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基于 NHANES 数据的美国成年女性 DCP 水平与肾结石患病率的关系。

Association between DCP levels and kidney stone prevalence in US female adults based on NHANES data.

机构信息

Department of Urology, The Second People's Hospital of Wuhu City (Affiliated Wuhu Hospital of East China Normal University), Wuhu, 241000, China.

Department of Urology, Lu'an Hospital Affiliated of Anhui Medical University, Lu'an, 237000, Anhui, China.

出版信息

Sci Rep. 2024 Mar 18;14(1):6457. doi: 10.1038/s41598-024-56832-6.

Abstract

Our study aimed to evaluate the correlation between levels of 2,4-DCP(2,4-Dichlorophenol) and 2,5-DCP(2,5-Dichlorophenol) and the prevalence of kidney stones in US female adults. Participants were chosen from the National Health and Nutrition Examination Survey database, spanning the years 2007-2016. Dose-response curves were analyzed using logistic regression, subgroup analyses, and other statistical methods to evaluate the relationship between 2,4-DCP and 2,5-DCP levels and the prevalence of kidney stones. The final study included 3220 participants aged over 20 years, with 252 females reporting a history of kidney stones. After accounting for all interfering variables, we found that every 0.1 ug/ml increase in 2.4-DCP correlated with a 1% rise in kidney stone prevalence (OR = 1.01, 95% CI 1.00, 1.01), whereas the same increase in 2.5-DCP was linked to a 27% growth in prevalence (OR = 1.27, 95% CI 1.01, 1.61). Sensitivity analysis was performed by triangulating 2,4-DCP and 2,5-DCP levels. The dose-response curves demonstrated a linear positive relationship between 2,4-DCP and 2,5-DCP levels and the risk of stone development. Our findings indicate a positive correlation between 2,4-DCP and 2,5-DCP levels and the prevalence of kidney stones in US female adults. This association is of clinical significance; however, a direct causal relationship cannot be definitively established.

摘要

我们的研究旨在评估美国成年女性中 2,4-DCP(2,4-二氯苯酚)和 2,5-DCP(2,5-二氯苯酚)水平与肾结石患病率之间的相关性。参与者选自 2007 年至 2016 年的国家健康和营养调查数据库。使用逻辑回归、亚组分析和其他统计方法分析剂量-反应曲线,以评估 2,4-DCP 和 2,5-DCP 水平与肾结石患病率之间的关系。最终研究纳入了 3220 名年龄在 20 岁以上的参与者,其中 252 名女性报告有肾结石病史。在考虑了所有干扰变量后,我们发现 2,4-DCP 每增加 0.1μg/ml,肾结石患病率就会增加 1%(OR=1.01,95%CI 1.00,1.01),而 2,5-DCP 增加相同幅度则与患病率增长 27%相关(OR=1.27,95%CI 1.01,1.61)。通过对 2,4-DCP 和 2,5-DCP 水平进行三角分析进行了敏感性分析。剂量-反应曲线表明 2,4-DCP 和 2,5-DCP 水平与结石形成风险之间存在线性正相关关系。我们的研究结果表明,美国成年女性 2,4-DCP 和 2,5-DCP 水平与肾结石患病率之间存在正相关关系。这种关联具有临床意义;然而,不能明确确定两者之间存在直接的因果关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a1f/10948765/b38e13c41b01/41598_2024_56832_Fig1_HTML.jpg

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