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美国儿童和青少年性激素与 C 反应蛋白水平的条件关联:来自 NHANES 2015-2016 的证据。

Conditional associations of sex steroid hormones with C-reactive protein levels in American children and adolescents: evidence from NHANES 2015-2016.

机构信息

Plastic Surgery, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, China.

出版信息

Front Endocrinol (Lausanne). 2024 Sep 24;15:1431984. doi: 10.3389/fendo.2024.1431984. eCollection 2024.

DOI:10.3389/fendo.2024.1431984
PMID:39381439
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11458447/
Abstract

BACKGROUND

The relationship between sex steroid hormones and high-sensitivity C-reactive protein(hs-CRP) levels in American children and adolescents is understudied. This research will examine this association.

METHODS

The study conducted a data analysis from the National Health and Nutrition Examination Survey (NHANES) 2015-2016, adjusting multiple linear regression models with R 4.2.2 and EmpowerStats. A total of 1,768 children and adolescents were surveyed. Data collection involved measurements of serum levels of testosterone, estradiol, sex hormone-binding globulin (SHBG) and hs-CRP.

RESULTS

With the increase in testosterone, a brief rise (β=0.082, =0.047) followed by an overall decline (β=-0.028, =0.023) in hs-CRP was observed in the Male Prepubertal population, while a continuous decline (β=-0.002, <0.05) was seen in the Male Pubertal group. A positive correlation (β=0.047, <0.05) was found between testosterone and hs-CRP in the Female Prepubertal population, whereas no significant association (β=0.002, >0.05) was detected in the Female Pubertal group. A significant inverse correlation was observed between estradiol and hs-CRP solely in the Female Pubertal group (β=-0.002, <0.05), while no association was found in other populations. An inverse relationship between SHBG and hs-CRP was consistently noted across all groups: Male Prepubertal, Male Pubertal, Female Prepubertal, and Female Pubertal.

CONCLUSIONS

The association between sex steroid hormones and high-sensitivity C-reactive protein (hs-CRP) levels among American children and adolescents is conditional and influenced by multiple factors.

摘要

背景

性类固醇激素与美国儿童和青少年的高敏 C 反应蛋白(hs-CRP)水平之间的关系尚未得到充分研究。本研究将对此关联进行检验。

方法

本研究对 2015-2016 年全国健康和营养调查(NHANES)的数据进行了分析,使用 R 4.2.2 和 EmpowerStats 调整了多元线性回归模型。共调查了 1768 名儿童和青少年。数据收集包括测量血清睾酮、雌二醇、性激素结合球蛋白(SHBG)和 hs-CRP 的水平。

结果

在男性青春期前人群中,随着睾酮的增加,hs-CRP 先短暂升高(β=0.082,=0.047),然后总体下降(β=-0.028,=0.023),而在男性青春期人群中则持续下降(β=-0.002,<0.05)。在女性青春期前人群中,睾酮与 hs-CRP 呈正相关(β=0.047,<0.05),而在女性青春期人群中则无显著相关性(β=0.002,>0.05)。仅在女性青春期人群中观察到雌二醇与 hs-CRP 呈显著负相关(β=-0.002,<0.05),而在其他人群中则无相关性。SHBG 与 hs-CRP 之间呈负相关,这在所有人群中均一致:男性青春期前、男性青春期、女性青春期前和女性青春期。

结论

性类固醇激素与美国儿童和青少年的高敏 C 反应蛋白(hs-CRP)水平之间的关联是有条件的,并受多种因素影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/507b/11458447/95f7ec15ffe4/fendo-15-1431984-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/507b/11458447/5ed5dacddab7/fendo-15-1431984-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/507b/11458447/95f7ec15ffe4/fendo-15-1431984-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/507b/11458447/5ed5dacddab7/fendo-15-1431984-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/507b/11458447/95f7ec15ffe4/fendo-15-1431984-g002.jpg

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