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健康墨西哥人群生化分析、心脏代谢危险因素中的性别差异及其与CRP的相关性

Sex Differences in Biochemical Analyses, Cardiometabolic Risk Factors and Their Correlation with CRP in Healthy Mexican Individuals.

作者信息

Brambila-Tapia Aniel Jessica Leticia, González-Gómez Alejandra Soledad, Carrillo-Delgadillo Laura Arely, Saldaña-Cruz Ana Míriam, Dávalos-Rodríguez Ingrid Patricia

机构信息

Departamento de Psicología Básica, Centro Universitario de Ciencias de la Salud (CUCS), Universidad de Guadalajara, Guadalajara 44340, Jalisco, Mexico.

Licenciatura en Nutrición, Centro Universitario de Ciencias de la Salud (CUCS), Universidad de Guadalajara, Guadalajara 44340, Jalisco, Mexico.

出版信息

J Pers Med. 2024 Aug 26;14(9):904. doi: 10.3390/jpm14090904.

Abstract

BACKGROUND

Few studies have been undertaken to detect the presence of cardiovascular risk factors (CRFs) in healthy populations (individuals auto-reported as healthy). These risk factors include high body mass index (BMI), high waist-to-hip ratio (WHR), high systolic and diastolic blood pressure (SBP, DBP), high uric acid and high Castelli's risk index (CRI); this last is the ratio of total cholesterol to HDL cholesterol (TC/HDL-c). In addition, the correlations between CRFs and the biomarker C-reactive protein (CRP) has not been explored in each sex.

AIM

Therefore, this study aimed to determine sex differences in the abnormalities in blood and urine analyses, including CRFs and their correlation with CPR in a non-representative sample of healthy Mexican individuals.

RESULTS

A total of 238 subjects were included, 123 (51.7%) of whom were women. The main blood alterations detected were high serum lipids, including high total cholesterol, LDL-cholesterol, triglycerides, and the CRI, which were higher in men than in women. The men's samples had a higher frequency of hypertensives and pre-hypertensives than the women's sample. The CRP showed positive significant correlations with the CRFs: BMI, WHR, SBP, DBP, uric acid, and the CRI, with a higher correlation for BMI and WHR, and most of these correlations were higher in women than in men. Additionally, all these factors showed a positive correlation among them.

CONCLUSION

In conclusion, the main alterations observed in blood are related to cardiovascular risk and were reported with a higher frequency in men when compared with women. This finding can be related to the higher values of WHR in this sex; additionally, the inflammatory marker CRP was more correlated with the cardiometabolic risk factors in women than in men, which suggests a different relationship between inflammation and cardiometabolic risk factors in each sex.

摘要

背景

针对健康人群(自我报告为健康的个体)中心血管危险因素(CRF)的存在情况,开展的研究较少。这些危险因素包括高体重指数(BMI)、高腰臀比(WHR)、高收缩压和舒张压(SBP、DBP)、高尿酸以及高卡斯泰利风险指数(CRI);后者是总胆固醇与高密度脂蛋白胆固醇的比值(TC/HDL-c)。此外,尚未对各性别中CRF与生物标志物C反应蛋白(CRP)之间的相关性进行研究。

目的

因此,本研究旨在确定在一组非代表性的健康墨西哥个体样本中,血液和尿液分析异常方面的性别差异,包括CRF及其与CRP的相关性。

结果

共纳入238名受试者,其中123名(51.7%)为女性。检测到的主要血液异常情况为血脂升高,包括总胆固醇、低密度脂蛋白胆固醇、甘油三酯升高以及CRI升高,男性的这些指标高于女性。男性样本中高血压和高血压前期的发生率高于女性样本。CRP与CRF呈显著正相关:BMI、WHR、SBP、DBP、尿酸和CRI,其中与BMI和WHR的相关性更高,且这些相关性大多在女性中高于男性。此外,所有这些因素之间均呈正相关。

结论

总之,观察到的主要血液异常与心血管风险相关,与女性相比,男性中报告的频率更高。这一发现可能与该性别中较高的WHR值有关;此外,炎症标志物CRP在女性中与心脏代谢危险因素的相关性高于男性,这表明各性别中炎症与心脏代谢危险因素之间存在不同的关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e90/11433147/7517ee05bc5b/jpm-14-00904-g001.jpg

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