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布什尔老年健康研究中颈围与代谢综合征危险因素的关系

Relationship Between Neck Circumference and Risk Factors of Metabolic Syndrome in a Bushehr Elderly Health Study.

作者信息

Kalantarhormozi Mohammadreza, Bagheri Marziyeh, Marzban Maryam, Motamedi Tara, Amini Azam, Mahmudpour Mehdi, Gholizadeh Mohamad, Farhadi Akram, Nabipour Iraj, Ostovar Afshin, Larijani Bagher, Khayyati Tahere

机构信息

The Persian Gulf Tropical Medicine Research Center, The Persian Gulf Biomedical Sciences Research Institute, Bushehr University of Medical Sciences, Bushehr, IRN.

Internal Medicince, Los Angeles Biomedical Research Institute, Los Angeles, USA.

出版信息

Cureus. 2023 Jun 14;15(6):e40419. doi: 10.7759/cureus.40419. eCollection 2023 Jun.

Abstract

Metabolic syndrome includes a set of metabolic disorders such as obesity, high blood pressure, hypertriglyceridemia, lipid disorders, and glucose intolerance. In this cross-sectional (descriptive-analytical) study, 2,426 people were selected from the 60 years old and above population of Bushehr for a second-phase investigation of the relationship between neck circumference (NC) and cardiometabolic risk factors in the elderly people. The data (mean and standard deviation) were analyzed using STATA MP Version 15 software. The results of the study showed that the average age of all elderly participants in the study was 69.34 ± 6.39 years. The mean and standard deviation of the NC index in men, women, and all participants were 39.31 ± 2.89, 34.86 ± 2.84, and 37.00 ± 3.62, respectively. The mean and standard deviation of most laboratory indicators (triglyceride [TG], total cholesterol [TC], low-density lipoprotein [LDL], high-density lipoprotein [HDL]) were significantly higher in women, and there was no significant difference in fasting blood glucose (FBG) between men and women. NC index in the total population was significantly associated with all risk factors of metabolic syndrome (body mass index, systolic blood pressure, diastolic blood pressure) and laboratory indicators (FBG, TG, TC, LDLC, and HDL). The present study shows that the NC index can be a good predictor for the diagnosis of metabolic syndrome and visceral adipose tissue in the elderly.

摘要

代谢综合征包括一系列代谢紊乱,如肥胖、高血压、高甘油三酯血症、血脂异常和葡萄糖不耐受。在这项横断面(描述性分析)研究中,从布什尔60岁及以上人群中选取了2426人,对老年人颈围(NC)与心脏代谢危险因素之间的关系进行第二阶段调查。使用STATA MP 15版软件对数据(均值和标准差)进行分析。研究结果显示,该研究中所有老年参与者的平均年龄为69.34±6.39岁。男性、女性及所有参与者的NC指数均值和标准差分别为39.31±2.89、34.86±2.84和37.00±3.62。大多数实验室指标(甘油三酯[TG]、总胆固醇[TC]、低密度脂蛋白[LDL]、高密度脂蛋白[HDL])的均值和标准差在女性中显著更高,男性和女性的空腹血糖(FBG)无显著差异。总体人群的NC指数与代谢综合征的所有危险因素(体重指数、收缩压、舒张压)和实验室指标(FBG、TG、TC、低密度脂蛋白胆固醇[LDLC]和HDL)显著相关。本研究表明,NC指数可以作为老年人代谢综合征和内脏脂肪组织诊断的良好预测指标。

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