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中国百岁老人代谢综合征危险因素的流行情况及其与肾功能的关系。

Prevalence of metabolic syndrome risk factors and their relationships with renal function in Chinese centenarians.

机构信息

Department of Geriatric Cardiology, Chinese People's Liberation Army General Hospital, Beijing, China.

Department of Cardiology and Hainan Branch, Chinese People's Liberation Army General Hospital, Beijing, China.

出版信息

Sci Rep. 2018 Jun 29;8(1):9863. doi: 10.1038/s41598-018-28316-x.

Abstract

As the first time, this study was to investigate the prevalence of metabolic syndrome (MetS) risk factors and explore their relationships with renal function in Chinese centenarians. China Hainan Centenarian Cohort Study was performed in 18 cities and counties of Hainan Province. Home interview, physical examination and blood analysis were performed in 874 centenarians following standard procedures. Prevalence of MetS was 15.6% (136 centenarians). There were 229 centenarians with abdominal obesity (26.2%), 645 centenarians (73.8%) with hypertension, 349 centenarians with dyslipidemia (39.9%) and 92 centenarians with diabetes mellitus (10.5%). In multivariate linear regression, age, smoking, waist circumstance (WC), systolic blood pressure (SBP) and triglyceride levels were inversely and diastolic blood pressure (DBP) levels were positively associated with glomerular filtration rate levels (P < 0.05 for all). This study reported low prevalence of MetS risk factors and demonstrated that age, smoking, abdominal obesity (WC), hypertension (SBP and DBP) and triglyceride levels were independently associated with renal function in Chinese centenarians. This study provided reliable data about Chinese centenarians, analyzed significant relationships between Mets risk factors and renal function, and explained possible reason (low prevalence of MetS and its risk factors) and mechanism (interrelationship of age, Mets risk factors with renal function) of longevity.

摘要

本研究首次旨在调查中国百岁老人代谢综合征(MetS)危险因素的流行情况,并探讨其与肾功能的关系。在中国海南省进行了百岁老人队列研究。按照标准程序对 18 个市县的 874 名百岁老人进行了家庭访谈、体检和血液分析。MetS 的患病率为 15.6%(136 名百岁老人)。有 229 名百岁老人(26.2%)有腹型肥胖,645 名百岁老人(73.8%)有高血压,349 名百岁老人(39.9%)有血脂异常,92 名百岁老人(10.5%)有糖尿病。多元线性回归分析显示,年龄、吸烟、腰围(WC)、收缩压(SBP)和甘油三酯水平与肾小球滤过率呈负相关,舒张压(DBP)水平与肾小球滤过率呈正相关(P 值均<0.05)。本研究报告了 MetS 危险因素的低患病率,并表明年龄、吸烟、腹型肥胖(WC)、高血压(SBP 和 DBP)和甘油三酯水平与中国百岁老人的肾功能独立相关。本研究为中国百岁老人提供了可靠的数据,分析了 Mets 危险因素与肾功能之间的显著关系,并解释了长寿的可能原因(MetS 及其危险因素的低患病率)和机制(年龄、Mets 危险因素与肾功能的相互关系)。

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