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队列资料简介:“个体化医学的生物标志物”(BioPersMed):在格拉茨/奥地利的一项单中心前瞻性观察队列研究,旨在评估心血管和代谢疾病中的新型生物标志物。

Cohort profile: 'Biomarkers of Personalised Medicine' (BioPersMed): a single-centre prospective observational cohort study in Graz/Austria to evaluate novel biomarkers in cardiovascular and metabolic diseases.

机构信息

Center for Biomarker Research in Medicine, Graz, Austria.

Department of Internal Medicine, Medical University, Graz, Austria.

出版信息

BMJ Open. 2022 Apr 7;12(4):e058890. doi: 10.1136/bmjopen-2021-058890.

Abstract

PURPOSE

Accumulating evidence points towards a close relationship between cardiovascular, endocrine and metabolic diseases. The BioPersMed Study (Biomarkers of Personalised Medicine) is a single-centre prospective observational cohort study with repetitive examination of participants in 2-year intervals. The aim is to evaluate the predictive impact of various traditional and novel biomarkers of cardiovascular, endocrine and metabolic pathways in asymptomatic individuals at risk for cardiovascular and/or metabolic disease.

PARTICIPANTS

Between 2010 and 2016, we recruited 1022 regional individuals into the study. Subjects aged 45 years or older presenting with at least one traditional cardiovascular risk factor or manifest type 2 diabetes mellitus (T2DM) were enrolled. The mean age of the participants was 57±8 years, 55% were female, 18% had T2DM, 33% suffered from arterial hypertension, 15% were smokers, 42% had hyperlipidaemia, and only 26% were at low cardiovascular risk according to the Framingham 'Systematic COronary Risk Evaluation'.

FINDINGS TO DATE

Study procedures during screening and follow-up visits included a physical examination and comprehensive cardiovascular, endocrine, metabolic, ocular and laboratory workup with biobanking of blood and urine samples. The variety of assessed biomarkers allows a full phenotyping of individuals at cardiovascular and metabolic risk. Preliminary data from the cohort and relevant biomarker analyses were already used as control population for genomic studies in local and international research cooperation.

FUTURE PLANS

Participants will undergo comprehensive cardiovascular, endocrine and metabolic examinations for the next decades and clinical outcomes will be adjudicated prospectively.

摘要

目的

越来越多的证据表明心血管、内分泌和代谢疾病之间存在密切关系。BioPersMed 研究(个性化医学的生物标志物)是一项单中心前瞻性观察队列研究,每两年对参与者进行重复检查。目的是评估心血管、内分泌和代谢途径的各种传统和新型生物标志物在无症状心血管和/或代谢疾病风险个体中的预测影响。

参与者

在 2010 年至 2016 年间,我们招募了 1022 名当地个体参加该研究。招募年龄在 45 岁或以上、至少存在一种传统心血管危险因素或表现为 2 型糖尿病(T2DM)的患者。参与者的平均年龄为 57±8 岁,55%为女性,18%患有 T2DM,33%患有动脉高血压,15%为吸烟者,42%患有高脂血症,只有 26%根据弗雷明汉“系统性冠状动脉风险评估”,心血管风险低。

迄今为止的研究结果

在筛查和随访期间,研究程序包括体格检查以及全面的心血管、内分泌、代谢、眼部和实验室检查,并对血液和尿液样本进行生物标本库储存。评估的生物标志物种类繁多,可对心血管和代谢风险个体进行全面表型分析。该队列的初步数据和相关生物标志物分析已被用作当地和国际研究合作中基因组研究的对照人群。

未来计划

参与者将在未来几十年内接受全面的心血管、内分泌和代谢检查,并前瞻性地判断临床结局。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ef5/8991072/44df0315d7e9/bmjopen-2021-058890f01.jpg

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