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血小板计数和高血压作为普通人群身高降低的指标:一项前瞻性研究。

Platelet count and hypertension as indicators of height loss in the general population: A prospective study.

作者信息

Shimizu Yuji, Yamanashi Hirotomo, Noguchi Yuko, Kawashiri Shin-Ya, Arima Kazuhiko, Nagata Yasuhiro, Maeda Takahiro

机构信息

Department of General Medicine, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.

Epidemiology Section, Division of Public Health, Osaka Institute of Public Health, Osaka, Japan.

出版信息

PLoS One. 2024 Dec 2;19(12):e0314527. doi: 10.1371/journal.pone.0314527. eCollection 2024.

Abstract

Circulating CD34-positive cell count is inversely associated with height loss. It acts as an indicator of endothelial repair activity. In conjunction with CD34-positive cells, platelets contribute to endothelial repair. The presence of hypertension increases the demand for endothelial repair. Therefore, platelet count could be associated with height loss among individuals with hypertension. A retrospective study of 2,343 individuals aged 40 to 79 years was conducted. Height loss was defined as being in the highest quartile of annual height decrease (1.6 mm/year for men and 2.0 mm/year for women). A significant inverse association between platelet count and height loss was observed only among participants with hypertension. After adjusting for known cardiovascular risk factors, the odds ratio (95% confidence interval) for height loss per 1 standard deviation increment in platelet count (5.09×104/μL for men and 5.03×104/μL for women) was 0.83 (0.70, 0.98) for participants with hypertension and 1.02 (0.90, 1.16) for participants without hypertension. Independent of known cardiovascular risk factors, platelets could prevent accelerated height loss among individuals with hypertension. Unlike CD34-positive cell count, platelet count and blood pressure, which are easy to assess in daily clinical practice, influence height loss.

摘要

循环CD34阳性细胞计数与身高降低呈负相关。它可作为内皮修复活性的一个指标。血小板与CD34阳性细胞共同作用,有助于内皮修复。高血压的存在增加了对内皮修复的需求。因此,血小板计数可能与高血压患者的身高降低有关。对2343名年龄在40至79岁的个体进行了一项回顾性研究。身高降低定义为年身高下降处于最高四分位数(男性为每年1.6毫米,女性为每年2.0毫米)。仅在高血压参与者中观察到血小板计数与身高降低之间存在显著的负相关。在调整已知的心血管危险因素后,血小板计数每增加1个标准差(男性为5.09×10⁴/微升,女性为5.03×10⁴/微升),高血压参与者身高降低的优势比(95%置信区间)为0.83(0.70,0.98),非高血压参与者为1.02(0.90,1.16)。独立于已知的心血管危险因素,血小板可预防高血压个体的身高加速降低。与CD34阳性细胞计数不同,血小板计数和血压在日常临床实践中易于评估,它们会影响身高降低。

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本文引用的文献

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Front Cell Dev Biol. 2023 Apr 17;11:1128134. doi: 10.3389/fcell.2023.1128134. eCollection 2023.
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