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男性体重变化与腹主动脉钙化可能性增加之间的关联。

Association Between Weight Change and Increased Likelihood of Abdominal Aortic Calcification Among Men.

作者信息

Huang Yanting, Ruan Zhijie, Lin Weizhao, Chen Zhichao, Zhang Liling, Li Zhi

机构信息

Shantou University Medical College, Shantou, Guangdong 515041, P. R. China.

Department of Cardiology, the Second Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong, P. R. China.

出版信息

J Endocr Soc. 2022 Apr 22;6(6):bvac067. doi: 10.1210/jendso/bvac067. eCollection 2022 Jun 1.

Abstract

OBJECTIVE

We aimed to explore the effect of weight change on abdominal aortic calcification (AAC) among men.

METHODS

Data were obtained from the 2013 to 2014 National Health and Nutrition Examination Survey (NHANES). Self-reported cardiovascular disease patients were excluded. Lateral spine images were used to quantify AAC score and severe AAC was defined as a AAC score greater than 6. Weight change over a 10-year period was defined as long-term weight change, and weight change over a 1-year period was defined as short-term weight change. The relationship between long-term and short-term weight change with AAC grade was estimated by using multivariable regression analysis and subgroup analysis.

RESULTS

After adjusting for covariates, weight gain, especially severe weight gain (> 10 kg), was associated with increased likelihood of AAC and severe AAC both in the short term (1 year) and long term (10 years) among men when compared to stable weight change, while long-term weight loss could also lead to an increased likelihood of AAC and severe AAC.

CONCLUSION

Stable body weight might be a predictor of a lower risk of AAC and severe AAC among men in the long term and short term.

摘要

目的

我们旨在探讨体重变化对男性腹主动脉钙化(AAC)的影响。

方法

数据来自2013年至2014年的美国国家健康与营养检查调查(NHANES)。排除自我报告的心血管疾病患者。使用脊柱侧位图像来量化AAC评分,严重AAC定义为AAC评分大于6。10年期间的体重变化定义为长期体重变化,1年期间的体重变化定义为短期体重变化。使用多变量回归分析和亚组分析评估长期和短期体重变化与AAC分级之间的关系。

结果

在调整协变量后,与体重稳定变化相比,体重增加,尤其是重度体重增加(>10 kg),在男性短期(1年)和长期(10年)内均与AAC和严重AAC发生可能性增加相关,而长期体重减轻也可能导致AAC和严重AAC发生可能性增加。

结论

长期和短期内,稳定体重可能是男性发生AAC和严重AAC风险较低的一个预测因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/88a5/9071313/a9b246059c8c/bvac067f0001.jpg

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