• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

1 小时口服葡萄糖耐量试验对成年囊性纤维化患者 4 年临床状况的影响。

Impact of 1h oral glucose tolerance test on the clinical status of adult cystic fibrosis patients over a 4-year period.

机构信息

Montreal Clinical Research Institute, Québec, Canada.

Département de nutrition et de Médecine, Université de Montréal, Montréal, Québec, Canada.

出版信息

PLoS One. 2021 Mar 18;16(3):e0246897. doi: 10.1371/journal.pone.0246897. eCollection 2021.

DOI:10.1371/journal.pone.0246897
PMID:33735186
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7971459/
Abstract

OBJECTIVE

To report the clinical profile associated with G60 and I60 over a 4-year prospective observational period in 2 large cohorts of adult patients with CF.

METHODS

319 patients were included (210 Canadian and 119 French) and classified according to their inclusion G60 (≥ or < 11.1 mmol/L) and the median inclusion I60 (≥ or < 24 mU/I). Forced expiratory volume in 1 second (FEV1), body mass index (BMI) were collected on OGTT days. Linear mixed regression models were used to assess the effect of G60 and I60.

RESULTS

High G60 was not associated to a lower FEV1 at inclusion and the follow-up decline was not higher in the high G60 group (Coefficient [95% CI]: -3.4 [-7.4;0.6], p = 0.0995.). There was no significant association between BMI and G60. Patients with high I60 tended to have a higher mean BMI (+0.5 kg/m2 [0.0 to 1.1], p = 0.05) but no interaction over time was observed.

CONCLUSIONS

High G60 is not associated with a lower lung function at inclusion nor its decline over a 4-year follow-up. High I60 is slightly associated to a higher weight at inclusion, but not with BMI evolution over time in adult patients.

摘要

目的

报告在 2 个大型成年 CF 患者队列中,经过 4 年的前瞻性观察,与 G60 和 I60 相关的临床特征。

方法

纳入 319 名患者(210 名加拿大患者和 119 名法国患者),根据纳入时的 G60(≥或<11.1mmol/L)和 I60 中位数(≥或<24mU/I)进行分类。在 OGTT 日收集 1 秒用力呼气量(FEV1)和体重指数(BMI)。采用线性混合回归模型评估 G60 和 I60 的影响。

结果

高 G60 与纳入时较低的 FEV1 无关,高 G60 组的随访下降也不高(系数[95%CI]:-3.4[-7.4;0.6],p=0.0995)。BMI 与 G60 之间没有显著关联。高 I60 患者的平均 BMI 略高(+0.5kg/m2[0.0 至 1.1],p=0.05),但未观察到随时间的交互作用。

结论

高 G60 与纳入时较低的肺功能或 4 年随访期间的肺功能下降无关。高 I60 与纳入时的体重较高略有关联,但与成年患者 BMI 的随时间演变无关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73c4/7971459/e4f4aff309ce/pone.0246897.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73c4/7971459/1171b09d7084/pone.0246897.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73c4/7971459/e4f4aff309ce/pone.0246897.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73c4/7971459/1171b09d7084/pone.0246897.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73c4/7971459/e4f4aff309ce/pone.0246897.g002.jpg

