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确定胰腺癌所致总胆固醇及肥胖相关因素用于制定运动干预的最佳临界值:基于国民健康保险共享服务数据的大数据分析

Determining Optimal Cut-Off Value of Pancreatic-Cancer-Induced Total Cholesterol and Obesity-Related Factors for Developing Exercise Intervention: Big Data Analysis of National Health Insurance Sharing Service Data.

作者信息

Jee Hyunseok, Won Kim Sang

机构信息

School of Kinesiology, Yeungnam University, 280, Daehak-ro, Gyeongsan 38541, Republic of Korea.

Medical Research Center, College of Medicine, Yeungnam University, Daegu 42415, Republic of Korea.

出版信息

Cancers (Basel). 2023 Nov 16;15(22):5444. doi: 10.3390/cancers15225444.

Abstract

This study aimed to examine the effects of multiple parameters on the incidence of pancreatic cancer. We analyzed data from 1,108,369 individuals in the National Health Insurance Sharing Service Database (NHISS DB; birth to death; 2002 to 2015) and identified 2912 patients with pancreatic cancer. Body mass index, systolic/diastolic blood pressure, and fasting blood glucose and total cholesterol concentrations were lower in women with than without pancreatic cancer ( < 0.01). Fasting blood glucose and total cholesterol concentrations were significantly different between men with and without pancreatic cancer ( < 0.05). In the logistic regression analysis, the total cholesterol concentration (odds ratio (OR), 1.007; 95% confidence interval (CI), 1.005-1.010) was significantly higher in men than women with pancreatic cancer ( < 0.05). Pancreatic cancer rates were highest in men who smoked for 5-9 years or more (OR, 5.332) and in women who smoked for 10-19 years (OR, 18.330). Daily intensive exercise reduced the risk of pancreatic cancer by 56% in men (95% CI, 0.230-0.896). Receiver operating characteristic curve analysis revealed a total cholesterol concentration cut-off point of 188.50 mg/dL ( < 0.05) in men with pancreatic cancer, with a sensitivity and specificity of 53.5% and 54.6%, respectively. For women, the cut-off values for weight and gamma glutamyl transpeptidase concentration were 58.5 kg and 20.50 U/L, respectively. The sex-specific differences in patients with pancreatic cancer identified herein will aid in the development of individualized evidence-based prognostic and preventive programs for the treatment of pancreatic cancer.

摘要

本研究旨在探讨多个参数对胰腺癌发病率的影响。我们分析了国家健康保险共享服务数据库(NHISS DB;涵盖出生至死亡;2002年至2015年)中1,108,369名个体的数据,确定了2912例胰腺癌患者。患有胰腺癌的女性的体重指数、收缩压/舒张压、空腹血糖和总胆固醇浓度低于未患胰腺癌的女性(<0.01)。患有和未患胰腺癌的男性之间,空腹血糖和总胆固醇浓度存在显著差异(<0.05)。在逻辑回归分析中,患有胰腺癌的男性的总胆固醇浓度(优势比(OR),1.007;95%置信区间(CI),1.005 - 1.010)显著高于女性(<0.05)。胰腺癌发病率在吸烟5 - 9年或更长时间的男性中最高(OR,5.332),在吸烟10 - 19年的女性中最高(OR,18.330)。每日进行高强度运动可使男性患胰腺癌的风险降低56%(95%CI,0.230 - 0.896)。受试者工作特征曲线分析显示,患有胰腺癌的男性的总胆固醇浓度临界值为188.50 mg/dL(<0.05),敏感性和特异性分别为53.5%和54.6%。对于女性,体重和γ-谷氨酰转肽酶浓度的临界值分别为58.5 kg和20.50 U/L。本文确定的胰腺癌患者的性别特异性差异将有助于制定针对胰腺癌治疗的个体化循证预后和预防方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c7b9/10670681/4e305a2023d6/cancers-15-05444-g001.jpg

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