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血清骨钙素与中国中年男性颈动脉粥样硬化的关系:一项横断面研究。

Relationship between Serum Osteocalcin and Carotid Atherosclerosis in Middle-Aged Men in China: A Cross-Sectional Study.

机构信息

Department of Geriatrics, Drum Tower Clinical Medical College of Nanjing Medical University, China.

Department of Endocrinology, Drum Tower Clinical Medical College of Nanjing Medical University, China.

出版信息

Biomed Res Int. 2018 Aug 14;2018:1751905. doi: 10.1155/2018/1751905. eCollection 2018.

Abstract

BACKGROUND AND PURPOSE

Numerous investigations found that there exists a close relationship between serum osteocalcin and incurrence of atherosclerosis, but studies investigating the effect of serum osteocalcin on carotid atherosclerosis are very limited. Our study is aimed at investigating the role of osteocalcin in carotid atherosclerosis in middle-aged men in China.

METHODS

A total of 335 male middle-aged participants (40-60, 52.4 ± 3.87 years averagely) were enrolled from the institute. The carotid intima-media thicknesses (CIMT) of each subject were measured. All subjects were included either in the carotid atherosclerosis (AS) group or the control group according to the CAS diagnosis criteria. Serum osteocalcin and other markers of each patient were assessed following standard laboratory tests protocol.

RESULTS

135 subjects were included in AS group, and 199 subjects were included in control group. The average osteocalcin level in AS group was 18.71 ± 6.20 ng/ml and was significantly different from that in control group, which was 20.38 ± 7.19 ng/ml (p=0.039). Logistic regression analysis revealed that OCN (standardized =-0.024, p=0.013) and FINS (standardized =-0.065, p=0.010) were independently and inversely associated with the carotid atherosclerosis, while FPG (standardized =0.538, p=0.006) was independently and positively associated with the carotid atherosclerosis.

CONCLUSION

Our study suggests that OCN is independently related to carotid atherosclerosis in middle-aged male individuals.

摘要

背景与目的

大量研究发现,血清骨钙素与动脉粥样硬化的发生密切相关,但研究血清骨钙素对颈动脉粥样硬化影响的研究非常有限。本研究旨在探讨骨钙素在我国中年男性颈动脉粥样硬化中的作用。

方法

共纳入 335 名男性中年参与者(40-60 岁,平均年龄 52.4±3.87 岁),均来自研究所。测量每位受试者的颈动脉内膜中层厚度(CIMT)。所有患者根据 CAS 诊断标准纳入颈动脉粥样硬化(AS)组或对照组。采用标准实验室检测方案评估每位患者的血清骨钙素及其他标志物。

结果

135 例患者纳入 AS 组,199 例患者纳入对照组。AS 组骨钙素水平平均为 18.71±6.20ng/ml,与对照组(20.38±7.19ng/ml)差异有统计学意义(p=0.039)。Logistic 回归分析显示,OCN(标准化=-0.024,p=0.013)和 FINS(标准化=-0.065,p=0.010)与颈动脉粥样硬化独立且呈负相关,而 FPG(标准化=0.538,p=0.006)与颈动脉粥样硬化独立且呈正相关。

结论

本研究表明,OCN 与中年男性个体的颈动脉粥样硬化独立相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c268/6112087/f042514e7d08/BMRI2018-1751905.001.jpg

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