Department of Internal Medicine, Tri-Service General Hospital Songshan Branch; and School of Medicine, National Defense Medical Center, Taipei, Taiwan, Republic of China.
Division of Family Medicine, Department of Family and Community Medicine, Tri-Service General Hospital; and School of Medicine, National Defense Medical Center, Taipei, Taiwan, Republic of China.
Sci Rep. 2018 Sep 14;8(1):13831. doi: 10.1038/s41598-018-32230-7.
Family history was one of the major risk factors for developing adverse health outcomes such as metabolic syndrome (MetS), type 2 diabetes mellitus (DM) and hypertension (HTN). Our aim was to examine the relationship between different family histories and cardiometabolic events, including DM, stroke, myocardial infarction (MI), and HTN. Participants who attended the health examinations at the Tri-Service General Hospital from 2010 to 2016 were enrolled in the study and were categorized into four groups by representing different family history. A multivariable logistic regression model was used for the associations between various family history with the cardiometabolic events. Subjects with family history of DM were divided into quartiles by percentage body fat (PBF) to be analyzed for these adverse outcomes. In the cross-sectional analysis, subjects with family history of DM had significant association with MetS (OR = 1.34 [95%CI: 1.17-1.54]) and DM (OR = 3.03 [95%CI: 2.44-3.76]), and those with family history of HTN were positively associated with HTN (OR = 1.60 [95%CI: 1.41-1.81]). Notably, those with family history of DM in higher PBF quartiles had substantially increased association of cardiometabolic events (MetS: OR = 15.20 [95%CI: 9.87-23.39]; DM: OR = 3.35 [95%CI: 1.91-5.90]; HTN: 2.81 [95%CI: 1.84-4.29]). Individuals with family history of DM were positively associated with MetS and DM, and those with family history of HTN was associated with HTN. Family history assessment was requested especially in obese population for screening adverse health outcomes.
家族史是导致代谢综合征(MetS)、2 型糖尿病(DM)和高血压(HTN)等不良健康结果的主要危险因素之一。我们的目的是研究不同家族史与心血管代谢事件之间的关系,包括 DM、中风、心肌梗死(MI)和 HTN。2010 年至 2016 年在三军总医院参加健康检查的参与者被纳入研究,并根据不同的家族史分为四组。使用多变量逻辑回归模型来分析各种家族史与心血管代谢事件之间的关系。将有 DM 家族史的受试者按体脂百分比(PBF)分为四分位,并分析这些不良结局。在横断面分析中,有 DM 家族史的受试者与 MetS(OR=1.34[95%CI:1.17-1.54])和 DM(OR=3.03[95%CI:2.44-3.76])显著相关,有 HTN 家族史的受试者与 HTN 呈正相关(OR=1.60[95%CI:1.41-1.81])。值得注意的是,PBF 较高四分位数的 DM 家族史患者与心血管代谢事件的相关性显著增加(MetS:OR=15.20[95%CI:9.87-23.39];DM:OR=3.35[95%CI:1.91-5.90];HTN:2.81[95%CI:1.84-4.29])。有 DM 家族史的个体与 MetS 和 DM 呈正相关,有 HTN 家族史的个体与 HTN 呈正相关。建议特别对肥胖人群进行家族史评估,以筛查不良健康结果。