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美国成年人群中肌肉减少症指数与肝功能异常之间的关联:一项横断面研究。

Association between the sarcopenia index and abnormal liver function in the adult population in the United States: a cross-sectional study.

作者信息

Xu Jian, Xu Zhi-Xiang, Yang Qi-Fan, Zhuang Jing, Zhu Xin, Yao Jun

机构信息

Department of Gastroenterology, The Affiliated People's Hospital of Jiangsu University, Zhenjiang, Jiangsu, China.

出版信息

Front Med (Lausanne). 2023 Nov 21;10:1266253. doi: 10.3389/fmed.2023.1266253. eCollection 2023.

Abstract

BACKGROUND

The objective of this study was to explore the association between the sarcopenia index and abnormal liver function in adult individuals in the United States.

METHODOLOGY

This study employed a rigorous cross-sectional analysis of data derived from the National Health and Nutrition Examination Survey (NHANES) conducted between 2017 and 2018. The primary objective was to investigate the correlation between the sarcopenia index and abnormal liver function. To achieve this, an advanced multivariate regression model was utilized, allowing for comprehensive analysis and meticulous adjustment of relevant variables. To ensure the robustness of the findings, a visually appealing smooth curve was constructed, and a two-stage regression model was applied for validation. Additionally, a detailed gender-stratified analysis was conducted to further explore the association between the sarcopenia index and abnormal liver function within distinct subgroups.

RESULTS

Through our rigorous participant selection process, a total of 1756 individuals were included in the study. The meticulously adjusted multivariate regression model revealed a significant negative association between the sarcopenia index and abnormal liver function, with an adjusted odds ratio (OR) of 0.73 and a 95% confidence interval (CI) ranging from 0.63 to 0.86. The robustness of this association was further supported by the visually appealing smooth curve plot. Moreover, in the gender-stratified subgroup analysis, after meticulous adjustment for confounding factors, notable differences in this association emerged (males: OR = 0.8, 95% CI: 0.66-0.98; females: OR = 0.61, 95% CI: 0.47-0.79).

CONCLUSION

This cross-sectional study yields robust evidence indicating a negative correlation between the sarcopenia index and abnormal liver function, predominantly observed among females.

摘要

背景

本研究的目的是探讨美国成年人肌肉减少症指数与肝功能异常之间的关联。

方法

本研究对2017年至2018年进行的美国国家健康与营养检查调查(NHANES)所获得的数据进行了严格的横断面分析。主要目的是研究肌肉减少症指数与肝功能异常之间的相关性。为此,使用了先进的多变量回归模型,以便对相关变量进行全面分析和细致调整。为确保研究结果的稳健性,构建了一条直观的平滑曲线,并应用两阶段回归模型进行验证。此外,还进行了详细的性别分层分析,以进一步探讨不同亚组中肌肉减少症指数与肝功能异常之间的关联。

结果

通过严格的参与者筛选过程,本研究共纳入了1756名个体。经过细致调整的多变量回归模型显示,肌肉减少症指数与肝功能异常之间存在显著的负相关,调整后的优势比(OR)为0.73,95%置信区间(CI)为0.63至0.86。这条直观的平滑曲线进一步支持了这种关联的稳健性。此外,在性别分层亚组分析中,在对混杂因素进行细致调整后,这种关联出现了显著差异(男性:OR = 0.8,95% CI:0.66 - 0.98;女性:OR = 0.61,95% CI:0.47 - 0.79)。

结论

这项横断面研究提供了有力证据,表明肌肉减少症指数与肝功能异常之间存在负相关,这种相关性在女性中更为明显。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2331/10702733/15a57cbcc26c/fmed-10-1266253-g001.jpg

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