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全球研究中代谢综合征的危险因素聚集及其对中心血压的影响。

Clusters of risk factors in metabolic syndrome and their influence on central blood pressure in a global study.

机构信息

Department of Clinical Sciences, and Department of Nephrology, Lund University, Ruth Lundskogs gata 14, S-214 28, Malmö, Sweden.

Department of Medicine, School of Medicine, National Yang-Ming University, Taipei, Taiwan.

出版信息

Sci Rep. 2022 Aug 24;12(1):14409. doi: 10.1038/s41598-022-18094-y.

Abstract

The effect of metabolic syndrome (MetS) and clusters of its components on central blood pressure (CBP) has not been well characterized. We aimed to describe the effect of MetS and clusters of its components on CBP in a large population and to identify whether this effect differs in men and women. We studied 15,609 volunteers (43% women) from 10 cohorts worldwide who participated in the Metabolic syndrome and Artery REsearch Consortium. MetS was defined according to the NCEP-ATP III criteria (GHTBW, glucose, high-density lipoprotein cholesterol, triglyceride, blood pressure, waist circumference). CBP was measured noninvasively and acquired from pulse wave analysis by applanation tonometry. MetS was associated with a 50% greater odds of having higher CSBP. After controlling for age, male sex, non HDL cholesterol, diabetes mellitus, and mean arterial pressure, only specific clusters of MetS components were associated with a higher CSBP; and some of them were significant in women but not in men. We identified "risky clusters" of MetS variables associated with high CSBP. Future studies are needed to confirm they identify subjects at high risk of accelerated arterial aging and, thus, need more intensive clinical management.

摘要

代谢综合征(MetS)及其成分簇对中心血压(CBP)的影响尚未得到很好的描述。我们旨在描述代谢综合征及其成分簇在大人群中对 CBP 的影响,并确定这种影响在男性和女性中是否存在差异。我们研究了来自全球 10 个队列的 15609 名志愿者(43%为女性),他们参加了代谢综合征和动脉研究联盟。MetS 根据 NCEP-ATP III 标准(GHTBW、葡萄糖、高密度脂蛋白胆固醇、甘油三酯、血压、腰围)定义。CBP 通过平板眼压测量无创性测量并通过脉搏波分析获得。MetS 与更高的 CSBP 发生几率增加 50%相关。在控制年龄、男性、非高密度脂蛋白胆固醇、糖尿病和平均动脉压后,只有特定的 MetS 成分簇与更高的 CSBP 相关;其中一些在女性中显著,但在男性中不显著。我们确定了与高 CSBP 相关的 MetS 变量的“风险聚类”。需要进一步的研究来证实它们是否能识别出动脉老化加速风险较高的患者,因此需要更强化的临床管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2e3/9402529/45c32800face/41598_2022_18094_Fig1_HTML.jpg

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