相似文献

1
Impact of 1h oral glucose tolerance test on the clinical status of adult cystic fibrosis patients over a 4-year period.1 小时口服葡萄糖耐量试验对成年囊性纤维化患者 4 年临床状况的影响。
PLoS One. 2021 Mar 18;16(3):e0246897. doi: 10.1371/journal.pone.0246897. eCollection 2021.
2
The 1-h oral glucose tolerance test glucose and insulin values are associated with markers of clinical deterioration in cystic fibrosis.1小时口服葡萄糖耐量试验的血糖和胰岛素值与囊性纤维化临床恶化的标志物相关。
Acta Diabetol. 2016 Jun;53(3):359-66. doi: 10.1007/s00592-015-0791-3. Epub 2015 Jul 29.
3
Glucose tolerance in Canadian and French cystic fibrosis adult patients.加拿大和法国囊性纤维化成年患者的葡萄糖耐量。
Sci Rep. 2019 Mar 18;9(1):4763. doi: 10.1038/s41598-019-40592-9.
4
Early assessment of glucose abnormalities during continuous glucose monitoring associated with lung function impairment in cystic fibrosis patients.在囊性纤维化患者中,连续血糖监测期间血糖异常与肺功能损害的早期评估。
J Cyst Fibros. 2014 Jul;13(4):478-84. doi: 10.1016/j.jcf.2013.11.005. Epub 2013 Dec 17.
5
Association of the relative change in weight and body mass index with lung function in teenagers and adults with cystic fibrosis: Influence of gender and diabetes.青少年及成年囊性纤维化患者体重和体重指数的相对变化与肺功能的关联:性别和糖尿病的影响
Endocrinol Nutr. 2015 Nov;62(9):422-9. doi: 10.1016/j.endonu.2015.06.009. Epub 2015 Aug 24.
6
Delayed glucose peak and elevated 1-hour glucose on the oral glucose tolerance test identify youth with cystic fibrosis with lower oral disposition index.口服葡萄糖耐量试验中葡萄糖峰值延迟和 1 小时血糖升高可识别出口服处置指数较低的囊性纤维化青少年。
J Cyst Fibros. 2021 Mar;20(2):339-345. doi: 10.1016/j.jcf.2020.08.020. Epub 2020 Sep 11.
7
Hypoglycemia is common in children with cystic fibrosis and seen predominantly in females.低血糖在囊性纤维化儿童中很常见,主要见于女性。
Pediatr Diabetes. 2017 Nov;18(7):607-613. doi: 10.1111/pedi.12470. Epub 2016 Nov 22.
8
Peak glucose during an oral glucose tolerance test is associated with future diabetes risk in adults with cystic fibrosis.口服葡萄糖耐量试验期间的峰值血糖与成年囊性纤维化患者的未来糖尿病风险相关。
Diabetologia. 2021 Jun;64(6):1332-1341. doi: 10.1007/s00125-021-05423-5. Epub 2021 Mar 11.
9
Impaired glucose tolerance, body mass index and respiratory function in patients with cystic fibrosis: A systematic review.囊性纤维化患者的糖耐量受损、体重指数及呼吸功能:一项系统综述。
Clin Respir J. 2019 Jun;13(6):341-354. doi: 10.1111/crj.13019. Epub 2019 Apr 16.
10
Elevation of 1-hour plasma glucose during oral glucose tolerance testing is associated with worse pulmonary function in cystic fibrosis.口服葡萄糖耐量试验中 1 小时血浆葡萄糖升高与囊性纤维化患者肺功能恶化相关。
Diabetes Care. 2011 Feb;34(2):292-5. doi: 10.2337/dc10-1604. Epub 2011 Jan 12.

引用本文的文献

1
Time to replace the oral glucose tolerance test for cystic fibrosis related diabetes first-step screening? Establishing glycemic tools relevant to cystic fibrosis.是时候更换用于囊性纤维化相关糖尿病初步筛查的口服葡萄糖耐量试验了吗?建立与囊性纤维化相关的血糖检测工具。
Ann Med. 2025 Dec;57(1):2514787. doi: 10.1080/07853890.2025.2514787. Epub 2025 Jun 5.
2
20 years of the Montreal Cystic Fibrosis Related Diabetes Screening Cohort: key insights.蒙特利尔囊性纤维化相关糖尿病筛查队列20年:关键见解
Eur Respir Rev. 2025 May 14;34(176). doi: 10.1183/16000617.0220-2024. Print 2025 Apr.
3
Predictive Value of 1-Hour Glucose Elevations during Oral Glucose Tolerance Testing for Cystic Fibrosis-Related Diabetes.

