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运动干预对结直肠癌指标的性别差异:基于国民健康保险共享服务的大数据分析

Gender difference in colorectal cancer indicators for exercise interventions: the National Health Insurance Sharing Service-Derived Big Data Analysis.

作者信息

Jee Hyunseok, Kim Jong-Hee

机构信息

Department of Sports Science, Hannam University, Daejeon, Korea.

School of Kinesiology, Yeungnam University, Gyeongsan, Korea.

出版信息

J Exerc Rehabil. 2019 Dec 31;15(6):811-818. doi: 10.12965/jer.1938692.346. eCollection 2019 Dec.

DOI:10.12965/jer.1938692.346
PMID:31938703
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6944878/
Abstract

We aimed to examine various characterized features and effects of gender-associated different parameters including exercise on the prevalence of colorectal cancer by using data from the National Health Insurance Sharing Service Database (NHISS DB). Data from NHISS were collected on Koreans aged from 40 to 85 years and were subjected to thematic analysis. The colorectal cancer codes (C19, C20, D011, and D012) from Korean Standard Classification of Disease and Causes of Death selected a target study group, and -test and logistic regression were used. As results, the age was higher for men who had colorectal cancer than the noncancer group; however, high and low blood pressure, hemoglobin, and age had lower values for the cancer group compared to their counterparts in women. Only total cholesterol in men and waist size in women between cancer and noncancer groups were shown to have significant differences. Serum glutamic pyruvic transaminase and alanine aminotransaminase (SGPT_ALT) showed significant differences for both sexes. In exercise-related parameter, the response number 2 (1-2 times/wk, 0.535 for odd ratio) in women and response number 3 (3-4 times/wk, 0.466 for odd ratio) in men were associated with a reduced incidence of colon cancer. There was a difference in parameters in colorectal cancer patients over 40 years old for both sexes, but not in SGPT_ALT. Regular physical activity might be one of strong factors affecting or predicting colorectal cancer incidence.

摘要

我们旨在利用国民健康保险共享服务数据库(NHISS DB)的数据,研究与性别相关的不同参数(包括运动)对结直肠癌患病率的各种特征和影响。NHISS收集了40至85岁韩国人的数据,并进行了主题分析。从韩国疾病和死因标准分类中的结直肠癌编码(C19、C20、D011和D012)中选取目标研究组,并使用t检验和逻辑回归。结果显示,患有结直肠癌的男性年龄高于非癌症组;然而,与女性的相应组相比,癌症组的高血压、低血压、血红蛋白和年龄值较低。癌症组和非癌症组之间,仅男性的总胆固醇和女性的腰围存在显著差异。血清谷丙转氨酶和丙氨酸转氨酶(SGPT_ALT)在两性中均显示出显著差异。在与运动相关的参数方面,女性的反应次数2(每周1 - 2次,比值比为0.535)和男性的反应次数3(每周3 - 4次,比值比为0.466)与结肠癌发病率降低相关。40岁以上的结直肠癌患者在两性参数上存在差异,但SGPT_ALT没有差异。规律的体育活动可能是影响或预测结直肠癌发病率的重要因素之一。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c05a/6944878/3a0feac6679e/jer-15-6-811f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c05a/6944878/3a0feac6679e/jer-15-6-811f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c05a/6944878/3a0feac6679e/jer-15-6-811f1.jpg

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