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自我报告的禁食持续时间对血脂谱变异性、心血管风险分层和代谢综合征诊断的影响。

Impact of self-reported fasting duration on lipid profile variability, cardiovascular risk stratification and metabolic syndrome diagnosis.

作者信息

Janovsky Carolina Castro Porto Silva, Laurinavicius Antonio, Cesena Fernando, Valente Viviane, Ferreira Carlos Eduardo, Mangueira Cristovão, Conceição Raquel, Santos Raul D, Bittencourt Marcio Sommer

机构信息

Endocrinologia e Metabolismo, Universidade Federal de São Paulo (Unifesp); Medicina Preventiva, Hospital Israelita Albert Einstein (HIAE), São Paulo, SP, Brasil.

Medicina Preventiva, Hospital Israelita Albert Einstein (HIAE), São Paulo, SP, Brasil.

出版信息

Arch Endocrinol Metab. 2018 Apr 5;62(2):187-192. doi: 10.20945/2359-3997000000023. Print 2018 Mar-Apr.

Abstract

OBJECTIVE

We sought to investigate the impact of self-reported fasting duration times on the lipid profile results and its impact on the cardiovascular risk stratification and metabolic syndrome diagnosis.

SUBJECTS AND METHODS

We analyzed data from all consecutive individuals evaluated in a comprehensive health examination at the Hospital Israelita Albert Einstein from January to December 2015. We divided these patients in three groups, according to the fasting duration recalled (< 8h, 8-12h and > 12h). We calculated the global cardiovascular risk and diagnosed metabolic syndrome according to the current criteria and estimated their change according to fasting duration.

RESULTS

A total of 12,196 (42.3 ± 9.2 years-old, 30.2% females) patients were evaluated. The distribution of cardiovascular risk was not different among groups defined by fasting duration in both men and women (p = 0.547 for women and p = 0.329 for men). Similarly, the prevalence of metabolic syndrome was not influenced by the fasting duration (p = 0.431 for women and p = 0.166 for men).

CONCLUSION

Self-reported fasting duration had no significant impact on the lipid profile results, including triglyceride levels. Consequently, no changes on the cardiovascular risk stratification using the Framingham risk score nor changes on the prevalence of metabolic syndrome were noted.

摘要

目的

我们试图研究自我报告的禁食持续时间对血脂谱结果的影响,以及其对心血管风险分层和代谢综合征诊断的影响。

受试者与方法

我们分析了2015年1月至12月在以色列阿尔伯特·爱因斯坦医院进行全面健康检查的所有连续个体的数据。根据回忆的禁食持续时间(<8小时、8 - 12小时和>12小时),我们将这些患者分为三组。我们根据当前标准计算全球心血管风险并诊断代谢综合征,并根据禁食持续时间估计其变化。

结果

共评估了12196名患者(年龄42.3±9.2岁,30.2%为女性)。在按禁食持续时间定义的组中,男性和女性的心血管风险分布没有差异(女性p = 0.547,男性p = 0.329)。同样,代谢综合征的患病率不受禁食持续时间的影响(女性p = 0.431,男性p = 0.166)。

结论

自我报告的禁食持续时间对血脂谱结果,包括甘油三酯水平,没有显著影响。因此,使用弗雷明汉风险评分得出的心血管风险分层没有变化,代谢综合征的患病率也没有变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3434/10118977/85676a029736/2359-4292-aem-62-02-0187-gf01.jpg

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