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银屑病作为女性合并心血管代谢疾病的预测因素:基于丹麦全国出生队列的研究。

Psoriasis as a Predictor of Cardiometabolic Comorbidity in Women: A Study Based on the Danish National Birth Cohort.

机构信息

Copenhagen Research Group for Inflammatory Skin (CORGIS), Department of Dermatology and Allergy, Herlev and Gentofte Hospital, University of Copenhagen, DK-2900 Hellerup, Denmark.

出版信息

Acta Derm Venereol. 2019 Mar 1;99(3):274-278. doi: 10.2340/00015555-3090.

Abstract

Psoriasis is associated with cardiometabolic comorbidity; however, whether this is due to common lifestyle-related risk factors is unclear. This study investigated the association between psoriasis and cardiometabolic comorbidity, taking body mass index and smoking into account. The population comprised expectant mothers in the Danish National Birth Cohort (established 1996-2002). During pregnancy, the women were asked about physician-diagnosed psoriasis. Any association with self-reported cardiometabolic comorbidity 11 years later was assessed using logistic regression. The cohort was also followed up for hospital-diagnosed comorbidity, including cardiac death, until 31 December 2014, and the risk was assessed using Cox regression. A total of 2,435 women with psoriasis (2.90%) and 81,388 women without were identified. Psoriasis was significantly associated with self-reported hypercholesterolaemia (adjusted odds ratio 1.31; 1.01-1.70) and hospital-diagnosed hypertension (adjusted hazard ratio 1.33; 1.08-1.65). Women with psoriasis have an increased risk of developing cardiometabolic comorbidity in early adult life.

摘要

银屑病与心血管代谢合并症相关;然而,这是否是由于共同的生活方式相关的危险因素尚不清楚。本研究调查了银屑病与心血管代谢合并症之间的关联,同时考虑了体重指数和吸烟因素。该人群由丹麦国家出生队列中的孕妇组成(成立于 1996-2002 年)。在怀孕期间,女性被问及医生诊断的银屑病。11 年后,使用逻辑回归评估与自我报告的心血管代谢合并症的任何关联。该队列还对包括心脏死亡在内的医院诊断的合并症进行了随访,直到 2014 年 12 月 31 日,并使用 Cox 回归评估了风险。共确定了 2435 名患有银屑病(2.90%)的女性和 81388 名没有银屑病的女性。银屑病与自我报告的高胆固醇血症(调整后的优势比 1.31;1.01-1.70)和医院诊断的高血压(调整后的危险比 1.33;1.08-1.65)显著相关。患有银屑病的女性在成年早期患心血管代谢合并症的风险增加。

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