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体重指数、相对脂肪质量指数与腰围与慢性炎症参数血清浓度的关系。

Relationships of Body Mass Index, Relative Fat Mass Index, and Waist Circumference with Serum Concentrations of Parameters of Chronic Inflammation.

机构信息

Subdepartment of Long-Term Care and Palliative Medicine, Department of Social Medicine, Faculty of Health Sciences, Pomeranian Medical University in Szczecin, 48 Żołnierska St., 71-210 Szczecin, Poland.

Department of Functional Diagnostics and Physical Medicine, Faculty of Health Sciences, Pomeranian Medical University in Szczecin, 54 Żołnierska St., 71-210 Szczecin, Poland.

出版信息

Nutrients. 2023 Jun 18;15(12):2789. doi: 10.3390/nu15122789.

Abstract

(1) Background: Obesity in the perimenopausal period is associated with hormonal changes, lifestyle, and environment. In obesity, elevated levels of IL-6 and TNF-α and reduced levels of adiponectin are observed, and the associated chronic inflammation favors the development of cardiometabolic diseases. Therefore, the aim of our study was to assess the relationship between selected measures of obesity (BMI, WC, RFM, VAI, WHtR) and parameters of chronic inflammation (CRP, TNF-α, IL-6) in perimenopausal women. (2) Methods: The study involved 172 perimenopausal women. The methods used in this study were diagnostic surveys, anthropometric measurements, blood pressure measurements, and venous blood sampling. (3) Results: Preliminary multivariate linear regression analysis showed that CRP moderately positively correlated with IL-6 (β = 0.25; = 0.001) and weakly negatively correlated with adiponectin (β = -0.23; = 0.002). Similar associations were noted in preliminary multivariate linear regression analysis adjusted for age, menopausal status, and smoking status. Preliminary multivariate linear regression analysis also showed that BMI positively correlated with IL-6 (β = 0.16; = 0.033). VAI weakly positively correlated with CRP (β = 0.25; = 0.001) and negatively correlated with adiponectin (β = -0.43; = 0.000). (4) BMI, WC, RFM, VAI, and WHtR are clearly related to selected parameters of chronic inflammation. Our study suggests that each of the anthropometric variables provides distinct information on metabolic processes associated with inflammatory parameters.

摘要

(1)背景:围绝经期肥胖与激素变化、生活方式和环境有关。在肥胖中,观察到 IL-6 和 TNF-α 水平升高,脂联素水平降低,相关的慢性炎症有利于代谢性心血管疾病的发展。因此,我们的研究目的是评估围绝经期妇女中选择的肥胖指标(BMI、WC、RFM、VAI、WHtR)与慢性炎症参数(CRP、TNF-α、IL-6)之间的关系。

(2)方法:本研究纳入了 172 名围绝经期妇女。本研究采用的方法包括诊断性调查、人体测量学测量、血压测量和静脉采血。

(3)结果:初步多元线性回归分析显示,CRP 与 IL-6 中度正相关(β=0.25;p=0.001),与脂联素弱负相关(β=-0.23;p=0.002)。在调整年龄、绝经状态和吸烟状态的初步多元线性回归分析中也观察到类似的关联。初步多元线性回归分析还显示,BMI 与 IL-6 呈正相关(β=0.16;p=0.033)。VAI 与 CRP 弱正相关(β=0.25;p=0.001),与脂联素负相关(β=-0.43;p=0.000)。

(4)BMI、WC、RFM、VAI 和 WHtR 与选定的慢性炎症参数明显相关。我们的研究表明,每种人体测量变量都提供了与炎症参数相关的代谢过程的独特信息。

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