本文引用的文献

1
Glucose tolerance in Canadian and French cystic fibrosis adult patients.加拿大和法国囊性纤维化成年患者的葡萄糖耐量。
Sci Rep. 2019 Mar 18;9(1):4763. doi: 10.1038/s41598-019-40592-9.
2
The main mechanism associated with progression of glucose intolerance in older patients with cystic fibrosis is insulin resistance and not reduced insulin secretion capacity.在老年囊性纤维化患者中,与葡萄糖耐量恶化相关的主要机制是胰岛素抵抗,而不是胰岛素分泌能力下降。
J Cyst Fibros. 2019 Jul;18(4):551-556. doi: 10.1016/j.jcf.2019.01.009. Epub 2019 Jan 30.
3
ISPAD Clinical Practice Consensus Guidelines 2018: Management of cystic fibrosis-related diabetes in children and adolescents.
口服葡萄糖耐量试验期间1小时血糖升高对囊性纤维化相关糖尿病的预测价值
Pediatr Diabetes. 2023 Apr 17;2023:4395556. doi: 10.1155/2023/4395556. eCollection 2023.
4
Disease progression joint model predicts time to type 1 diabetes onset: Optimizing future type 1 diabetes prevention studies.疾病进展联合模型预测 1 型糖尿病发病时间:优化未来 1 型糖尿病预防研究。
CPT Pharmacometrics Syst Pharmacol. 2023 Jul;12(7):1016-1028. doi: 10.1002/psp4.12973. Epub 2023 May 3.
5
ISPAD Clinical Practice Consensus Guidelines 2022: Management of cystic fibrosis-related diabetes in children and adolescents.《国际儿童青少年糖尿病协会2022年临床实践共识指南:儿童和青少年囊性纤维化相关糖尿病的管理》
Pediatr Diabetes. 2022 Dec;23(8):1212-1228. doi: 10.1111/pedi.13453.
6
Clinical practice versus guidelines for the screening of cystic fibrosis-related diabetes: A French survey from the 47 centers.囊性纤维化相关糖尿病筛查的临床实践与指南:来自47个中心的法国调查
J Clin Transl Endocrinol. 2022 Apr 4;28:100298. doi: 10.1016/j.jcte.2022.100298. eCollection 2022 Jun.
7
Impaired glucose tolerance and indeterminate glycemia in cystic fibrosis.囊性纤维化患者的糖耐量受损和血糖情况不明
J Clin Transl Endocrinol. 2021 Nov 16;26:100275. doi: 10.1016/j.jcte.2021.100275. eCollection 2021 Dec.
《国际儿童青少年糖尿病学会2018年临床实践共识指南:儿童及青少年囊性纤维化相关糖尿病的管理》
Pediatr Diabetes. 2018 Oct;19 Suppl 27:64-74. doi: 10.1111/pedi.12732.
4
Continuous glucose monitoring guided insulin therapy is associated with improved clinical outcomes in cystic fibrosis-related diabetes.连续血糖监测指导胰岛素治疗与囊性纤维化相关性糖尿病的临床转归改善相关。
J Cyst Fibros. 2018 Nov;17(6):798-803. doi: 10.1016/j.jcf.2018.05.005. Epub 2018 Jun 7.
5
Glucose trajectories in cystic fibrosis and their association with pulmonary function.囊性纤维化中的葡萄糖轨迹及其与肺功能的关系。
J Cyst Fibros. 2018 May;17(3):400-406. doi: 10.1016/j.jcf.2017.09.010. Epub 2017 Oct 14.
6
Screening for Cystic Fibrosis-Related Diabetes: Matching Pathophysiology and Addressing Current Challenges.囊性纤维化相关性糖尿病的筛查:匹配病理生理学并应对当前挑战。
Can J Diabetes. 2016 Oct;40(5):466-470. doi: 10.1016/j.jcjd.2016.08.221.
7
Endocrine Disorders in Cystic Fibrosis.囊性纤维化中的内分泌紊乱
Pediatr Clin North Am. 2016 Aug;63(4):699-708. doi: 10.1016/j.pcl.2016.04.009.
8
Diagnosing cystic fibrosis-related diabetes: current methods and challenges.诊断囊性纤维化相关糖尿病:当前方法与挑战
Expert Rev Respir Med. 2016 Jul;10(7):799-811. doi: 10.1080/17476348.2016.1190646. Epub 2016 Jun 13.
9
Cystic fibrosis.囊性纤维化。
Lancet. 2016 Nov 19;388(10059):2519-2531. doi: 10.1016/S0140-6736(16)00576-6. Epub 2016 Apr 29.
10
The 1-h oral glucose tolerance test glucose and insulin values are associated with markers of clinical deterioration in cystic fibrosis.1小时口服葡萄糖耐量试验的血糖和胰岛素值与囊性纤维化临床恶化的标志物相关。
Acta Diabetol. 2016 Jun;53(3):359-66. doi: 10.1007/s00592-015-0791-3. Epub 2015 Jul 29.