Department of Rehabilitation, The People's Hospital of Suzhou New District, Suzhou, Jiangsu, China.
Department of Orthopedics, Kunshan Hospital of Traditional Chinese Medicine, Kunshan, Jiangsu, China.
Clinics (Sao Paulo). 2024 Aug 2;79:100450. doi: 10.1016/j.clinsp.2024.100450. eCollection 2024.
The purpose of the present study was to examine the association of oxidative stress markers with sarcopenia in the general United States population under the age of 60.
We used the National Health and Nutrition Examination Survey data from 2011‒2014 and performed Restricted Cubic Spline (RCS) plots, weighted multivariable logistic regression analysis to calculate ratio ratios and 95% Confidence Intervals, and subgroup analysis based on age, sex, hypertension, diabetes mellitus, and body mass index stratification to determine the association of markers of oxidative stress with the prevalence of sarcopenia.
The present analysis included a total of 8,782 participants. Firstly, the RCS plots showed a roughly L-shaped curve association of total bilirubin and serum iron with a prevalence of sarcopenia. Secondly, albumin was negatively and linearly associated with the risk of sarcopenia. Finally, with the increase in gamma-glutamyl transferase, the prevalence of sarcopenia showed a trend of first rising and then declining as a result of the iron increase.
We demonstrated a nonlinear association between markers of oxidative stress and sarcopenia. The need to focus more on levels of oxidative stress in the body could provide better prevention strategies for sarcopenia.
本研究旨在探讨 60 岁以下普通美国人群中氧化应激标志物与肌肉减少症的关系。
我们使用了 2011-2014 年国家健康和营养调查的数据,进行了受限三次样条(RCS)图分析、加权多变量逻辑回归分析来计算比数比和 95%置信区间,并根据年龄、性别、高血压、糖尿病和体重指数分层进行亚组分析,以确定氧化应激标志物与肌肉减少症患病率之间的关联。
本分析共纳入 8782 名参与者。首先,RCS 图显示总胆红素和血清铁与肌肉减少症患病率之间呈大致 L 形曲线关系。其次,白蛋白与肌肉减少症的风险呈负相关和线性关系。最后,随着γ-谷氨酰转移酶的增加,由于铁的增加,肌肉减少症的患病率呈先上升后下降的趋势。
我们证明了氧化应激标志物与肌肉减少症之间存在非线性关系。需要更加关注体内氧化应激水平,为肌肉减少症提供更好的预防策略。