动脉内膜中层厚度增厚(≥0.8mm)之间的关系,通过多因素线性回归分析FEV1(%)与脉搏波速度(PWV,%)及血清尿酸之间的关系。使用模型1和模型2对各种因素进行校正。本研究共纳入1003名受试者,其中96.7%(n = 970)为男性。在两个模型中,颈动脉斑块及颈动脉内膜中层厚度增厚的比值比均无一致趋势和统计学意义。在对PWV(%)和尿酸的分析中,两个模型中其与FEV1(%)均无显著关系。FEV1与心血管危险因素无显著关系。结果表明,在无气流受限的一般人群中,FEV1可能与心血管危险因素无关联,或对检测这种关联不敏感。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2076/5149646/bd019412ed76/CRJ2016-8319849.001.jpg

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