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脉搏压与韩国成年人低肌肉量的相关性:一项全国性横断面研究。

Association between pulse pressure and low muscle mass in Korean adults: A nationwide cross-sectional study.

机构信息

Family Medicine Clinic and Research Institute of Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Gyeongsangnam-do, South Korea.

Department of Family Medicine and Biomedical Research Institute, Pusan National University Yangsan Hospital, Yangsan, South Korea.

出版信息

Medicine (Baltimore). 2023 Dec 29;102(52):e36644. doi: 10.1097/MD.0000000000036644.

Abstract

Sarcopenia is characterized by a loss of muscle mass and strength and is associated with a high risk of cardiovascular events and increased mortality. Pulse pressure (PP) serves as a marker for changes in heart structure and function, as well as arterial stiffness. A high PP also increases the risk of cardiovascular disease and all-cause mortality. However, the relationship between PP and sarcopenia is poorly understood. We used the data of participants of the Korea National Health and Nutrition Examination Survey (KNHANES) of 2008 to 2011. Participants were divided into a control group (PP < 40 mm Hg) and a high-PP group (PP ≥ 40 mm Hg). PP was calculated by subtracting the diastolic blood pressure (DBP) from the systolic blood pressure (SBP), and the low muscle index was assessed using appendicular skeletal muscle mass (ASM) normalized by body mass index (BMI). Multiple logistic regression analyses were performed to examine the association between PP and the prevalence of low muscle mass, adjusting for potential confounders. The high-PP group had a higher age, SBP, DBP, and prevalence of hypertension, diabetes and hyperlipidemia than the control group. The high-PP group had a higher prevalence of low muscle mass than the control group in all models. A high PP is significantly associated with a higher prevalence of low muscle mass. Therefore, PP monitoring may help identify individuals at risk of sarcopenia and guide interventions to improve health outcomes.

摘要

肌少症的特征是肌肉质量和力量的丧失,与心血管事件风险增加和死亡率升高有关。脉压(PP)是反映心脏结构和功能变化以及动脉僵硬度的指标。高 PP 还会增加心血管疾病和全因死亡率的风险。然而,PP 与肌少症之间的关系尚未得到充分了解。我们使用了 2008 年至 2011 年韩国国家健康和营养检查调查(KNHANES)的数据。参与者被分为对照组(PP<40mmHg)和高 PP 组(PP≥40mmHg)。PP 通过从收缩压(SBP)中减去舒张压(DBP)来计算,通过将四肢骨骼肌质量(ASM)除以体重指数(BMI)来评估低肌肉指数。进行了多因素逻辑回归分析,以检查 PP 与低肌肉量患病率之间的关联,同时调整了潜在的混杂因素。与对照组相比,高 PP 组的年龄、SBP、DBP 和高血压、糖尿病和高血脂的患病率更高。在所有模型中,高 PP 组的低肌肉量患病率均高于对照组。高 PP 与低肌肉量患病率显著相关。因此,PP 监测可能有助于识别肌少症风险较高的个体,并指导改善健康结果的干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa97/10754618/3a16ccc56cd4/medi-102-e36644-g001.jpg

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