Castellazzi Massimiliano, Candeloro Raffaella, Trevisan Caterina, Permunian Samantha, Buscemi Gaia, Ghisellini Sara, Negri Giovanna, Gilli Giada, Ferri Caterina, Bellini Tiziana, Pizzicotti Stefano, Pugliatti Maura
Department of Neurosciences and Rehabilitation, University of Ferrara, 44121 Ferrara, Italy.
University Strategic Center for Studies on Gender Medicine, University of Ferrara, 44121 Ferrara, Italy.
J Pers Med. 2024 Mar 29;14(4):362. doi: 10.3390/jpm14040362.
(1) Background: Cerebrospinal fluid (CSF)/serum albumin quotient (QAlb) and CSF total protein (TP) are more elevated in males than females, and this has been hypothesised to be due to anthropometric differences between the sexes. This study aimed to investigate QAlb and CSF TP as a function of body height, weight, and body mass index (BMI). (2) Methods: A total of 207 patients were included in the study and analysed blinded to clinical diagnosis. (3) Results: Multivariable linear regressions were run to predict log-transformed Qalb and log-transformed CSF TP value from age, sex, weight, and height (first model) or from age, sex, and BMI (second model). In both models, age (β = 0.004, 95% CI = 0.002 to 0.006) and sex (β = -0.095, 95% CI = -0.169 to -0.021, and β = -0.135, 95% CI = -0.191 to -0.079) were significant predictors for QAlb, but weight, height, and BMI were not. Similarly, age (β = 0.004, 95% CI = 0.003 to 0.006) and sex (β = -0.077, 95% CI = -0.142 to -0.013, and β = -0.109, 95% CI = -0.157 to -0.060) were significant predictors for CSF TP, while anthropometric characteristics were not. No differences in QAlb and CSF TP were found when grouping males and females by BMI status. (4) Conclusions: Our data suggest that anthropometric characteristics could not explain the sex-related differences in QAlb and CSF TP.
(1)背景:脑脊液(CSF)/血清白蛋白商(QAlb)和脑脊液总蛋白(TP)在男性中比女性升高更明显,据推测这是由于两性之间的人体测量学差异所致。本研究旨在探讨QAlb和脑脊液TP与身高、体重和体重指数(BMI)之间的关系。(2)方法:本研究共纳入207例患者,并在对临床诊断不知情的情况下进行分析。(3)结果:进行多变量线性回归,以根据年龄、性别、体重和身高(第一个模型)或年龄、性别和BMI(第二个模型)预测对数转换后的Qalb和对数转换后的脑脊液TP值。在两个模型中,年龄(β = 0.004,95%置信区间 = 0.002至0.006)和性别(β = -0.095,95%置信区间 = -0.169至-0.021,以及β = -0.135,95%置信区间 = -0.191至-0.079)是QAlb的显著预测因素,但体重、身高和BMI不是。同样,年龄(β = 0.004,95%置信区间 = 0.003至0.006)和性别(β = -0.077,95%置信区间 = -0.142至-0.013,以及β = -0.109,95%置信区间 = -0.157至-0.060)是脑脊液TP的显著预测因素,而人体测量学特征不是。根据BMI状态对男性和女性进行分组时,未发现QAlb和脑脊液TP有差异。(4)结论:我们的数据表明,人体测量学特征无法解释QAlb和脑脊液TP中与性别相关的差异。